TY - JOUR KW - Diagnostic accuracy KW - India KW - primary-care KW - questionnaire KW - validation AU - M. Nair AU - D. Chacko AU - V. Rajaraman AU - B. George AU - L. Samraj AU - P. S. Russell A1 - AB - BACKGROUND: To validate a brief, self-reported, Teen Symptom Questionnaire-Mental Health (TSQ-M), for identifying adolescents with mental ill-health, designed for conducting epidemiological studies and clinical work in primary-care settings. MATERIALS AND METHODS: In this prospective, cross-sectional study of 146 adolescents, re-cruited six rural and urban schools, the newly developed TSQ-M as the measure for validation and General Health Questionnaire-12 item (GHQ-12) as the gold standard measure were administered by independent trained raters. Tests for diagnostic accuracy and validity were conducted. RESULTS: A TSQ-M score of >/=29 (Sn=75.68%, Sp=68.06, +LR=2.37, -LR=0.36, PPV=70.9, NPV=73.1) with the AUC of 0.79, is suggested for screening use in Indian populations. Besides the adequate face and content validity, TSQ-M has moderate internal consistency (Cronbach's alpha = .64) suggesting that the construct of mental ill-health as conceptualized by TSQ-M has multiple sub-constructs. The presence of sub-constructs was demonstrated by an 8- factor structure, which explained 60% of variance. CONCLUSION: The TSQ-M is a psychometrically adequate, yet a brief measure, for clinical and research work in identifying mental ill-health among adolescents in primary-care settings in India. BT - Indian journal of psychological medicine C5 - Healthcare Disparities CP - 2 CY - India DO - 10.4103/0253-7176.130991 IS - 2 JF - Indian journal of psychological medicine N2 - BACKGROUND: To validate a brief, self-reported, Teen Symptom Questionnaire-Mental Health (TSQ-M), for identifying adolescents with mental ill-health, designed for conducting epidemiological studies and clinical work in primary-care settings. MATERIALS AND METHODS: In this prospective, cross-sectional study of 146 adolescents, re-cruited six rural and urban schools, the newly developed TSQ-M as the measure for validation and General Health Questionnaire-12 item (GHQ-12) as the gold standard measure were administered by independent trained raters. Tests for diagnostic accuracy and validity were conducted. RESULTS: A TSQ-M score of >/=29 (Sn=75.68%, Sp=68.06, +LR=2.37, -LR=0.36, PPV=70.9, NPV=73.1) with the AUC of 0.79, is suggested for screening use in Indian populations. Besides the adequate face and content validity, TSQ-M has moderate internal consistency (Cronbach's alpha = .64) suggesting that the construct of mental ill-health as conceptualized by TSQ-M has multiple sub-constructs. The presence of sub-constructs was demonstrated by an 8- factor structure, which explained 60% of variance. CONCLUSION: The TSQ-M is a psychometrically adequate, yet a brief measure, for clinical and research work in identifying mental ill-health among adolescents in primary-care settings in India. PP - India PY - 2014 SN - 0253-7176; 0253-7176 SP - 187 EP - 191 EP - T1 - The diagnostic accuracy and validity of the teen screen questionnaire-mental health for clinical and epidemiological studies in primary-care settings T2 - Indian journal of psychological medicine TI - The diagnostic accuracy and validity of the teen screen questionnaire-mental health for clinical and epidemiological studies in primary-care settings U1 - Healthcare Disparities U2 - 24860223 U3 - 10.4103/0253-7176.130991 VL - 36 VO - 0253-7176; 0253-7176 Y1 - 2014 ER -