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Table 2 Adaptations to the CDES and the PHQ-9 in both sites

From: Translating, contextually adapting, and pilot testing of psychosocial and mental health assessment instruments for Congolese refugees in Rwanda and Uganda

Assessment

Kyangwali, Uganda

Gihembe, Rwanda

CDES

Two new items were added to the CDES:

‘Have a problem with income that often causes stress?’ (Una shida na mapato inakuleteya mafikiri?) and

‘Have a problem with people not taking care of you?’ (Una shida nawatu wasiokujalia?)

One new item was added to list of stressors assessed: ‘Have a problem with firewood/fuel briquettes that often causes you stress?’ (Ese ufite ikibazo cy’ibicanwa kigutera kenshi guhangayika?)

Item 8, the phrasing of the CDES was changed from 'local population' to 'people where you live'

Item 8, the phrasing of the CDES was changed from 'local population' to 'people where you live'

PHQ-9

Item 2, the Congolese Swahili phrasing ‘Feeling very bad about yourself or hopeless’ (Uliwayi kujisikiya mubaya sana au kukata tama) was used for ‘depressed’

Item 2, the Kinyarwanda phrasing ‘disorder/illness of severe and persistent sadness’ (indwara y'agahinda gakabije) was chosen to capture ‘feeling down/depressed’

 

Item 7, ‘Trouble concentrating on things such as reading newspaper and watching television’ was amended to incorporate more relevant examples—specifically ‘listening to radio or caring for family’