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      The Saudi National Mental Health Survey: Survey instrument and field procedures

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          Abstract

          Objectives

          To present an overview of the survey and field procedures developed for the Saudi National Mental Health Survey (SNMHS).

          Methods

          The SNMHS is a face‐to‐face community epidemiological survey of DSM‐IV mental disorders in a nationally representative sample of the household population in the Kingdom of Saudi Arabia (KSA) ( n = 4,004). The SNMHS was implemented as part of the WHO World Mental Health (WMH) Survey Initiative. WMH carries out coordinated psychiatric epidemiological surveys in countries throughout the world using standardized procedures designed to provide valid cross‐national comparative data on prevalence and correlates of common mental disorders. However, these procedures need to be adapted to the unique experiences in each country. We focus here on the adaptations made for the SNMHS.

          Results

          Modifications were needed to several interview sections and expansions were needed to address issues of special policy importance in KSA. Several special field implementation challenges also had to be addressed because of the need for female interviewers to travel with male escorts and for respondents to be interviewed by interviewers of the same gender.

          Conclusions

          Thoughtful revisions led to a high‐quality field implementation in the SNMHS.

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          Most cited references28

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          The World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)

          This paper presents an overview of the World Mental Health (WMH) Survey Initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and a discussion of the methodological research on which the development of the instrument was based. The WMH‐CIDI includes a screening module and 40 sections that focus on diagnoses (22 sections), functioning (four sections), treatment (two sections), risk factors (four sections), socio‐demographic correlates (seven sections), and methodological factors (two sections). Innovations compared to earlier versions of the CIDI include expansion of the diagnostic sections, a focus on 12‐month as well as lifetime disorders in the same interview, detailed assessment of clinical severity, and inclusion of information on treatment, risk factors, and consequences. A computer‐assisted version of the interview is available along with a direct data entry software system that can be used to keypunch responses to the paper‐and‐pencil version of the interview. Computer programs that generate diagnoses are also available based on both ICD‐10 and DSM‐IV criteria. Elaborate CD‐ROM‐based training materials are available to teach interviewers how to administer the interview as well as to teach supervisors how to monitor the quality of data collection. Copyright © 2004 Whurr Publishers Ltd.
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            Measurement of functional activities in older adults in the community.

            Two measures of social function designed for community studies of normal aging and mild senile dementia were evaluated in 195 older adults who underwent neurological, cognitive, and affective assessment. An examining and a reviewing neurologist and a neurologically trained nurse independently rated each on a Scale of Functional Capacity. Interrater reliability was high (examining vs. reviewing neurologist, r = .97; examining neurologist vs. nurse, tau b = .802; p less than .001 for both comparisons). Estimates correlated well with an established measure of social function and with results of cognitive tests. Alternate informants evaluated participants on the Functional Activities Questionnaire and the Instrumental Activities of Daily Living Scale. The Functional Activities Questionnaire was superior to the Instrumental Activities of Daily scores. Used alone as a diagnostic tool, the Functional Activities Questionnaire was more sensitive than distinguishing between normal and demented individuals.
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              The World Health Organization Composite International Diagnostic Interview short-form (CIDI-SF)

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                Author and article information

                Contributors
                prof.subaie@gmail.com
                Journal
                Int J Methods Psychiatr Res
                Int J Methods Psychiatr Res
                10.1002/(ISSN)1557-0657
                MPR
                International Journal of Methods in Psychiatric Research
                John Wiley and Sons Inc. (Hoboken )
                1049-8931
                1557-0657
                15 August 2020
                September 2020
                : 29
                : 3 , Special Issue on the Saudi National Mental Health Survey ( doiID: 10.1002/mpr.v29.3 )
                : e1830
                Affiliations
                [ 1 ] King Salman Center for Disability Research Riyadh Saudi Arabia
                [ 2 ] Biostatistics, Epidemiology and Scientific Computing Department King Faisal Specialist Hospital and Research Centre Riyadh Saudi Arabia
                [ 3 ] SABIC Psychological Health Research & Applications Chair (SPHRAC), College of Medicine King Saud University Riyadh Saudi Arabia
                [ 4 ] National Center for Mental Health Promotion Ministry of Health Riyadh Saudi Arabia
                [ 5 ] Clinical Epidemiology, Leiden University Medical Center; Faculty of Social and Behavioural Sciences, Clinical Psychology Department Leiden University Leiden The Netherlands
                [ 6 ] i‐psy Interculturele Psychiatrie Parnassia Groep The Hague The Netherlands
                [ 7 ] Institute for Social Research University of Michigan Ann Arbor Michigan USA
                [ 8 ] Evidence for Policy Design, Harvard Kennedy School Harvard University Cambridge Massachusetts USA
                [ 9 ] Edrak Medical Center Riyadh Saudi Arabia
                Author notes
                [*] [* ] Correspondence

                Abdullah S. Al‐Subaie, Edrak Medical Center,Riyadh 11211, Saudi Arabia. Email: prof.subaie@ 123456gmail.com

                Author information
                https://orcid.org/0000-0001-8826-3224
                https://orcid.org/0000-0002-7574-4210
                https://orcid.org/0000-0001-7771-603X
                https://orcid.org/0000-0002-1091-7838
                https://orcid.org/0000-0003-1949-4496
                https://orcid.org/0000-0003-3591-1982
                Article
                MPR1830
                10.1002/mpr.1830
                7507533
                33245571
                84999cf8-b0a6-4139-b036-97c4b8778c42
                © 2020 The Authors. International Journal of Methods in Psychiatric Research Published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 12 February 2020
                : 12 April 2020
                Page count
                Figures: 0, Tables: 1, Pages: 7, Words: 5852
                Funding
                Funded by: Abraaj Capital
                Funded by: King Abdulaziz City for Science and Technology (KACST) , open-funder-registry 10.13039/501100004919;
                Funded by: King Faisal Specialist Hospital and Research Centre , open-funder-registry 10.13039/501100002382;
                Funded by: King Saud University , open-funder-registry 10.13039/501100002383;
                Funded by: Ministry of Economy and Planning, General Authority for Statistics
                Funded by: Ministry of Health (Saudi Arabia)
                Funded by: Saudi Basic Industries Corporation (SABIC) , open-funder-registry 10.13039/501100007164;
                Categories
                Special Issue Article
                Special Issue Articles
                Custom metadata
                2.0
                September 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.1 mode:remove_FC converted:22.09.2020

                Clinical Psychology & Psychiatry
                composite international diagnostic interview (cidi),world mental health (wmh) survey initiative,saudi national mental health survey (snmhs)

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