The patient health questionnaire, Japanese version: Validity according to the mini-international neuropsychiatric interview-plus
The patient health questionnaire, Japanese version: Validity according to the mini-international neuropsychiatric interview-plus
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DOI：
10.2466/pr0.101.3.952-960
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发表时间：
2007-12-01
影响因子：
2.3
通讯作者：
Gejyo, Fumitake
中科院分区：
文献类型：
--
作者：
Muramatsu, Kumiko;Miyaoka, Hitoshi;Gejyo, Fumitake
为了验证日本版的患者健康问卷与日本的迷你国际神经精神病学访谈-Plus相比，4个初级保健机构和2个普通医院的131名患者参加了调查。这些患者完成了患者健康问卷，并在48小时内将其交回给他们的医生。随后，受试者接受了基于迷你-国际神经精神病学访谈-Plus的诊断性评估访谈，采访者对患者健康问卷筛选的结果视而不见。患者健康问卷诊断的特征是躯体形式障碍、严重抑郁障碍、惊恐障碍、神经性暴食症、酗酒/依赖和经前障碍的kappa值在0.70到1.0之间。前4个诊断的灵敏度、特异度和阴性预测值非常好(在0.84至1.0之间)，但不包括酗酒/依赖或经前障碍，阳性预测值(在0.78至1.0之间)。调查结果表明，日本版的患者健康问卷与日本版的迷你国际神经精神病学访谈-Plus具有很好的一致性。
To validate the Japanese version of the Patient Health Questionnaire against the Mini-International Neuropsychiatric Interview-Plus in Japan 131 patients in 4 primary care settings and 2 general hospital settings participated. These patients completed the Patient Health Questionnaire and returned it to their physician within 48 hr. Subsequently, the subjects underwent a diagnostic evaluation interview based on the Mini-International Neuropsychiatric Interview-Plus by an interviewer blind to the results of the Patient Health Questionnaire screening. The Patient Health Questionnaire diagnosis was characterized using kappa values between 0.70 and 1.0 for Somatoform Disorder, Major Depressive Disorder, Panic Disorder, Bulimia Nervosa, Alcohol Abuse/Dependence, and Premenstrual Disorder. Sensitivities, specificities, and negative predictive values were very good (between 0.84 and 1.0) for the first 4 diagnoses but not Alcohol Abuse/Dependence or Premenstrual Disorder, as were the Positive predictive values (between 0.78 and 1.0). Findings show very good concordance of the Japanese version of the Patient Health Questionnaire with the Japanese version of the Mini-International Neuropsychiatric Interview-Plus.