International Depression Symptom Scale-General version (IDSS-G)

Information about Measure
First Name Emily
Last Name Haroz
Email [email protected]
Affiliation Johns Hopkins Bloomberg School of Public Health
Other means of contacting author (e.g., website,, ResearchGate)
Mental health assessment tool that was adapted/developed/validated International Depression Symptom Scale-General Version (IDSS-G)
Mental health condition assessed Depressive Disorders
Idiom of distress included, if any Not Applicable
Lifestage of interest Adult (General)
Age range (age – age)
Country or countries where tool was developed/adapted/validated Myanmar
Language(s) of the adapted/developed/validated tool Burmese
Clinical or community sample? Clinical
Subpopulation in which tool was developed/validated (e.g., tool was developed and tested among middle-class women)? Male and female attendees of primary health clinics in Yangon, Myanmar

This tool is intended for use among populations around the globe, but has thus far been validated three different settings with adults: 1) Yangon, Myanmar; 2) Karen State, Myanmar; and 3) Kiev and Zaporiziha, Ukraine. Interviewers were people from the community with previous experience doing data collection. Clinical diagnosis was provided by local psychiatrists.

Development procedures Locally developed and validated
If validated, what was the gold standard? Scores on the IDSS-G of participants diagnosed with a SCID disorder were compared with those without a disorder (diagnosed by local psychiatrist)
Description of other development procedures, if applicable
Cronbach’s alpha 0.92
Sensitivity 0.77
Spec 0.67
Other information about tool (e.g., additional psychometrics [NPV, PPV, Youden’s index, diagnostic odds ratio]) Test–retest reliability (r = 0.87), and inter-rater reliability (ICC = 0.90) were both examined. Haroz et al. identified an optimal cut-off score for the IDSS-G of 0.56, which corresponded to a sensitivity and specificity of 73% and 67% for any v. no disorder, and 77% and 67% for a depressive disorder v. no disorder. The psychometric properties entered reflect those for individuals with/without depressive disorder.
Links to development/adaptation/validation studies and/or previous studies using the tool Haroz, E. E., Bass, J. K., Lee, C., Murray, L. K., Robinson, C., & Bolton, P. (2014). Adaptation and testing of psychosocial assessment instruments for cross-cultural use: An example from the Thailand Burma border. BMC Psychology, 2(1). doi:10.1186/s40359-014-0031-6
Notes when administering the tool The full assessment should be administered by local interviewers using mobile devices and facilitated the cognitive interviewing.

Anyone interested in using this tool should inform Emily Haroz about their intent to use it. Any reports or publications arising from use of the tool should acknowledge the Global Mental Health group at Johns Hopkins Bloomberg School of Public Health as well as the funder who supported initial development of the tool: the USAID Victims of Torture fund.