对于情绪和焦虑障碍诊断面试的"查"问题,是否存在子组差异?
Matthew Sunderland1, Tim Slade1
1The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney, Sydney, New South Wales, Australia.
International journal of methods in psychiatric research
|November 7, 2024
概括
在心理健康查问题中的差异性项目功能 (DIF) 在各个人口群体中是最小的. 这表明当前的流行病学调查准确地估计了情绪和焦虑障碍的患病率.
科学领域:
- 流行病学 流行病学
- 心理测量 心理测量 心理测量
- 心理健康研究 心理健康研究
背景情况:
- 流行病学调查使用查问题来估计心理健康障碍的患病率.
- 测量偏差,例如差异项目功能 (DIF),可能会影响调查准确性.
- DIF可能会因性别,年龄,就业,地点和物质使用障碍等人口学子组而异.
研究的目的:
- 评估DIF对心理健康调查查特性的影响.
- 确定DIF如何影响情绪和焦虑障碍患病率的估计.
- 在各种人口和临床子组中检查DIF.
主要方法:
- 分析了来自2020-2022澳大利亚国家心理健康和福祉调查的15893名受访者的数据.
- 从复合国际诊断面试中对查问题进行确认因素分析和DIF分析 3.0.0.
- 具有和没有DIF调整的模型之间的灵敏度,特异性和分类率的比较.
主要成果:
- DIF在各个项目中被识别出来,主要与出生时的年龄和性别有关.
- 越来越少的项目展示了跨就业,位置和物质使用障碍的DIF.
- 在DIF调整和未调整模型之间,灵敏度和特异性的绝对差异在0.001到0.091.1之间.
结论:
- 在心理健康查问题中发现了DIF的证据.
- DIF对情绪和焦虑障碍查的整体影响很小.
- 目前的选方法似乎很强大,尽管有一些测量偏差的证据.
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