Development and validation of a questionnaire for evaluating knowledge of risk factors for teen depression among health care trainees of a Nigerian university.

Publisher: Wiley Country of Publication: Australia NLM ID: 101506757 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-5872 (Electronic) Linking ISSN: 17585864 NLM ISO Abbreviation: Asia Pac Psychiatry Subsets: MEDLINE

Publication: 2012- : Richmond, Vic. : Wiley
Original Publication: Richmond, Vic. : Blackwell Publishing Asia, 2009-

Depressive Disorder*/epidemiology ; Depressive Disorder*/etiology ; Educational Measurement*/methods ; Educational Measurement*/standards ; Health Knowledge, Attitudes, Practice* ; Psychometrics*/instrumentation ; Psychometrics*/methods ; Psychometrics*/standards ; Students, Health Occupations*; Adolescent ; Adult ; Female ; Humans ; Male ; Nigeria ; Reproducibility of Results ; Surveys and Questionnaires ; Young Adult

Introduction: Increasing knowledge of factors predisposing individuals to depression appears to be an important preventive strategy. However, there is no validated instrument for evaluating knowledge of risk factors for depression among adolescents. Therefore, we aimed to develop and validate a questionnaire to assess knowledge of risk factors for teen depression.
Methods: Extensive literature search and expert consultations were carefully conducted. The content, face, and convergent validity of the prefinal Knowledge of Risk Factors for Teen Depression Questionnaire (KRFD-Q) were performed. The Cronbach's alpha and test-retest reliability of KRFD-Q were conducted. Exploratory factor analysis (EFA) was used to delineate the final items into distinct clusters. Participants' demographic characteristics were presented using descriptive statistics. All analyses were performed using SPSS version 20.
Results: A total of 17 items were generated after an extensive literature search and expert consultations. Two items were considered as repetitions and thus deleted. The overall Cronbach's alpha of KRFD-Q was 0.72. Test-retest reliability (r = 0.83, P < .0001) and convergent validity (r = 0.61, P = .034) were satisfactory. The corrected item-total correlation of KRFD-Q ranged from 0.13 to 0.45. The EFA identified three factors, (1) family abuse, stress, and self-criticism (7 items), (2) social/relationship factors (5 items), and (3) genetic and economic factors (3 items).
Discussion: The findings of this study demonstrate that 15-item KRFD-Q developed is satisfactorily valid and reliable to measure the knowledge of risk factors for teen depression among university undergraduate students.
(© 2020 John Wiley & Sons Australia, Ltd.)

Adewuya, A. O. (2006). Prevalence of major depressive disorder in Nigerian college students with alcohol-related problems. General Hospital Psychiatry, 28(2), 169-173. https://doi.org/10.1016/j.genhosppsych.2005.09.002.
Adewuya, A. O., & Makanjuola, R. O. A. (2005). Social distance towards people with mental illness amongst Nigerian university students. Social Psychiatry and Psychiatric Epidemiology, 40(11), 865-868. https://doi.org/10.1007/s00127-005-0965-3.
Aniebue, P. N., & Onyema, G. O. (2008). Prevalence of depressive symptoms among Nigerian medical undergraduates. Tropical Doctor, 38(3), 157-158. https://doi.org/10.1258/td.2007.070202.
Anosike, C., Igboeli, N. U., Ukwe, C. V., & Okani, C. V. (2019). Comparative survey of beliefs about mental illness among pharmacy and non-pharmacy students of a Nigerian university. Mental Health and Social Inclusion, 23, 112-120. https://doi.org/10.1108/MHSI-02-2019-0007.
Arafat, S. Y., Shams, S. F., Rahman Chowdhury, M. H., Chowdhury, E. Z., Hoque, M. B., & Abdul Bari, M. (2017). Adaptation and validation of the Bangla version of the depression literacy questionnaire. Journal of Psychiatry, 20(4). https://doi.org/10.4172/2378-5756.1000412.
Arango, C., Díaz-Caneja, C. M., McGorry, P. D., Rapoport, J., Sommer, I. E., Vorstman, J. A., … Carpenter, W. (2018). Preventive strategies for mental health. The Lancet Psychiatry, 5, 591-604. https://doi.org/10.1016/S2215-0366(18)30057-9.
Carey, M. P., Morrison-Beedy, D., & Johnson, B. T. (1997). The HIV-knowledge questionnaire: Development and evaluation of a reliable, valid, and practical self-administered questionnaire. AIDS and Behavior, 1(1), 61-74. https://doi.org/10.1023/A:1026218005943.
Darraj, H. A., Mahfouz, M. S., Al Sanosi, R. M., Badedi, M., & Sabai, A. (2018). The effects of an educational program on depression literacy and stigma among students of secondary schools in Jazan city, 2016. Medicine (United States), 97(18), 1-4. https://doi.org/10.1097/MD.0000000000009433.
Darraj, H. A., Mahfouz, M. S., Al Sanosi, R. M., Badedi, M., Sabai, A., Refaei, A. L., & A., & Mutawm, H. (2016). Arabic translation and psychometric evaluation of the depression literacy questionnaire among adolescents. Psychiatry Journal, 2016, 1-7. https://doi.org/10.1155/2016/8045262.
Denny, S., Clark, T. C., Fleming, T., & Wall, M. (2004). Emotional resilience: Risk and protective factors for depression among alternative education students in New Zealand. American Journal of Orthopsychiatry, 74(2), 137-149. https://doi.org/10.1037/0002-9432.74.2.137.
Freitag, S., Stolzenburg, S., Schomerus, G., & Schmidt, S. (2018). Depression literacy-German translation and testing of the depression literacy scale. Psychiatrische Praxis, 45(8), 412-419. https://doi.org/10.1055/s-0043-119245.
Gliner, J., & Morgan, G. (2000). Research methods in applied settings: An integrated approach to design and analysis. Mahwah, NJ: Lawrence Erlbaum Associates.
Griffith, K. M., Christensen, H., Jorm, A. F., Evans, K., & Groves, C. (2004). Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: Randomised controlled trial. British Journal of Psychiatry, 185, 342-349. https://doi.org/10.1192/bjp.185.4.342.
Hart, S. R., Kastelic, E. A., Wilcox, H. C., Beaudry, M. B., Musci, R. J., Heley, K. M., … Swartz, K. L. (2014). Achieving depression literacy: The adolescent depression knowledge questionnaire (ADKQ). School Mental Health, 6(3), 213-223. https://doi.org/10.1007/s12310-014-9120-1.
Ibrahim, A. K., Kelly, S. J., Adams, C. E., & Glazebrook, C. (2013). A systematic review of studies of depression prevalence in university students. Journal of Psychiatric Research, 47, 391-400. https://doi.org/10.1016/j.jpsychires.2012.11.015.
Kashihara, J., & Sakamoto, S. (2018). Development and validation of the Japanese-translated version of the multiple-choice questionnaire of depression literacy (MCQ-DL). Psychology, 9(11), 2482-2502. https://doi.org/10.4236/psych.2018.911143.
Kessler, R. C., & Bromet, E. J. (2013). The epidemiology of depression across cultures. Annual Review of Public Health, 34(1), 119-138. https://doi.org/10.1146/annurev-publhealth-031912-114409.
Khurshid, S., Parveen, Q., Yousuf, M. I., & Chaudhry, A. G. (2015). Effects of depression on students' academic performance. Pakistan Association of Anthropology, Islamabad, Pakistan Special Issue Sci.Int.(Lahore), 27(2), 1619-1624.
Madhusudan, M., Aravind, M., Gopi, A., Ajanya, V., Pradeep, V., Fabeena Mangaladan, U., & Sakeer Hussain, O. C. (2018). Prevalence and factors associated with depression among the students of a medical college in Kerala. Indian Journal of Public Health Research and Development, 9(12), 59-64. https://doi.org/10.5958/0976-5506.2018.01807.7.
Muhamad, S. B. Y. (2013). Associations of pass-fail outcomes with psychological health of first-year medical students in a Malaysian medical school. Sultan Qaboos University Medical Journal, 13(1), 107-114.
Mustaffa, S., Aziz, R., Mahmood, M. N., & Shuib, S. (2014). Depression and suicidal ideation among university students. Procedia-Social and Behavioral Sciences, 116, 4205-4208. https://doi.org/10.1016/j.sbspro.2014.01.917.
Nakane, Y., Jorm, A. F., Yoshioka, K., Christensen, H., Nakane, H., & Griffiths, K. M. (2005). Public beliefs about causes and risk factors for mental disorders: A comparison of Japan and Australia. BMC Psychiatry, 5. https://doi.org/10.1186/1471-244X-5-33.
Ngasa, S. N., Sama, C. B., Dzekem, B. S., Nforchu, K. N., Tindong, M., Aroke, D., & Dimala, C. A. (2017). Prevalence and factors associated with depression among medical students in Cameroon: A cross-sectional study. BMC Psychiatry, 17(1), 216. https://doi.org/10.1186/s12888-017-1382-3.
O'Connell, M. E., Boat, T., & Warner, K. E. (2009). Risk and protective factors for mental, emotional, and behavioral disorders across the life cycle. In Preventing Mental, Emotional, and Behavioral Disorders among Young People: Progress and Possibilities (p. 2).
Peltzer, K., Pengpid, S., Olowu, S., & Olasupo, M. (2013). Depression and associated factors among university students in Western Nigeria. Journal of Psychology in Africa, 23(3), 459-466. https://doi.org/10.1080/14330237.2013.10820652.
Reyes-Rodríguez, M. L., Rivera-Medina, C. L., Cámara-Fuentes, L., Suárez-Torres, A., & Bernal, G. (2013). Depression symptoms and stressful life events among college students in Puerto Rico. Journal of Affective Disorders, 145(3), 324-330. https://doi.org/10.1016/j.jad.2012.08.010.
Steinhausen, H. C., & Metzke, C. W. (2001). Risk, compensatory, vulnerability, and protective factors influencing mental health in adolescence. Journal of Youth and Adolescence, 30(3), 259-280. https://doi.org/10.1023/A:1010471210790.
WHO. (2017). Depression and other common mental disorders: Global health estimates. World Health Organization, 1-24.

Keywords: adolescent; depression; knowledge; questionnaire; risk factors

Date Created: 20200521 Date Completed: 20210531 Latest Revision: 20210531

20231215

10.1111/appy.12391

32434284