Evidence map›Paper›PMID 31639054›Full record

Observational studyBMC psychology2019

Validation of the Recent Life Changes Questionnaire (RLCQ) for stress measurement among adults residing in urban communities in Pakistan.

Azmina Artani, Ayeesha K Kamal, Syed Iqbal Azam, Moiz Artani, Shireen Shehzad Bhamani, Mehreen Saif, Fariha Afzal Khan, Nazir Alam

Registry-linked trialOpen access · goldAbstract readObservational StudyValidation Study
In one paragraph

Observational study in BMC psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02356263 (Adaptation and Validation of Recent Life Changes Questionnaire), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02356263 completednot on this map

Adaptation and Validation of Recent Life Changes Questionnaire (RLCQ) to Measure Stress Among Adult Population of Karachi, Pakistan.

TypeobservationalSponsorAga Khan UniversityRan2015 to 2015Enrolled300ConditionsLife Change Events
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Azmina ArtaniStroke Service, Section of Neurology, Department of Medicine, Aga Khan University, Karachi, Pakistan.
Ayeesha K KamalStroke Service, Section of Neurology, Department of Medicine, Aga Khan University, Karachi, Pakistan. ayeesha.kamal@aku.edu.ORCID http://orcid.org/0000-0003-0778-1957
Syed Iqbal AzamBiostatistics and Epidemiology, Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Moiz ArtaniMBBS Program, Jinnah Medical and Dental College, Karachi, Pakistan.
Shireen Shehzad BhamaniAga Khan University School of Nursing & Midwifery, Karachi, Pakistan.
Mehreen SaifBahria University, Karachi, Pakistan.
Fariha Afzal KhanBahria University, Karachi, Pakistan.
Nazir AlamUniversity of Karachi, Karachi, Pakistan.
Aga Khan University · PKBahria University · PKJinnah Medical & Dental College · PKUniversity of Karachi · PK

Funding

International Cerebrovascular Translational Clinical Research Training ProgramD43TW008660 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI KAMAL, AYEESHA KAMRAN, SHAFQAT, SAAD · 2010 to 2014
$502k
FIC NIH HHS 5D43TW008660-05FIC NIH HHS D43 TW008660
6 · The paper itself

Abstract

backgroundRecent Life Changes Questionnaire (RLCQ) developed by Richard Rahe has enabled quantification of stress by analyzing life events. The overall aim of the study was to create a reliable version of the Rahe's RLCQ for measuring stress in individuals living in developing countries and assess its validity. This paper discusses criterion validation of the adapted RLCQ in urban communities in Pakistan.

methodsThis is a criterion validation study. Four urban communities of Karachi, Pakistan were selected for the study in which households were randomly chosen. Two data collectors were assigned to administer the adapted RLCQ to eligible participants after obtaining written informed consent. Following this interaction, two psychologists interviewed the same participants with a diagnostic gold standard of Mini International Neuropsychiatric Interview (MINI) which is utilized in usual practice within Pakistan to confirm the presence of stress related mental disorders such as Depression, Anxiety, Dysthymia, Suicide, Phobia, OCD, Panic Disorder, PTSD, Drug abuse and dependence, Alcohol abuse and dependence, Eating Disorders and Antisocial Personality Disorder to validate the accuracy of the adapted RLCQ. We generated the ROC curves for the adapted RLCQ with suggested cut-offs, and analyzed the sensitivity and specificity of the adapted RLCQ.

resultsThe area under the receiver operating characteristic curve (ROC) of common mental disorders such as depression and anxiety was 0.64, where sensitivity was 66%, specificity was 56% and the corresponding cut off from the adapted RLCQ was 750. Individuals scoring ≥750 were classified as high stress and vice versa. In contrast, the area under the ROC curve for serious mental disorder and adverse outcomes such as suicide, bipolar and dysthymia was 0.75, where sensitivity was 72% and specificity was 60% at the cut off of 800 on the adapted RLCQ. Individuals scoring ≥800 were classified as high stress and vice versa. The rate of agreement between the two psychologists was 94.32% (Kappa = 0.84).

conclusionThe adapted and validated RLCQ characterizes common mental disorders such as depression and anxiety with moderate accuracy and severe mental disorders such as suicide, bipolar and dysthymia with high accuracy.

trial registrationClinicaltrials.gov NCT02356263 . Registered January 28, 2015. (Observational Study Only).

Indexed as

Stress, PsychologicalSurveys and QuestionnairesAdultAnxietyClimactericDepressionFemaleHumansMaleMental DisordersMiddle AgedPakistanPsychiatric Status Rating ScalesQuality of LifeReproducibility of ResultsROC CurveDeveloping countriesMental disordersRLCQStressValidation

Identifiers

PMID31639054
PMCPMC6805381
OpenAlexW2982275734

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.