在初级保健中排除情绪和焦虑障碍的查工具:一个快速的系统审查
Melissa Corso1,2, Krystle Martin2, Louis Rachid Salmi3
1Institute for Disability and Rehabilitation Research, Oshawa, ON, Canada.
BMC primary care
|December 30, 2025
概括
初级保健提供者可以使用患者健康问卷 (PHQ) -2,PHQ -9,通用焦虑症 (GAD) -2,和GAD-7查工具. 这些工具有效排除了成年人的抑郁和焦虑.
科学领域:
- 心理健康研究 心理健康研究
- 主要护理医学 医疗保健
- 诊断工具验证 诊断工具验证
背景情况:
- 情绪和焦虑障碍在访问加拿大初级保健提供者的患者中很普遍.
- 查工具对于识别需要进一步心理健康支持的个人至关重要.
研究的目的:
- 确定有效和可靠的查工具,以排除成人在初级保健机构中的情绪和焦虑障碍.
- 专注于具有强大的负预测价值的工具,以有效管理患者.
主要方法:
- 来自MEDLINE,Embase和PsycInfo (2006-2025) 的文献快速审查.
- 包含低偏差风险的研究,数据由单个审查员提取.
- 对灵敏度,特异性和负概率比率 (NLRs) 的分析,NLR<0.1表明强有力的排除性能.
主要成果:
- 11项低偏差风险研究评估了13种不同的选工具.
- 患者健康问卷 (PHQ) -2,PHQ -9,通用焦虑障碍 (GAD) -2,和GAD-7显示出排除抑郁和焦虑的最强有力的证据 (NLR<0.1).
- 由于偏差风险很高,没有可靠性研究符合纳入标准.
结论:
- PHQ-2,PHQ-9,GAD-2和GAD-7是简短的,有效的查工具,在初级保健中对抑郁症和焦虑症有很好的排除性能.
- 建议进行进一步的研究,以评估不同患者群体和医疗保健机构的可靠性和性能.
相关概念视频
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