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在被艾滋病毒影响的年轻成年人中优化通用焦虑症查:心理测量分析

Corey Morrison¹, Claude A Mellins¹, Clayton Synder²

¹HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Dr #15, New York, NY 10032, USA.

Journal of mood and anxiety disorders

|November 1, 2024

概括

通用焦虑障碍 (GAD) 查工具,GAD-7和GAD-2,对艾滋病毒感染的年轻人来说是有前途的. 降低切割分数可能会改善焦虑检测,而不会在这个人群中失去临床实用性.

科学领域:

心理健康研究心理健康研究
艾滋病毒/艾滋病临床研究临床研究
心理测量验证心理测量验证

背景情况:

一般性焦虑障碍 (GAD) 在艾滋病毒感染者中很常见,影响健康结果.
患有围产期获得的艾滋病毒 (YAPHIV) 的年轻人以及围产期暴露但未感染的年轻人 (YAPHEU) 需要有效的焦虑查.
通用焦虑障碍尺度-7项 (GAD-7) 和其2项 (GAD-2) 版本是潜在的查工具.

研究的目的:

评估GAD-7和GAD-2查工具的适用性和准确性.
确定患有围产期获得的HIV (YAPHIV) 和围产期暴露但未感染 (YAPHEU) 的年轻成年人GAD-7和GAD-2的最佳切割分数.
评估艾滋病毒状况,种族和种族对查工具性能的影响.

主要方法:

利用了9-16岁年轻人参与的纵向研究的第7次随访采访 (FU7) 的数据.
与儿童诊断面试时间表第四版 (DISC-IV) 一起使用GAD-7.
员工接收器操作特征 (ROC) 分析以评估准确性,灵敏性和特异性;进行子组分析.

主要成果:

推的GAD-7 (>10) 和GAD-2 (>3) 切割分数显示出低于最佳的灵敏度 (0.52,0.48),但具有高的特异性 (0.91,0.90).
将切割分数降低到GAD-7>6和GAD-2>2提高了灵敏度 (0.76,0.80),同时略有降低了特异性 (0.77,0.78).
查工具的准确性在YAPHIV和YAPHEU群体之间是可比的;种族/种族没有显著改变切割分数.

结论:

GAD-7和GAD-2显示出在YAPHIV和YAPHEU中进行焦虑查的潜力,但目前的切割分数可能需要调整.
优化切割分数可以提高对焦虑检测的敏感性,保持临床效用.
需要进一步的研究来完善切割分数,考虑到人口因素和有效的焦虑查的全球适用性.

关键词:

焦虑焦虑是一种焦虑.在GAD-7中,GAD-7是GAD-7的第一个指标.艾滋病病毒艾滋病病毒艾滋病病毒验证验证验证验证年轻的成年人年轻的成年人

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