Abstract
BackgroundArabic represents one of the most frequently spoken languages worldwide, especially among refugee populations. There is a pressing need for specialized diagnostic tools corresponding to the DSM-5 criteria in Modern Standard Arabic, which can be administered on Arabic speakers in the West and Arab region alike.ObjectivesTo develop and validate the culturally-adapted version of the most recent M.I.N.I. 7.0.2 into Modern Standard Arabic—a form of Arabic commonly used across all Arab countries.Methods102 participants were recruited between April 2019 to March 2020 at the Charité - Universitätsmedizin in Berlin. Symptoms were assessed with Arabic versions of rater-based and self-rated measures, including Mini International Neuropsychiatric Interview (M.I.N.I.), Patient Health Questionnaire (PHQ-9), and Harvard Trauma Questionnaire (HTQ). Arabic-speaking psychiatrists saw participants for diagnostic assessment.ResultsCohen’s kappa (κ) values were moderate for major depression, and slight for post-traumatic stress disorder, as well as generalized anxiety disorder. Moreover, kappa values indicated moderate agreement between M.I.N.I.-AR and PHQ-9 for depression, as well as HTQ for post-traumatic stress disorder, respectively.ConclusionThe translated and culturally adapted version of the M.I.N.I. addresses an existing need for a reliable, efficient, and effective comprehensive diagnostic tool using the most recent DSM-5 criteria in Modern Standard Arabic (MSA). Based on the obtained results, only a validation of the depression module (Module A) of the M.I.N.I-AR was possible. Study outcomes also show evidence for the validation of Module H covering Post-Traumatic Stress Disorder. Potential valuable contributions can be extended to this translation and validation.
Highlights
There are as many as 274 million native Arabic speakers worldwide, making Arabic the 6th most spoken language [1]
Potential valuable contributions can be extended to this translation and validation
This study aims to develop and validate a culturallyadapted version of the M.I.N.I. 7.0.2 in Modern Standard Arabic
Summary
There are as many as 274 million native Arabic speakers worldwide, making Arabic the 6th most spoken language [1]. Arabic is spoken in indigenous settings, but due to migration and refugee resettlements, Arabic-speakers live dispersed globally [2, 3]. In 2018, it was reported that Arabic-speaking refugees had shown an increase in the prevalence of mental disorders [3] and are in need of accurate and efficient, culturally sensitive diagnostic assessments and treatment plans [2]. Some of the challenges that they experience include lack of available effective and efficient culturally sensitive mental health services, cultural misunderstandings, stigma, and language barriers [2, 7, 8]. There is a pressing need for specialized diagnostic tools corresponding to the DSM-5 criteria in Modern Standard Arabic, which can be administered on Arabic speakers in the West and Arab region alike
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