ABSTRACT We describe the process of locally adapting and validating the international psychiatric symptom screening instrument, the Child and Adolescent Symptom Inventory-Progress Monitor-parent version (CASI-PM-P) for use among youth in the sub-Saharan African setting of Uganda. To do this we used a methodology similar to that employed by the developers of this instrument. These analyses were undertaken among both a clinical sample (1,339 HIV positive children and adolescents attending HIV care services in central and south-western Uganda) and a standardised sample (consisting of 323 HIV negative children and adolescents attending government schools in central Uganda). Pearson’s correlations, Cronbach’s alpha and analyses of variance were used to assess the reliability and validity of the adapted instrument. On item selection, 18 (64%) of the 28 psychiatric symptom items in the derived instrument showed large to moderate item-to-total minus item correlations. There was concordance on 17 (61%) of the psychiatric symptom items between the original version of the CASI-PM-P and the Uganda version. The selected psychiatric variable items in the derived version of the CASI-PM-P showed stability across age groups (children and adolescents), time (baseline and 6 months) and samples (clinical sample and standardised sample). The instrument showed good construct validity. In conclusion, the 29-item CASI-PM-P can, therefore, be used in the sub-Saharan African setting to screen for and monitor the progress of psychiatric symptoms among youth. However, the selection of the specific variable items to constitute a local version of the CASI-PM-P should be guided by local adaptation and validation studies.

中文翻译：

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改编和验证了基于DSM-5的乌干达儿童和青少年心理健康的简短精神病学评分量表：儿童和青少年症状清单进度监控器（CASI-PM）

摘要我们描述了本地适应和验证国际精神病症状筛查工具（儿童和青少年症状清单-进展监测-父母版本（CASI-PM-P））的过程，以供乌干达撒哈拉以南非洲地区的年轻人使用。为此，我们使用了与该工具开发人员所采用的方法类似的方法。这些分析是在临床样本（在乌干达中部和西南部接受艾滋病毒护理服务的1,339名艾滋病毒阳性儿童和青少年）和标准化样本（包括在乌干达中部的323名接受艾滋病毒阴性的儿童和青少年在政府学校中进行）中进行的。皮尔逊相关性，克伦巴赫（Cronbach）α和方差分析被用来评估改编工具的可靠性和有效性。在选择商品时，衍生器械中的28种精神症状项目中有18种（64％）显示出大到中等项目之间的总负项目相关性。原始版本的CASI-PM-P和乌干达版本之间的精神病症状项目有17个（61％）相符。在CASI-PM-P的派生版本中，选定的精神病学可变项目在各个年龄段（儿童和青少年），时间（基线和6个月）和样本（临床样本和标准化样本）之间均显示稳定。该仪器显示出良好的构建有效性。总之，因此，可以将29个项目的CASI-PM-P用于撒哈拉以南非洲地区，以筛查和监测青年人的精神症状进展。然而，