DETECTING ANXIETY AND DEPRESSION IN GENERAL MEDICAL SETTINGS

DETECTING ANXIETY AND DEPRESSION IN GENERAL MEDICAL SETTINGS
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DOI:
10.1136/bmj.297.6653.897
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发表时间:
1988-10-08
影响因子:
105.7
通讯作者:
GRAYSON, D
GRAYSON, D
中科院分区:
医学1区
文献类型:
--
作者:
GOLDBERG, D;BRIDGES, K;GRAYSON, D

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为了帮助全科医生和其他非精神科医生更好地认识精神疾病的短期尺度测量焦虑和抑郁症的潜在特质分析来自一个标准化的精神病学研究访谈。它们旨在由非精神科医生使用,提供每种疾病严重程度的维度测量。只有在前四个问题得到肯定回答的情况下,才需要回答全套九个问题。当对精神病评估表中包含的60个问题进行评估时,它们的特异性为91%,敏感性为86%。这些量表将由非精神病医生在临床调查中使用,也可能由医学生使用,以使他们熟悉精神病的常见形式,这些形式在一般医疗环境中通常不被承认。
To aid general practitioners and other non-psychiatrists in the better recognition of mental illness short scales measuring anxiety and depression were derived by latent trait analysis from a standardised psychiatric research interview. Designed to be used by non-psychiatrists, they provide dimensional measures of the severity of each disorder. The full set of nine questions need be administered only if there are positive answers to the first four. When assessed against the full set of 60 questions contained in the psychiatric assessment schedule they had a specificity of 91% and a sensitivity of 86%. The scales would be used by non-psychiatrists in clinical investigations and possibly also by medical students to familiarise them with the common forms of psychiatric illness, which are often unrecognised in general medical settings.