Cultural Adaptation and Validation of the Amharic Version of the World Health Organization’s Self Reporting Questionnaire (SRQ-20) Screening Tool Among Pregnant Women in North West Ethiopia, 2022: A Psychometric Validation

Figures & data

Table 1 Shows the Socio-Demographic and Obstetric Characteristics of Pregnant Women in Ethiopia’s North Gondar Zone in 2022

Variable	Frequency (n)	Percentage (%)
Age
18–20	209	67.4
21–35	95	30.6
36–45	6	7.9
Marital status
Married	283	91.3
Divorced	20	6.5
Widowed	7	2.3
Educational status
Not able to read and write	193	62.3
Able to read and write	36	11.6
Primary	32	10.3
Secondary and above	49	15.8
Parity
≤1	27	8.7
2–4	210	67.7
5–9	73	23.5
Gestational week
20–30	207	66.8
31–40	100	32.3
≥41	3	1.00
ANC follow-up starting time
First trimester	182	58.7
Second trimester	109	35.2
Third trimester	19	6.1

Table 2 Internal Consistencies, Item-Total Correlations, and Alpha if Item Deleted from the Amharic Version of the SRQ-20 Self-Reporting Questionnaire Among Pregnant Women in North West, Ethiopia 2022

Item No	Item	Item Total Statistics
		Corrected Item- Total Correlation	Cronbach’s Alpha if Item Deleted
SRQ 1	Do you have headaches	0.469	0.804
SRQ 2	Is your appetite poor	0.389	0.810
SRQ 3	Do you sleep badly	0.466	0.804
SRQ 4	Are you easily frightened	0.470	0.804
SRQ 5	Do your hands shake	0.321	0.812
SRQ 6	Do you feel nervous, tense, and worried	0.427	0.807
SRQ 7	Is your digestion poor	0.359	0.812
SRQ 8	Do you have trouble thinking clearly	0.405	0.808
SRQ 9	Do you feel unhappy	0.451	0.807
SRQ 10	Do you cry more than usual	0.399	0.809
SRQ 11	Do you find it difficult to enjoy your daily activities	0.406	0.809
SRQ 12	Do find it to make decision	0.467	0.805
SRQ 13	Is your daily work suffering	0.388	0.809
SRQ 14	Are you unable to play a useful part in life	0.425	0.808
SRQ 15	Have you lost interest in things	0.371	0.810
SRQ 16	Do you feel that you are worthless person	0.340	0.812
SRQ 17	Has the thought of ending your life been on your mind	0.274	814
SRQ 18	Do you feel tired all the time	0.375	0.809
SRQ 19	Do you have uncomfortable feelings in your stomach	0.470	0.804
SRQ 20	Are you easily tired	0.253	0.819
	Overall Cronbach’s alpha		0.80
	Kaiser-Meyer-Olkin Measure of Sampling Adequacy		0.733
	Bartlett’s Test of Sphericity Approx. Chi-Square		2129.9
	df		190
	Sig.		0.0001

Abbreviations: Sig, Significance; df, degree of freedom.

Table 3 Shows the Total Variance Explained for the Antenatal Common Mental Disorders SRQ-20 Screening Tool Among Pregnant Women in Ethiopia’s Northwestern Region in 2022 (n=310)

Total Variance Explained
Component	Initial Eigenvalues			Rotation Sums of Squared Loadings
	Total	% of Variance	Cumulative %	Total
1	4.879	24.393	24.393	3.420
2	2.454	12.271	36.665	2.566
3	1.571	7.855	44.520	2.552
4	1.456	7.278	51.797	2.935
5	1.264	6.319	58.116	2.280
6	1.094	5.471	63.587	2.318
7	1.008	5.042	68.629	2.169

Table 4 Item Total Correlation, Composite Reliability, the Square Root of the Average Variance Extracted of SRQ-20 and Cultural Adaptation and Validation of the SRQ-20 Screening Tool, Northwest Ethiopia 2022 (n = 310)

Factor	No of Items	Composite Reliability	Average Variance Extracted	Factor Correlation Matrix
				1	2	3	4	5	6	7
Factor 1	4	0.818	0.526	0.725
Factor 2	4	0.807	0.700	0.055	0.837
Factor 3	3	0.831	0.637	0.094	0.254	0.799
Factor 4	3	0.839	0.639	0.385	0.122	0.271	0.799
Factor 5	2	0.738	0.590	0.173	0.213	0.246	0.167	0.796
Factor 6	2	0.801	0.683	0.301	0.148	0.172	0.252	0.233	0.826
Factor 7	2	0.736	0.569	0.272	0.202	0.225	0.251	0.149	0.39	0.754

Notes: Item total correlation, composite reliability (CR), the square root of the average variance extracted, and correlation b/n factors (in bold and off-diagonal).