在南非初级保健机构中验证常见精神障碍和自杀风险的查仪器
Melissa A Stockton1, Ernesha Webb Mazinyo2, Lungelwa Mlanjeni3
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Journal of affective disorders
|June 22, 2024
概括
像PHQ-9,GAD-7和PC-PTSD-5这样的有效的心理健康查工具在南非显示出了希望. 这些工具在识别成人抑郁症,焦虑症和PTSD方面表现出良好的内部一致性和有效性.
科学领域:
- 心理健康研究 心理健康研究
- 心理测量验证 心理测量验证
- 全球健康 全球健康
背景情况:
- 南非面临着严重的心理健康基础设施和资源限制.
- 需要有效的查工具来识别心理健康状况并促进护理联系.
- 这项研究解决了在资源有限的环境中需要有效的心理健康查的需求.
研究的目的:
- 评估四种广泛使用的查工具的性能:患者健康问卷-9 (PHQ-9),通用焦虑障碍-7 (GAD-7),DSM-5 (PC-PTSD-5) 的初级护理创伤后应激障碍屏幕和哥伦比亚自杀严重性评级尺度 (C-SSRS).
- 将这些工具与南非成年人的诊断黄金标准进行评估.
- 确定所选查仪器的内部一致性,标准有效性,敏感性和特异性.
主要方法:
- 在医疗机构的成年人使用PHQ-9,GAD-7,PC-PTSD-5和C-SSRS进行了查.
- 护士进行了结构化诊断面试,以确定抑郁症,焦虑症,恐慌症,PTSD和自杀风险增加.
- 进行统计分析以评估内部一致性,标准有效性,敏感性和特异性.
主要成果:
- 在1885名参与者中,常见精神障碍的患病率为24.4%,自杀风险为14.9%.
- PHQ-9,GAD-7和PC-PTSD-5表现出良好的内部一致性 (0.80-0.89) 和标准有效性.
- 对于PHQ-9和GAD-7的最佳截止点显示出对抑郁和焦虑的高度敏感性,而PC-PTSD-5也表现出良好的表现. C-SSRS的敏感性低于预期.
结论:
- PHQ-9,GAD-7和PC-PTSD-5是南非成年人抑郁症,焦虑症和PTSD的可靠查工具,具有良好的内部一致性和标准有效性.
- 在这些选器上,较低的切断线增加了灵敏度和特异性,尽管存在权衡.
- 建议进行进一步的研究,以改善这一群体的自杀风险查.
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