开发一个最佳的GAD-7尺度的简短形式,基于Riskslim的跨文化通用性
Fei Wang1, Yunchou Wu2, Suqi Wang3
1State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.
General hospital psychiatry
|February 1, 2024
概括
研究人员开发了GAD-R3,这是通用焦虑障碍7项尺度 (GAD-7) 的新简称,用于跨文化焦虑查. 在不同的人群中,GAD-R3表现出高的诊断准确性和通用性.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 流行病学 流行病学
- 心理测量 心理测量 心理测量
背景情况:
- 综合焦虑障碍7项表格 (GAD-7) 被广泛用于焦虑查.
- 现有的缩写形式,如GAD-2和GAD-mini,在不同文化中显示出可变的诊断准确性.
- 需要GAD-7的经过验证,跨文化稳定的简体形式.
研究的目的:
- 开发和验证GAD-7的最佳简体形式,具有跨文化稳定性.
- 评估新建的GAD-7简体形式的诊断准确性和通用性.
主要方法:
- 利用来自六个国家的七个GAD-7数据集 (N=47,484).
- 使用Riskslim机器学习算法构建了五个GAD简单表格 (2-6项).
- 使用R平方和AUC指标评估诊断准确性.
主要成果:
- 与GAD-R2,GAD-2和GAD-mini相比,GAD-R3的缩写形式在所有文化中都表现出更高的性能.
- GAD-R3在不同文化和特殊人群中显示出高度的通用性.
- GAD-R6表现出最高的准确性,但GAD-R3提供了简洁性和准确性的有利平衡.
结论:
- 建议GAD-R3作为GAD-7的最佳简体版本,用于跨文化研究和流行病学调查.
- 建议GAD-R3.3的最佳切割值为15的值.
- 两项GAD尺度仍然适用于临床实践环境.
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