Psychiatric screening in a medical clinic. An evaluation of a self-report inventory.

Psychiatric screening in a medical clinic. An evaluation of a self-report inventory.
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在医疗诊所进行精神病学筛查。

DOI:
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发表时间:
1978
影响因子:
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通讯作者:
Dennis I. Borinstein
Dennis I. Borinstein
中科院分区:
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文献类型:
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作者:
Richard M. Glass;Andrew T. Allan;Eberhard H. Uhlenhuth;Chase P. Kimball;Dennis I. Borinstein

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采用霍普金斯症状自评量表对某大学医院门诊就诊的82名新患者进行精神障碍筛查,并与面试者的诊断结果进行比较。该群体的精神障碍患病率很高(83%)。参数方法(判别函数分析)和非参数方法(列联表)都从患者自我评级中产生筛查结果,这些结果在区分精神疾病患者和健康患者方面具有统计学意义,但准确性有限。患者和面试者对症状的评分比较表明基本一致,这表明症状清单的筛选准确性受到缺乏历史和观察数据的限制。
A self-report symptom inventory, the Hopkins Symptom Checklist, was used as a screening test for psychiatric disorder in a group of 82 new patients in a university hospital outpatient medical clinic, and the results were compared with interviewer diagnoses. The prevalence of psychiatric disorder in the group was high (83%). Both parametric (discriminant function analysis) and nonparametric (contingency table) methods produced screening results from the patient self-ratings that were statistically significant but of limited accuracy in separating psychiatrically ill from well patients. Comparison of patient and interviewer ratings of symptoms indicated substantial agreement, suggesting that the screening accuracy of the symptom inventory is limited by the absence of historical and observational data.