Screening for mood and anxiety disorders with the five-item, the three-item, and the two-item Mental Health Inventory
Screening for mood and anxiety disorders with the five-item, the three-item, and the two-item Mental Health Inventory
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DOI：
10.1016/j.psychres.2008.05.012
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发表时间：
2009-08-15
影响因子：
11.3
通讯作者：
de Graaf, Ron
中科院分区：
文献类型：
--
作者：
Cuijpers, Pim;Smits, Niels;de Graaf, Ron
精神健康问卷(MHI)-5是一份有吸引力的简短的抑郁症和焦虑症筛查问卷。有人建议，关于抑郁的三个问题(MHI-d)在评估抑郁障碍方面可能与完整的MHI-5一样好。我们在荷兰7076名成年人的大样本中检验了MHI-d和MHI-a(剩下的两个关于焦虑的条目)的有效性。我们还检查了MHI在评估特定焦虑症方面的有效性。过去一个月抑郁和焦虑障碍的存在通过计算机化版本1.1的综合国际诊断访谈(CIDI)进行评估。ROC分析显示，MHI-5(曲线下面积为0.93)和MHI-d(曲线下面积为0.91)在检测重度抑郁和心境恶劣方面没有显著差异。MHI-5(曲线下面积0.73)和MHI-a(曲线下面积0.73)在检测焦虑症方面也没有差异。MHI-5和MHI-a似乎也足以筛查一些焦虑症(广泛性焦虑症；恐慌症：强迫症)，但不足以筛查其他焦虑症，特别是恐惧症(广场恐惧症；社交恐惧症；单纯恐惧症)。(C)2008爱思唯尔爱尔兰有限公司。保留所有权利。
The Mental Health Inventory (MHI)-5 is an attractive, brief screening questionnaire for depression and anxiety disorders. It has been suggested that the three questions on depression (MHI-d) may be as good as the full MHI-5 in assessing depressive disorders. We examined the validity of the MHI-d and the MHI-a (the remaining two items on anxiety) in a large population-based sample of 7076 adults in the Netherlands. We also examined the validity of the MHI in assessing specific anxiety disorders. The presence of depressive and anxiety disorders in the past month was assessed with the Composite International Diagnostic Interview (CIDI), computerized version 1.1. ROC analyses indicated no significant difference between the MHI-5 (area under the curve of 0.93) and the MHI-d (area under the curve of 0.91) in detecting major depression and dysthymia. There was no difference either between the MHI-5 (area under the curve of 0.73) and the MHI-a (area under the curve 0.73) in detecting anxiety disorders. Both the MHI-5 and the MHI-a also seem to be adequate as a screener for some anxiety disorders (generalized anxiety disorder; panic disorder: obsessive-compulsive disorder), but not others, especially phobias (agoraphobia; social phobia; simple phobia). (C) 2008 Elsevier Ireland Ltd. All rights reserved.