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A rapid screening tool for psychological distress in children 3--6years old: results of a validation study.
Marquer C., Barry C., Mouchenik Y., Hustache S., Djibo D., Manzo M., Falissard B., Révah-Lévy A., Grais R., Moro M.-R.
BMC Psychiatry 12, 1 (2012) 170 - http://www.hal.inserm.fr/inserm-00755769
A rapid screening tool for psychological distress in children 3--6years old: results of a validation study.
Caroline Marquer () 1, Caroline Barry2, Yoram Mouchenik3, 4, 5, Sarah Hustache1, Douma Djibo6, Mahamane Manzo7, Bruno Falissard2, Anne Révah-Lévy2, Rebecca Grais1, Marie-Rose Moro2, 5
1 :  Epicentre
8 rue St Sabin 75011 Paris
2 :  Troubles du comportement alimentaire de l'adolescent
INSERM : U669 – Université Paris XI - Paris Sud – Université Paris V - Paris Descartes
Maison de Solene 97, Boulevard de Port Royal 75679 PARIS cedex 14
3 :  LCPI - Laboratoire Cliniques Pathologique et Interculturelle
Université Toulouse le Mirail - Toulouse II
Axe Clinique interculturelle - 5 allées Antonio Machado 31058 Toulouse Cedex 9
4 :  Guidance infantile
Centre Hospitalier Saint-Anne
1 rue Cabanis 75014 Paris
5 :  LPCPP - Laboratoire de Psychologie Clinique et Psychopathologie, Psychanalyse
Médecins Sans Frontières – Université Paris V - Paris Descartes : EA4056 – la Maison de Solenn – Centre Henri Piéron – Institut de Psychologie
71 Avenue Edouard Vaillant 92100 Boulogne Billancourt Cedex
6 :  National program of mental health
Ministry of Public Health
BP 623 Niamey
7 :  Regional Department of Public Health
Ministry of Health
ABSTRACT: BACKGROUND: The mental health needs of young children in humanitarian contexts often remain unaddressed. The lack of a validated, rapid and simple tool for screening combined with few mental health professionals able to accurately diagnose and provide appropriate care mean that young children remain without care. Here, we present the results of the principle cross-cultural validation of the "Psychological Screening for Young Children aged 3 to 6" (PSYCAa3-6). The PSYCa 3--6 is a simple scale for children 3 to 6 years old administered by non-specialists, to screen young children in crises and thereby refer them to care if needed. METHODS: This study was conducted in Maradi, Niger. The scale was translated into Hausa, using corroboration of independent translations. A cross-cultural validation was implemented using quantitative and qualitative methods. A random sample of 580 mothers or caregivers of children 3 to 6 years old were included. The tool was psychometrically examined and diagnostic properties were assessed comparing the PSYCa 3--6 against a clinical interview as the gold standard. RESULTS: The PSYCa 3--6 Hausa version demonstrated good concurrent validity, as scores correlated with the gold standard and the Clinical Global Impression Severity Scale (CGI-S) [rho = 0.41, p-value = 0.00]. A reduction procedure was used to reduce the scale from 40 to 22 items. The test-retest reliability of the PSYCa 3--6 was found to be high (ICC 0.81, CI95% [0.68; 0.89]). In our sample, although not the purpose of this study, approximately 54 of 580 children required subsequent follow-up with a psychologist. CONCLUSIONS: To our knowledge, this is the first validation of a screening scale for children 3 to 6 years old with a cross-cultural validation component, for use in humanitarian contexts. The Hausa version of the PSYCa 3--6 is a reliable and a valuable screening tool for psychological distress. Further studies to replicate our findings and additional validations of the PSYCa 3--6 in other populations may help improve the delivery of mental health care to children.
Sciences du Vivant/Médecine humaine et pathologie/Psychiatrie et santé mentale

Articles dans des revues avec comité de lecture
BMC Psychiatry (BMC Psychiatry)
Publisher BioMed Central
ISSN 1471-244X 

This study was funded by Medecins sans Frontieres.
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