州区焦虑库存 (STAI) 用于检测成年人的焦虑障碍
Daniel Dümmler1,2, Stefanie Eck1, Alexander Hapfelmeier1,3
1Institute of General Practice and Health Services Research, TUM School of Medicine and Health, Department Clinical Medicine, Technical University of Munich, Munich, Germany.
The Cochrane database of systematic reviews
|December 19, 2025
概括
州区焦虑清单 (STAI) 在检测焦虑障碍方面显示出中度准确性,但其低的特异性引起了对查的担忧. 较短,经过验证的问卷是首选用于最初的焦虑障碍查.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 诊断测试的准确性 诊断测试的准确性
- 心理测量评估 心理测量评估
背景情况:
- 焦虑障碍很常见,但往往没有被诊断出来.
- 州和地区焦虑库存 (State-Trait Anxiety Inventory,简称STAI) 是一种广泛使用的自我报告测量焦虑严重程度的方法.
- 需要评估STAI对选未诊断的焦虑障碍的实用性.
研究的目的:
- 评估STAI的诊断测试准确性 (DTA) 以检测成人任何焦虑障碍 (AAD) 和泛性焦虑障碍 (GAD).
- 为了确定各种STAI总分切线的准确性估计,无论是国家焦虑 (STAI-S) 还是特征焦虑 (STAI-T) 分量表.
主要方法:
- 对评估STAI诊断准确性的研究进行系统审查和元分析.
- 从1990年到2024年5月在主要数据库 (Embase,MEDLINE,PsycINFO) 进行的搜索.
- 包括使用结构化访谈作为参考标准的研究;使用多个值模型和总结接收器操作特征 (SROC) 曲线分析的数据.
主要成果:
- 包括12项与2525名参与者的研究;大多数具有偏见的高风险,并在专业环境中进行.
- 在检测AAD时,STAI-S和STAI-T的总结精度 (AUC) 为0.78.
- 在常见的切线值 (STAI-S ≥40,STAI-T ≥44) 时,灵敏度足够 (分别为0.83和0.81),但特异性低 (分别为0.55和0.60).
结论:
- 目前的证据不支持对STAI对查的准确性的自信判断,因为研究的局限性和概括性问题.
- 观察到的整体准确度中等,但低的特异性表明错误分类的可能性,特别是在低流行率的人群中.
- 由于STAI的长度,其作为严重性测量的目的,以及与较短,经过验证的替代品相比,缺乏明确的查指南,因此不建议作为首选的查仪器.
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