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Updated: May 6, 2026

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成年人的PROMIS®焦虑测量的查准确性 - 一个系统的审查和多个值的元分析

Alexey Fomenko¹, Felix H Fischer², Ruth Ann Marrie³

¹Institute of General Practice and Health Services Research, TUM School of Medicine and Health, Department Clinical Medicine, Technical University of Munich, Munich, Germany.

Journal of psychosomatic research

|March 11, 2026

概括

普罗米斯® 短形式焦虑-8a 显示出对任何焦虑障碍和泛性焦虑障碍的查具有很好的准确性. 需要进一步的研究来验证其他PROMIS®焦虑措施及其在初级保健机构的使用.

科学领域:

心理测量评估是一种心理评估.
心理健康查心理健康查
焦虑障碍的诊断焦虑障碍的诊断

背景情况:

焦虑障碍很普遍,需要准确的查工具.
患者报告结果测量信息系统 (PROMIS®) 的措施为焦虑评估提供了潜力.
关于PROMIS®焦虑测量特定焦虑障碍的测试准确度的数据有限.

研究的目的:

为了评估PROMIS®焦虑测试的测试准确性,用于选任何焦虑障碍 (AAD) 和泛性焦虑障碍 (GAD).
为了确定PROMIS®焦虑测量的测试准确性在不同的截止分数中如何变化.

主要方法:

在2025年7月15日之前对Embase,MEDLINE,PubMed-not-MEDLINE子集和PsycINFO进行系统的文献搜索.
包括使用PROMIS®焦虑测量和成人半结构面试的测试准确性研究.
使用QUADAS-2进行质量评估,并应用多个值模型进行元分析.

主要成果:

包含了6项涉及1121名参与者的研究,重点是PROMIS®简短形式-焦虑-8a (SF-A-8a).
使用SF-A-8a对AAD和GAD的元分析确定了T-score最佳切线分别为55.4和58.4.
对AAD的总结灵敏度和特异性为0.76和0.74,对于GAD是0.75和0.79,AUC为0.81和0.84.

结论:

PROMIS®-SF-A-8a表现出同质的结果和良好的AAD和GAD查准确度.
由于研究数量有限,特别是对其他PROMIS®焦虑措施的研究,因此需要进一步研究.
在各种环境中复制发现,如初级保健,对于更广泛的临床应用至关重要.

关键词:

焦虑焦虑是一种焦虑.多重门是指多个门.查检查查检查查检查测试的准确性测试的准确性这是一个元分析.

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