A population study comparing screening performance of prototypes for depression and anxiety with standard scales.
A population study comparing screening performance of prototypes for depression and anxiety with standard scales.
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DOI：
10.1186/1471-2288-11-154
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发表时间：
2011-11-22
影响因子：
4
通讯作者：
Mackinnon AJ
中科院分区：
文献类型：
--
作者：
Christensen H;Batterham PJ;Grant JB;Griffiths KM;Mackinnon AJ
精神障碍的筛查工具需要简短、吸引人和有效。目前的筛查仪器通常是基于荧光的，并且对用户可能是不透明的。一个原型的方法，其中个人识别与个人的描述与典型症状的抑郁症，焦虑症，社交恐惧症或恐慌可能是一个更短，更快，更容易接受的方法进行筛选。该研究的目的是评估四种新的原型筛查预测抑郁症和焦虑症的准确性，并将其表现与现有量表进行比较。短和超短原型被开发用于重度抑郁症（MDD），广泛性焦虑症（GAD），恐慌症（PD）和社交恐惧症（SP）。原型进行了比较，以典型的短和超短自我报告筛选规模，如流行病学量表，CES-D和GAD-7中心，以及他们的简短形式。迷你国际神经精神访谈（MINI）第6版被用作通过电话访谈获得临床标准的金标准。从人群样本中，225人谁赞同原型和101人谁没有管理的MINI。绘制了短和超短原型以及短和超短筛选量表的受试者工作特征（ROC）曲线。研究发现，原型的认可率与流行率估计值相当。短形式和超短规模优于短和超短原型的每一个障碍，除了GAD，其中GAD原型优于GAD 7。研究结果表明，基于对典型案例的描述，人们可能能够更准确地自我识别广泛性焦虑而不是抑郁症。然而，识别率低于预期。如果我们的原型可以针对重度抑郁症、社交恐惧症和恐慌症进行改进，那么这种筛查方法可能会带来相当大的好处。
Screening instruments for mental disorders need to be short, engaging, and valid. Current screening instruments are usually questionnaire-based and may be opaque to the user. A prototype approach where individuals identify with a description of an individual with typical symptoms of depression, anxiety, social phobia or panic may be a shorter, faster and more acceptable method for screening. The aim of the study was to evaluate the accuracy of four new prototype screeners for predicting depression and anxiety disorders and to compare their performance with existing scales. Short and ultra-short prototypes were developed for Major Depressive Disorder (MDD), Generalised Anxiety Disorder (GAD), Panic Disorder (PD) and Social Phobia (SP). Prototypes were compared to typical short and ultra-short self-report screening scales, such as the Centre for Epidemiology Scale, CES-D and the GAD-7, and their short forms. The Mini International Neuropsychiatric Interview (MINI) version 6 was used as the gold standard for obtaining clinical criteria through a telephone interview. From a population sample, 225 individuals who endorsed a prototype and 101 who did not were administered the MINI. Receiver operating characteristic (ROC) curves were plotted for the short and ultra short prototypes and for the short and ultra short screening scales. The study found that the rates of endorsement of the prototypes were commensurate with prevalence estimates. The short-form and ultra short scales outperformed the short and ultra short prototypes for every disorder except GAD, where the GAD prototype outperformed the GAD 7. The findings suggest that people may be able to self-identify generalised anxiety more accurately than depression based on a description of a prototypical case. However, levels of identification were lower than expected. Considerable benefits from this method of screening may ensue if our prototypes can be improved for Major Depressive Disorder, Social Phobia and Panic Disorder.
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影响因子：
3.6
作者：
Cole, JC;Rabin, AS;Kaufman, AS
通讯作者：
Kaufman, AS
影响因子：
17.7
作者：
Shear, MK;Brown, TA;Papp, LA
通讯作者：
Papp, LA
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC
影响因子：
7.6
作者：
SETTERLUND, MB;NIEDENTHAL, PM
通讯作者：
NIEDENTHAL, PM
影响因子：
7.4
作者：
Houck, PR;Spiegel, DA;Rucci, P
通讯作者：
Rucci, P