A brief Web-based screening questionnaire for common mental disorders: development and validation.
A brief Web-based screening questionnaire for common mental disorders: development and validation.
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DOI：
10.2196/jmir.1134
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发表时间：
2009-07-24
影响因子：
7.4
通讯作者：
Cuijpers P
中科院分区：
文献类型：
--
作者：
Donker T;van Straten A;Marks I;Cuijpers P
基于互联网的常见精神障碍自助系统的出现产生了对快速方法的需求，以将潜在用户分流到适合他们的障碍的系统。这一需求可以通过使用简短的在线筛查问卷来满足，这种问卷也可以在咨询全科医生之前快速用于筛查患者。测试和增强网络筛查问卷(WSQ)的有效性，以筛查以下疾病：抑郁障碍、酗酒/依赖、GAD、创伤后应激障碍、社交恐惧症、恐慌症、广场恐惧症、特定恐惧症和强迫症。共有502名受试者(年龄在18-80岁)在互联网上回答了WSQ和其他9份问卷。在这502人中，有157人在接受CIDI培训的世界卫生组织综合国际诊断访谈中通过电话对DSM-IV障碍进行了评估。WSQ阳性“诊断”在相应验证性问卷上的均分显著高于阴性“诊断”(P<；.001)。WSQ的敏感度为0.72~1.00，特异度为0.44~0.77。WSQ项目的曲线下面积(AUC)与较长问卷的AUC相当。WSQ对常见的精神障碍进行了适当的筛查。虽然WSQ很好地筛选出了负面消息，但它也产生了大量的假阳性。
The advent of Internet-based self-help systems for common mental disorders has generated a need for quick ways to triage would-be users to systems appropriate for their disorders. This need can be met by using brief online screening questionnaires, which can also be quickly used to screen patients prior to consultation with a GP. To test and enhance the validity of the Web Screening Questionnaire (WSQ) to screen for: depressive disorder, alcohol abuse/dependence, GAD, PTSD, social phobia, panic disorder, agoraphobia, specific phobia, and OCD. A total of 502 subjects (aged 18 - 80) answered the WSQ and 9 other questionnaires on the Internet. Of these 502, 157 were assessed for DSM-IV-disorders by phone in a WHO Composite International Diagnostic Interview with a CIDI-trained interviewer. Positive WSQ “diagnosis” had significantly (P < .001) higher means on the corresponding validating questionnaire than negative WSQ “diagnosis”. WSQ sensitivity was 0.72 - 1.00 and specificity was 0.44 - 0.77 after replacing three items (GAD, OCD, and panic) and adding one question for specific phobia. The Areas Under the Curve (AUCs) of the WSQ’s items with scaled responses were comparable to AUCs of longer questionnaires. The WSQ screens appropriately for common mental disorders. While the WSQ screens out negatives well, it also yields a high number of false positives.
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影响因子：
10.3
作者：
Hoyer, J;Becker, ES;Margraf, J
通讯作者：
Margraf, J
影响因子：
6
作者：
CONIGRAVE, KM;SAUNDERS, JB;REZNIK, RB
通讯作者：
REZNIK, RB
影响因子：
7.4
作者：
Houck, PR;Spiegel, DA;Rucci, P
通讯作者：
Rucci, P
影响因子：
4.7
作者：
Buchanan, Tom
通讯作者：
Buchanan, Tom
影响因子：
4.7
作者：
Gega, Lina;Kenwright, Mark;Marks, Isaac M.
通讯作者：
Marks, Isaac M.