Receiver operating characteristic curve for the Burmese Refugee Health Screener items 1–14.

<p>Receiver operating characteristic curve for the Burmese Refugee Health Screener items 1–14.</p

Receiver operating characteristic curve for the Sgaw Karen Refugee Health Screener items 1–14.

<p>Receiver operating characteristic curve for the Sgaw Karen Refugee Health Screener items 1–14.</p

Flow of participants through the study.

<p>Flow of participants through the study.</p

Validation of the Refugee Health Screener-15 for the assessment of perinatal depression among Karen and Burmese women on the Thai-Myanmar border

<div><p>Perinatal depression is common, and left untreated can have significant and long-lasting consequences for women, their children and their families. Migrant women are at particular risk of perinatal depression as a result of a multitude of stressors experienced before, during and after migration. Identification of perinatal depression among migrant women—particularly those living in low- and middle-income regions—remains challenging, partly due to the lack of locally-validated and culturally appropriate screens tools. This study formally validates Burmese and Sgaw Karen versions of the <i>Refugee Health Screener-15</i> (RHS-15) as a screening tool for perinatal depression among migrant women living on the Thai-Myanmar border. The <i>Structured Clinical Interview for the Diagnosis of DSM-IV Disorders</i> (SCID) was used as the gold-standard comparator. Complete results were obtained for 235 Burmese-speaking and 275 Sgaw Karen-speaking women. Despite displaying reasonable psychometric properties, a number of shortcomings associated with the RHS-15 limited its utility in this setting. The Likert-type response categories of the RHS-15 proved problematic in this low-literacy population. Combined with the relative superiority and greater ease of administration of the SCID, the RHS-15 is not recommended as the tool of choice for detecting perinatal depression in this setting.</p></div

Receiver operating characteristic curve for the Sgaw Karen Refugee Health Screener distress thermometer.

<p>Receiver operating characteristic curve for the Sgaw Karen Refugee Health Screener distress thermometer.</p

Baseline characteristics of study participants by language of interview.

<p>Baseline characteristics of study participants by language of interview.</p

Map of study area showing Shoklo Malaria Research Unit clinic sites. Reprinted from Shoklo Malaria Research Unit under a CC BY license, with permission from the Shoklo Malaria Research Unit, original copyright 2014.

<p>Refugee (Δ) and migrant clinics (■).</p

Graphical illustration of sentence lengthening upon translation from English into Burmese and Sgaw Karen languages.

<p>Graphical illustration of sentence lengthening upon translation from English into Burmese and Sgaw Karen languages.</p

Receiver operating characteristic curve for the Burmese Refugee Health Screener distress thermometer.

<p>Receiver operating characteristic curve for the Burmese Refugee Health Screener distress thermometer.</p

Additional file 2: of Living with severe perinatal depression: a qualitative study of the experiences of labour migrant and refugee women on the Thai-Myanmar border

Dataset Application Form: form for requests to access data used for this study. (DOCX 13 kb