Abstract
Over the past 30 years the World Health Organization (WHO) has produced a number of assessment instruments intended for national and cross-cultural psychiatric research. WHO instruments have been tested and used in many collaborative studies involving more than 100 centres in different parts of the world. This article reviews the main WHO instruments for the assessment of (a) psychopathology, (b) disability, quality of life and satisfaction, (c) services, and (d) environment, and risk to mental health. The principles used in the development of WHO instruments, their translation and their use across cultures and settings are discussed.
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References
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders 3rd edn, revised (DSM-III-R). APA, Washington, DC
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn (DSM-IV). APA. Washington, DC
Babor TF, de la Fuente JR, Saunders JB, Grant M (1989) AUDIT, the Alcohol Use Disorders Identification Test. Guidelines for use in primary health care. WHO, Geneva
Bennett LA, Janca A, Grant BF, Sartorius N (1993) Boundaries between normal and pathological drinking: a cross-cultural comparison. Alcohol Health Res World 17:190–195
Bertolote J (1994) Quality assurance in mental health care: check-lists and glossaries, vol 1. WHO, Geneva
Beusenberg M, Orley J (1994) A user's guide to the Self-Reporting Questionnaire (SRQ). WHO, Geneva
Cooper JE, Jablensky A, Sartorius N (1990) WHO collaborative studies on acute psychoses using the SCAAPS schedule. In: Stefanis CN et al (eds) Psychiatry: a world perspective, vol. 1. Classification and psychopathology, child psychiatry, substance use. (International congress series) Excerpta Medica. Amsterdam, pp 185–192
Cottler LB, Robins LN, Grant BF, Blaine J, Towle LH, Wittchen HU, Sartorius N, Altamura AC, Andrews G, Burke JD, Dingemans PR, Droux A, Farmer A, Helzer JE, Janca A, Lepine JP, Miranda CT, Pull C, Regier DA, Rubio-Stipec M, Sandanger I, Smeets R, Tacchini G, Tehrani M, Tipp JE, Allgulander C, Halikas J, Ingebrigsten G, Isaac M, Jenkins PL, Kuehne GE, Lyketsos G, Maier W, Kraus J, Liang Shu (1991) The CIDI-Core substance abuse and dependence questions: cross-cultural and nosological issues. Br J Psychiatry 159:653–658
Gater R, Goldberg D, Sartorius N (1990) The WHO Pathways to Care Study. In: Stefanis CN et al (eds) Psychiatry: a world perspective, vol 4. (International congress series) Excerpta Medica, Amsterdam, pp 75–78
Gater R, de Almeida E, Sousa B, Barrientos G, Caraveo J, Chandrashekar CR, Dhadphale M, Goldberg D, Alkathiri AH, Mubbashar M, Silhan K, Thong D, Torres-Gonzales F, Sartorius N (1991) The pathways to psychiatric care: a cross-cultural study. Psychol Med 21:761–74
Giel R, de Arango MV, Babikir AH, Bonifacio M, Climent CE, Harding TW, Ibrahim HHA, Ladrido-Ignacio L, Srinivasa Murthy R, Wig NN (1983) The burden of mental illness on the family. Results of observations in four developing countries. Acta Psychiatr Scand 68:186–201
Harding TW, de Arango MV, Balthazar J, Climent CE, Ibrahim HHA, Ladrido-Ignacio L, Srinivasa Murthy R, Wig NN (1980) Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychol Med 10:231–41
Harding TW, Climent CE, Diop M, Giel R, Ibrahim HHA, Srinivasa Murthy R, Suleiman MA, Wig NN (1983) The WHO collaborative study on strategies for extending mental health care. II. The development of new research methods. Am J Psychiatry 140:1474–80
Hudelson PM (1994) Qualitative research for health programmes. WHO, Geneva
Issac M, Janca A, Sartorius N (1994) The ICD-10 symptom glossary for mental disorders. WHO, Geneva
Jablensky A, Schwarz R, Tomow T (1980) WHO collaborative study on impairments and disabilities associated with schizophrenic disorders. A preliminary communication: objectives and methods. In: Strömgren E et al (eds) Epidemiological research as basis for the organization of extramural psychiatry. Acta Psychiatr Scand 62: (suppl. 286): 152–159
Jablensky A, Sartorius N, Ernberg G, Anker M, Korten A, Cooper JE, Day R, Bertelsen A (1992) Schizophrenia: manifestations, incidence and course in different cultures: a World Health Organization ten-country study. Psychol Med [Monograph Suppl 20]
Janca A, Chandrashekar CR (1993) Catalogue of assessment instruments used in the studies coordinated by the WHO Mental Health Programme, WHO, Geneva
Janca A, Robins LN, Cottler LB, Early TS (1992) Clinical observation of assessment using the Composite International Diagnostic Interview (CIDI): an analysis of the CIDI field trials-wave II at the St. Louis site. Br J Psychiatry 160:815–818
Janca A, Üstün TB, Early TS, Sartorius N (1993) The ICD-10 symptom checklist — a companion to the ICD-10 classification of mental and behavioural disorders. Soc Psychiatry Psychiatr Epidemiol 28:239–242
Janca A, Üstün TB, Sartorius N (1994a) New versions of World Health Organization instruments for the assessment of mental disorders. Acta Psychiatr Scand 90:73–83
Janca A, Üstün TB, van Drimmelen J, Dittmann V, Issac M (1994b) The ICD-10 symptom checklist for mental disorders, version 2.0. WHO, Geneva
Janca A, Mezzich JE, Kastrup MC, Katschnig H, Lopez-Ibor JJ, Sartorius N (1994c) The multiaxial presentation of the ICD010 classification of mental and behavioural disorders. Presented at the 7th European Symposium of the Association of European Psychiatrist, Vienna
Lopez-Ibor JJ, Sartorius N, Janca A, Kastrup M, Katschnig M, Mezzich J (1994) The ICD-10 multiaxial system: preliminary results of field trials. In: Beigel A, Lopez-Ibor JJ, Costa e Silva JA (eds) Past, present and future of psychiatry: IX World Congress of Psychiatry, vol I. World Scientific. Singapore, pp 157–168
Loranger A, Hirschfield R, Sartorius N, Regier D (1991) The WHO/ADAMHA international pilot study of personality disorders: background and purpose. J Pers Disord 5:296–306
Loranger AW, Sartorius N, Andreoli A, Berger P, Bucheim P Channabasavanna SM, Coid B, Dahl A, Diekstra R, Ferguson B, Jacobsberg LB, Mombour W, Pull C, Ono Y, Regier DA (1994) The international personality disorder examination (IPDE): the WHO/ADAMHA international pilot study of personality disorders. Arch Gen Psychiatry 51:215–224
Robins LN, Wing JE, Wittchen H-U, Helzer JE, Babor TF, Burke JD, Farmer A, Jablensky A, Pickens R, Regier DA, Satorius N, Towle LH (1988) The composite international diagnostic interview: an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch Gen Psychiatry 45:1069–1077
Robins LN, Cottler LB, Babor T (1990) CIDI substance abuse module. Department of Psychiatry, Washington University School of Medicine, St Louis, Mo
Room R, Janca A, Bennett LA, Schmidt L, Sartorius N (in press) WHO cross-cultural applicability research on diagnosis and assessment of substance use disorders: an overview of methods and selected results. Addiction
Sartorius N (1979) Cross-cultural psychiatry. In: Kisker KP, Meyer JE, Muller C, Stromgren E (eds) Psychiatrie der Gegenwart, vol I/1, 2nd edn. Springer, Berlin Heidelberg New York pp 711–737
Sartorius N (1989) Recent research activities in WHO's mental health programme. Psychol Med 19:233–244
Sartorius N (1990) Cultural factors in the etiology of schizophrenia. In: Stefanis CN et al (eds) Psychiatry: a world perspective, vol 4. Social psychiatry ethics and law: history of psychiatry, psychiatric education. (International congress series). Excerpta Medica, Amsterdam, pp 33–44
Sartorius N (1993) WHO's work on the epidemiology of mental disorders. Soc Psychiatry Psychiatr Epidemiol 28:147–155
Sartorius N (1995) SCAN translation. In: Wing JK, Sartorius N, Ustun TB (eds) Diagnosis and clinical measurement in psychiatry—an instruction manual for the SCAN system. Cambridge University Press, London
Sartorius N, Kuyken W (1994) Translation of health status instruments. In: Orley J, Kuyken W (eds) Quality of life assessment: international perspectives. pp 3–18
Sartorius N, Jablensky A, Gulbinat W, Ernberg G (1980) WHO collaborative study: assessment of depressive disorders. Preliminary communication. Psychol Med 10:743–749
Sartorius N, Davidian H, Ernberg G, Fenton FR, Fujii I, Gastpar M, Gulbinat W, Jablensky A, Kielholz P, Lehmann HE, Naraghi M, Shimizu M, Shinfuku N, Takahashi R (1983) Depressive disorders in different cultures. Report on the WHO collaborative study on standardized assessment of depressive disorders. WHO, Geneva
Saunders JB, Aasland OG (1987) WHO collaborative project on the identification and treatment of persons with harmful alcohol consumption. Report on phase I. Development of a screening instrument. WHO, Geneva
Saunders JB, Aasland OG, Arundsen A, Grant M (1993a) Alcohol consumption and related problems among primary health care patients. WHO collaborative project on early detection of persons with harmful alcohol consumption. I. Addiction 88:339–352
Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M (1993b) Development of the Alcohol Use Disorders Identification Test (AUDIT). WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction 88:617–629
Sell H, Nagpal R (1992) Assessment of subjective well-being. The subjective well-being inventory (SUBI). WHO Regional Office for South-East Asia. New Delhi
The WHOQOL Group (1994) The development of the WHO Quality of Life Assessment Instrument (The WHOQOL). In: Oriey J, Kuyken W (eds) Quality of life assessment: international perspectives. Springer, Berlin, Heidelberg New York pp 41–57
Tsiantis J, Caldwell B, Dragonas T, Jegede RO, Lambidi A, Banaag C, Orley J (1991) Development of a WHO child care facility schedule (CCFS): a pilot collaborative study. Bull WHO 69:51–57
Van Goor-Lambo G, Orley J, Poustka F, Rutter M (1990) Classification of abnormal psychosocial situations: preliminary report of a revision of a WHO scheme. J Child Psychol Psychiatry 31: 229–241
Wing JK, Cooper JE, Sartorius N (1974) Measurement and classification of psychiatric symptoms: an instruction manual for the PSE and CATEGO programme. Cambridge University Press, London
Wing JK, Babor T, Brugha T, Burke J, Cooper JE, Giel R, Jablensky A, Regier D, Sartorius N (1990) SCAN: schedules for clinical assessment in neuropsychiatry. Arch Gen Psychiatry 47: 589–593
Wittchen H-U, Robins LN, Cottler L, Sartorius N, Burke J, Regier D, Altamura AC, Andrews G, Dingemanns R, Droux A, Essau CA, Farmer A, Halikas J, Ingebrigsten G, Issac M, Jenkins P, Kühne GE, Krause J, Lepine JP, Lyketsos G, Maier W, Miranda CT, Pfister H, Pull C, Rubio-Stipec M, Sandanger I, Smeets R, Tacchini G, Tehrani M (1991) Cross-cultural feasibility, reliability and sources of variance of the Composite International Diagnostic Interview (CIDI) — results of the multicentre WHO/ADAMHA field trials (wave I). Br J Psychiatry 159:645–653
World Health Organization (1973) Report on the international pilot study of schizophrenia, vol. 1. WHO, Geneva
World Health Organization (1980) International classification of impairments, disabilities and handicaps. WHO, Geneva
World Health Organization (1984) Mental health care in developing countries: a critical appraisal of research findings. Report of a WHO study group. WHO, Geneva
World Health Organization (1988) Draft multiaxial classification of child psychiatric disorders. Axis V. Associated abnormal psychosocial situations including glossary descriptions of items and diagnostic guidelines. WHO, Geneva
World Health Organization (1990a) WHO child care facility schedule with user manual. WHO, Geneva
World Health Organization (1990b) Parent interview schedule. Draft for comments and field testing. WHO, Geneva
World Health Organization (1991) Interview schedule for children. Draft for comments and field testing. WHO, Geneva
World Health Organization (1992) The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. WHO, Geneva
World Health Organization (1993a) The composite international diagnostic interview, core version 1.1. American Psychiatric Press, Washington, DC
World Health Organization (1993b) International personality disorder examination. WHO, Geneva
World Health Organization (1993c) Computerized CIDI (CIDI-Auto). WHO, Geneva
World Health Organization (1994) Schedules for clinical assessment inneuropsychiatry (SCAN). American Psychiatric Research, Washington, DC
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Sartorius, N., Janca, A. Psychiatric assessment instruments developed by the World Health Organization. Soc Psychiatry Psychiatr Epidemiol 31, 55–69 (1996). https://doi.org/10.1007/BF00801901
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DOI: https://doi.org/10.1007/BF00801901