对精神病患者阻塞性睡眠呼吸暂停的查问卷的诊断准确性
Maximilian Bailer1, Maximilian I Sprügel2, Eva M Stein1
1Department of Psychiatry and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Journal of psychiatric research
|April 24, 2025
概括
"无呼吸暂停"问卷显示在识别精神病患者阻塞性睡眠暂停 (OSA) 风险方面具有高度敏感性. 虽然对查有效,但由于特异性较低,所有测试的问卷都需要确认的测谎仪.
科学领域:
- 睡眠医学 睡眠医学
- 精神病学是一个精神病学.
- 诊断的准确性 诊断的准确性
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 在精神病患者中很常见,并可能使心理健康状况恶化.
- 在这个人群中,由于症状重叠和坚持挑战,对OSA的查很困难.
研究的目的:
- 评估精神病患者阻塞性睡眠呼吸暂停的五个查问卷 (STOP-Bang,BOAH,GOAL,NoSAS,No-Apnea) 的诊断准确性.
主要方法:
- 一项观察性队列研究,涉及128名通过问卷选的精神病患者.
- 测谎仪被用来确定呼吸暂停-呼吸暂停指数 (AHI).
- 使用接收器操作特征 (ROC) 曲线,灵敏度和特异性来评估诊断准确性.
主要成果:
- 无呼吸暂停问卷显示了检测任何OSA (AHI ≤5) 的最高灵敏度 (96.00%).
- 目标 (92.00%) 和STOP-Bang (90.67%) 也显示出高度敏感性.
- 所有问卷表现出较低的特异性,范围从15.09% (STOP-Bang) 到50.94% (BOAH).
结论:
- STOP-Bang,GOAL和No-Apnea问卷在识别有OSA风险的精神病患者方面是有效的.
- 低特异性需要确认性诊断,如测谎仪.
- 使用客观变量进行的无呼吸暂停评分在精神病学环境中可能特别有利.
相关概念视频
Diagnostic and Statistical Manual of Mental Disorders (DSM)
29
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...
29
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Self-Report Tests of Personality
274
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.
274
Assessment of the Cardiovascular System I: Subjective Data
244
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
244


