Validation of the Korean version of the 16-Item Prodromal Questionnaire in a Non-Help-Seeking College Population.

Validation of the Korean version of the 16-Item Prodromal Questionnaire in a Non-Help-Seeking College Population.
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DOI:
10.30773/pi.2017.04.24
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发表时间:
2018-03
影响因子:
2.7
通讯作者:
Yoon JS
Yoon JS
中科院分区:
医学4区
文献类型:
--
作者:
Kim SW;Chung YC;Kang YS;Kim JK;Jang JE;Jhon M;Lee JY;Kim JM;Shin IS;Yoon JS

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目的:检验韩国版16项前驱症状问卷(KPQ-16)在非求助大学生中的信度和效度。 在2,246名参与初筛的大学生中,257名KPQ-16评分≥4的受试者接受了访谈。危险精神状态综合评估(CAARMS)的精神病超高风险(UHR)标准是诊断的金标准。一个探索性的修改版本的问卷(mKPQ-16),其中三个项目从Eppendorf精神分裂症量表增加,也被用来补偿项目的思想和认知问题。 17例受试者符合CAARMS精神病UHR标准。mKPQ-16总分的受试者操作特征曲线下面积(AUROC)最高(AUROC=0.831,p<0.001)。mKPQ-16和KPQ-16的临界总评分分别为7和6时,敏感性(分别为76.5%和64.7%)和特异性(分别为75.4%和71.2%)达到最佳平衡。 韩国版的PQ-16是筛查大学生精神病风险的良好工具。这种验证具有少量项目的问卷版本可能使筛选社区中大量年轻人成为可行。
To examine the reliability and validity of the Korean version of the 16-item Prodromal Questionnaire (KPQ-16) in non-help-seeking university students. Among 2,246 university students participated in the initial screening, 257 subjects with KPQ-16 scores ≥4 were interviewed. The criteria for ultra-high risk (UHR) of psychosis of the Comprehensive Assessment of At-Risk Mental States (CAARMS) were the gold standard for diagnosis. An exploratory modified version of the questionnaire (mKPQ-16), to which three items from the Eppendorf Schizophrenia Inventory were added, was also used to compensate for items on thought and cognitive problems. Seventeen subjects met the CAARMS criteria for UHR of psychosis. The area under the receiver operating characteristic curve (AUROC) was highest for the mKPQ-16 total score (AUROC=0.831, p<0.001). The use of cutoff total scores of 7 for the mKPQ-16 and 6 for the KPQ-16 resulted in the best balance of sensitivity (76.5% and 64.7%, respectively) and specificity (75.4% and 71.2%, respectively). The Korean versions of the PQ-16 are good instruments for screening for psychosis risk in university students. This validation of a questionnaire version with a small number of items may make it feasible to screen large numbers of young adults in the community.
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