Comparison of the GHQ-36, the GHQ-12 and the SCL-90 as psychiatric screening instruments in the Finnish population

Comparison of the GHQ-36, the GHQ-12 and the SCL-90 as psychiatric screening instruments in the Finnish population
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DOI:
10.1080/08039480310001418
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发表时间:
2003-05-01
影响因子:
1.8
通讯作者:
Aalberg, V
Aalberg, V
中科院分区:
医学4区
文献类型:
--
作者:
Holi, MM;Marttunen, M;Aalberg, V

文献摘要

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本研究的目的是比较两个一般健康问卷(GHQ)版本和症状自评量表(SCL-90)的筛选性能,并评估它们作为芬兰精神病筛查工具。我们管理的GHQ-36和SCL-90精神科门诊病人(n=207)和社区样本(n=315)。受试者工作特征(ROC)分析被用来估计这两个工具和GHQ-12从GHQ-36提取的筛选性能。鳞片的筛选性能被认为是良好的和相似的。建议GHQ-12的最佳分界点为3/4,GHQ-36为8/9,SCL-90为0.90/0.91。总之,这些量表在筛选中同样有效。这有利于GHQ-12的纯筛选。当还需要症状水平的信息时,GHQ-36和SCL-90成为更好的选择。在未来的芬兰精神病筛查研究中,应考虑此处提出的截止点。
The aim of the study was to compare the screening properties of two General Health Questionnaire ( GHQ) versions and the Symptom Checklist (SCL-90), and to evaluate them as psychiatric screening instruments in Finland. We administered the GHQ-36 and the SCL-90 to psychiatric outpatients (n=207) and to a community sample (n=315). Receiver operating characteristic (ROC) analysis was used to estimate the screening performance of the two instruments and of the GHQ-12 extracted from the GHQ-36. The screening properties of the scales were found to be good and similar. Suggested optimal cut-off points were 3/4 for the GHQ-12, 8/9 for the GHQ-36 and 0.90/0.91 for the SCL-90. In conclusion, the scales functioned equally well in screening. This favors the GHQ-12 for pure screening. When information on the symptom level is also needed, the GHQ-36 and the SCL-90 become better choices. The cut-off points presented here should be considered in the future Finnish psychiatric screening studies.