使用个人需求的全球评估来诊断青少年物质使用和并发性疾病快速版-4-4
Justine W Welsh1, Rebecca M Durham2, Siara I Sitar1
1Emory Addiction Center Atlanta Georgia USA.
Psychiatric research and clinical practice
|December 13, 2024
概括
全球个人需求评估-快速版本4 (GAIN-Q4) 准确诊断了青少年的物质使用障碍. 该工具有助于早期识别和治疗青少年心理健康和物质使用问题的分配.
科学领域:
- 青少年健康 青少年健康
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 早期发现青少年吸毒是减少发病率和死亡率的关键.
- 药物使用障碍 (SUD) 和同时出现的心理健康 (MH) 问题对青少年福祉构成重大风险.
- 需要准确的诊断工具来促进及时和适当的干预.
研究的目的:
- 评估个人需求的全球评估-快速版本4 (GAIN-Q4) 的诊断实用性,用于识别青少年的SUD.
- 为了将GAIN-Q4的表现与已确定的GAIN-I指标进行比较.
- 评估GAIN-Q4在诊断同时发生的SUD和MH疾病方面的有效性.
主要方法:
- 这项研究使用了来自101,897名青少年 (年龄12-17岁) 和204,711名成年人的数据.
- GAIN-Q4是GAIN-I的更新版本,用于评估SUD和MH诊断.
- 计算了包括灵敏度,特异性和科恩卡帕在内的关键性能指标.
主要成果:
- 近一半的青少年 (43%) 提出了至少一个SUD和一个MH诊断.
- GAIN-Q4显示出高灵敏度 (89%) 和特异性 (93%),用于诊断青少年的任何SUD.
- 对于任何SUD,GAIN-Q4和GAIN-I之间的一致性很高 (90%的一致性,科恩的kappa=0.80).
结论:
- GAIN-Q4是一种可靠和有效的工具,用于诊断青少年SUD.
- 该工具在识别同时出现MH和SUD的青少年方面表现出色 (SE=97%).
- GAIN-Q4可以促进对有物质使用问题的青少年进行适当的治疗资源分配.
相关概念视频
Substance Use Disorders Affecting Sleep
159
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
159
Diagnostic and Statistical Manual of Mental Disorders (DSM)
44
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
44
Assessment of the Gastrointestinal System I: Subjective Data
146
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
146
Drug Abuse and Addiction: Pharmacological Phenomena
437
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
437
Assessment of the Gastrointestinal System II: Health Perception Pattern
76
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
76
Self-Report Tests of Personality
308
Self-report inventories are objective personality assessments that use multiple-choice items or numbered scales, typically ranging from 1 (strongly disagree) to 5 (strongly agree). They are often called Likert scales after Rensis Likert. These inventories are widely used due to their ease of administration and cost-effectiveness. One of the most prominent examples is the Minnesota Multiphasic Personality Inventory (MMPI), initially developed in the 1940s to assess abnormal personality traits.
308


