The Seasonal Health Questionnaire: a preliminary validation of a new instrument to screen for Seasonal Affective Disorder

The Seasonal Health Questionnaire: a preliminary validation of a new instrument to screen for Seasonal Affective Disorder
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DOI:
10.1016/s0165-0327(00)00208-1
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发表时间:
2001-04-01
影响因子:
6.6
通讯作者:
Cowan, A
Cowan, A
中科院分区:
医学2区
文献类型:
--
作者:
Thompson, C;Cowan, A

文献摘要

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背景:季节性情感障碍(SAD)的主要筛查工具是季节性模式评估问卷,但其信度和效度受到一些研究的质疑。方法:在本研究中,我们开发了一种新的问卷——季节性健康问卷(SHQ),该问卷通过计算机评分得出诊断SAD的四个主要操作标准。一组临床诊断为SAD的患者与一组复发性非季节性抑郁症的患者使用SPAQ和SHQ进行对比。结果:长期复发性情绪障碍患者可轻松完成SHQ。SPAQ和罗森塔尔标准是识别SAD的最不具体的标准——错误地分类了许多非季节性患者。结论:经进一步研究,SHQ可能是更合适的SAD筛查工具。spq不应再用于此目的,因为它给出了误导性的高患病率估计。(C) 2001 Elsevier Science B.V.版权所有
Background: The main screening tool for Seasonal Affective Disorder (SAD) is the Seasonal Pattern Assessment Questionnaire, but its reliability and validity have been thrown into doubt by several studies, Method: In this study we developed a new questionnaire, the Seasonal Health Questionnaire (SHQ), which is scored by computer to derive the four main operational criteria for diagnosis of SAD. A group of clinically diagnosed SAD patients was contrasted with a group of patients with recurrent non-seasonal depressive disorder using the SPAQ and the SHQ. Results: The SHQ could be completed without difficulty by patients with long histories of recurrent mood disorder. The SPAQ and the Rosenthal Criteria were the least specific of the criteria for identifying SAD - misclassifying many non-seasonal patients. Conclusions: After further development the SHQ may be a more appropriate screening instrument for SAD. The SPAQ should no longer be used for this purpose as it gives misleadingly high estimates of prevalence. (C) 2001 Elsevier Science B.V. All rights reserved.