哥斯达黎加的PHQ-9及其变体的新切割点:全国性的观察研究
Armando González-Sánchez1,2, Raúl Ortega-Moreno3, Greibin Villegas-Barahona4
1Department of Statistics and Operative Research, University of Salamanca, Campus Miguel de Unamuno. C/ Alfonso X El Sabio, S/N, 37007, Salamanca, Spain. armando_gonzalez@usal.es.
Scientific reports
|August 31, 2023
概括
对于哥斯达黎加成年人来说,PHQ-9问卷及其变体得到了验证,建立了可靠的抑郁症查工具. 为了提高这一群体的准确性,提出了新的特定性别的切线点.
科学领域:
- 心理评估 心理评估
- 心理测量验证的验证方法
- 心理健康查 心理健康查
背景情况:
- 患者健康问卷-9 (PHQ-9) 是一种广泛使用的抑郁症查工具.
- 对于哥斯达黎加人口来说,PHQ-9缺乏验证.
- 这项研究解决了哥斯达黎加需要文化验证的心理健康评估工具的需求.
研究的目的:
- 在哥斯达黎加成年人中验证PHQ-9问卷及其变体 (PHQ-2,PHQ-4,PHQ-8).
- 评估PHQ-9在这个人口群体中的心理测量特性和诊断准确性.
- 为PHQ-9及其变体提出新的,性别特定的切断点.
主要方法:
- 哥斯达黎加的1162名成年人填写了一份自我管理的问卷.
- 使用了确认因素分析 (CFA),接收器操作特征 (ROC) 曲线分析和多组确认因素分析 (MGCFA).
- 外部验证使用与GAD-7,RS14和FCV19S尺度的相关性进行.
主要成果:
- 一个单一的因素解释了73.33%的差异,内部一致性很好 (α=0.928).
- 适用性指数是充足的 (RMSEA=0.107;CFI=0.948),诊断能力在10的截止值是令人满意的.
- PHQ-9显示出良好的外部有效性和性别不变性,并提出了新的切断点.
结论:
- PHQ-9及其变体 (PHQ-2,PHQ-4,PHQ-8) 是验证并可靠的工具,用于检测哥斯达黎加人口的抑郁和焦虑.
- 这项研究提供了证据,证明这些仪器在新的文化背景下具有心理测量上的健全性.
- 推的性别特异性切线点增强了这些查工具对哥斯达黎加成年人的临床实用性.
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