The Patient Health Questionnaire for Adolescents: Validation of an instrument for the assessment of mental disorders among adolescent primary care patients
The Patient Health Questionnaire for Adolescents: Validation of an instrument for the assessment of mental disorders among adolescent primary care patients
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DOI：
10.1016/s1054-139x(01)00333-0
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发表时间：
2002-03-01
影响因子：
7.6
通讯作者：
Williams, JBW
中科院分区：
文献类型：
--
作者：
Johnson, JG;Harris, ES;Williams, JBW
目的：调查青少年患者健康问卷（PHQ-A）的有效性，PHQ-A是一种自我管理的工具，用于评估青少年初级保健患者的焦虑、饮食、情绪和物质使用障碍。共有403名来自加州、新泽西、纽约、和俄亥俄州的儿童在初级保健诊所或学校护士办公室就诊期间或之后不久完成了PHQ-A和医学结局研究简表一般健康调查（SF-20）。几天后，对PHQ-A结果不知情的临床心理学家进行了半结构化临床访谈，以评估相同的精神疾病，并对403名患者进行了整体功能评估（GAF）。结果：研究结果支持PHQ-A的诊断效度。PHQ-A和临床访谈对焦虑、饮食、情绪和物质使用障碍的患病率进行了相似的估计。与临床访谈相比，PHQ-A表现出令人满意的灵敏度、特异性、诊断一致性和总体诊断准确性。与那些没有精神疾病的青少年相比，PHQ-A诊断的青少年经历了显着较差的精神和整体功能，更多的身体疼痛和较差的整体健康状况。这些差异仍然显着后，患者的年龄，性别，种族，和网站进行了控制statistics.Conclusion：PHQ-A可用于协助初级保健医生在确定他们的青少年患者的精神疾病。PHQ-A是第一个在青少年中测试使用的此类工具，为早期发现和识别这一高危群体的精神障碍提供了一个可接受的有效工具。(C)青少年医学协会，2002年。
Purpose: To investigate the validity of the Patient Health Questionnaire for Adolescents (PHQ-A), a self-administered instrument that assesses anxiety, eating, mood, and substance use disorders among adolescent primary care patients.Methods: A total of 403 adolescents from California, New Jersey, New York, and Ohio completed the PHQ-A and the Medical Outcomes Study Short-Form General Health Survey (SF-20) during or shortly after a visit to a primary care clinic or a school nurse's office. A few days later, clinical psychologists who were blind to the results of the PHQ-A administered a semi-structured clinical interview to assess the same psychiatric disorders and to conduct a global assessment of functioning (GAF) among 403 patients. Diagnostic agreement coefficients were computed and analyses of covariance were conducted.Results: Findings support the diagnostic validity of the PHQ-A. The PHQ-A and the clinical interview produced similar estimates of the prevalence rates of anxiety, eating, mood, and substance use disorders. The PHQ-A demonstrated satisfactory sensitivity, specificity, diagnostic agreement, and overall diagnostic accuracy, compared with the clinical interview. Adolescents with PHQ-A diagnoses experienced significantly poorer mental and overall functioning, more physical pain, and poorer overall health compared with those without psychiatric disorders. These differences remained significant after patients' age, gender, ethnicity, and site were controlled statistically.Conclusion: The PHQ-A may be used to assist primary care practitioners in identifying psychiatric disorders among their adolescent patients. The PHQ-A is the first such tool to be tested for use in adolescents and offers an acceptable and efficient tool for early detection and recognition of mental disorders in this high-risk group. (C) Society for Adolescent Medicine, 2002.