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Table 3 Coding of constructs

From: Validation of a brief mental health screening tool for pregnant women in a low socio-economic setting

 

In scope interpretations

Examples of in scope interpretations

Out of scope interpretations

Examples of out of scope interpretations

Phase 1

4-week time recall

Identifies the recall period as 4 weeks

• The last 4 weeks

• Within this month

• 4 weeks ago

Refers to an event or a time period that is longer or shorter than the 4 weeks

• The past 6 months

• Since I found out I was pregnant

• The last 2 weeks

• The week before the concert

• Last week

‘often (on some or most days)’

Expresses the feeling occurring on some or most days

• Everyday

• On most days

• Most of the time

• A lot

Expresses the feeling occurring infrequently/occasionally

• Twice

• The weekend

• Sometimes

‘felt unable to stop worrying or thinking too much’

Describes the feeling using other phrases or synonyms

• Thinking too much

• Cannot stop or relax

• Stressed

Describes the feeling using out of scope phrases or synonyms

• Lazy

• To be scared

‘felt down, depressed or hopeless’

Describes the feeling using other phrases or synonyms

• Sad

• Stressed

• Emotional

• You just feel stuck

Describes the feeling using out of scope phrases or synonyms

• Aggressive

• Frustrated

‘felt little interest or pleasure in doing things you used to enjoy before’

Describes the feeling using other phrases or synonyms

• No lust for life

• Feeling hopeless

• Moody

• Irritable

Describes the feeling using out of scope phrases or synonyms

• Tired

• Drained

• Lazy

‘had thoughts and plans to harm yourself or commit suicide’

Describes the feeling using other phrases or synonyms

• Kill yourself

• Hurt the baby

• Don’t want to live anymore

Describes the feeling using out of scope phrases or synonyms or had thoughts but had not made plans

No out of scope interpretations

Phase 2

2-week time recall

Identifies the recall period as 2 weeks

• This week and last week

• In the last 2 weeks

• Between 1 and 2 weeks

Refers to an event or a time period that is longer or shorter than the 2 weeks

• 3 weeks ago

• The start of my pregnancy – about 5 months ago

• In the last week

• When my mom was ill

‘on some or most days’

Expresses the feeling occurring on some or most days

• Everyday

• A few times per week

• Many times

Expresses the feeling occurring infrequently/ occasionally

• Once - on Wednesday

• Twice

• The weekend

• 4 times

‘felt unable to stop worrying or thinking too much’

Describes the feeling using other phrases or synonyms

• To over think

• Your mind works overtime

• Anxious

• Stressed

Describes the feeling using out of scope phrases or synonyms

• Sad

• Unhappy

‘felt down, depressed or hopeless’

Describes the feeling using other phrases or synonyms

• Feels like no one cares

• Your world is falling apart

• No hope

• You want to be all by yourself

Describes the feeling using out of scope phrases or synonyms

• Feel like hurting yourself

• Constantly worrying

• Not being able to cope

‘Been concerned/ troubled about having little interest or pleasure in doing things’

Describes the feeling using other phrases or synonyms

• It is an effort to do anything

• Want to be alone

• Feeling pressed down

Describes the feeling using out of scope phrases or synonyms

• Lazy

• Tired

• Fatigue

‘had thoughts and plans to harm yourself or commit suicide’

Describes the feeling using other phrases or synonyms

• Take your own life

• Hurt yourself

• Kill yourself

• Harm your baby

Describes the feeling using out of scope phrases or synonyms or had thoughts but had not made plans

No out of scope interpretations