在心力衰竭患者中,PROMIS焦虑物品银行计算机适应性测试的验证
Nolan Marblestone1, Steven Chu2,3, Nicole Tomei1
1Ajmera Transplant Centre and Division of Nephrology, University Health Network, Toronto, ON, Canada.
Frontiers in cardiovascular medicine
|November 17, 2025
概括
患者报告结果测量信息系统 (PROMIS) 焦虑计算机适应性测试 (CAT) 准确地测量心力衰竭患者的焦虑. 这项研究证实了它对这一群体的有效性和可靠性.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 健康 结果 研究 研究 结果
背景情况:
- 在心力衰竭 (HF) 患者中,焦虑是常见的,影响生活质量.
- 患者报告结果测量信息系统 (PROMIS) 焦虑项目银行计算机自适应测试 (CAT) 提供精确的焦虑评估.
- 在住院HF患者中验证PROMIS-焦虑CAT对于准确的结果测量至关重要.
研究的目的:
- 在住院心力衰竭患者中评估PROMIS-焦虑CAT的构造有效性和可靠性.
- 确定PROMIS-焦虑CAT得分与其他已确定的焦虑措施之间的相关性.
- 为了确定特定的PROMIS-焦虑CAT T-分数值,以识别中度至严重的焦虑.
主要方法:
- 一项对333名住院成人心力衰竭患者的横截面研究.
- 普罗米斯-焦虑CAT,通用焦虑障碍7 (GAD-7),以及其他问卷是通过电子方式进行的.
- 收有效性,已知组分析和可靠性是使用已知的统计方法来评估的.
主要成果:
- PROMIS-焦虑CATT得分与GAD-7得分有很强的相关性 (rho=0.78) 和与其他措施有中等相关性.
- 在87%的参与者中,PROMIS-焦虑CATT分数的个体可靠性超过0.9 (平均可靠性为0.91).
- 60的PROMIS-焦虑CATT得分被确定为中度/严重焦虑的切线.
结论:
- 在住院的心力衰竭患者的焦虑评估中,PROMIS-焦虑CAT显示出强大的有效性和可靠性.
- 这种经过验证的工具可以精确地测量这种临床人群中的焦虑症状严重程度.
- PROMIS-焦虑CAT提供了一种可靠的方法来识别需要焦虑干预的患者.
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