The Vietnamese version of the Self Reporting Questionnaire 20 (SRQ-20) in detecting mental disorders in rural Vietnam: A validation study
The Vietnamese version of the Self Reporting Questionnaire 20 (SRQ-20) in detecting mental disorders in rural Vietnam: A validation study
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DOI：
10.1177/0020764006061251
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发表时间：
2006-03-01
影响因子：
7.5
通讯作者：
Van Tuan, N
中科院分区：
文献类型：
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作者：
Giang, KB;Allebeck, P;Van Tuan, N
背景：发展中国家有必要开发测量精神障碍的工具，因为精神障碍日益被认为是一个主要的公共卫生问题。目的：在越南社区中调整和验证自我报告问卷-20(SRQ-20)。方法：编制越南版SRQ-20，并在地区医院样本52人和社区样本485人中进行测试。以精神科医生的诊断结果为效度标准。进行受试者工作特性(ROC)分析以确定最佳截断值。结果：在地区医院样本中，SRQ的最佳分界值为5/6，敏感度为85%，特异度为46%，AUC为0.74(95%CI：0.590.89)。在社区样本中，敏感度为85%，特异度为61%，AUC为0.86(95%CI：0.81~0.93)。在AUC方面，SRQ在18-24岁年龄组的表现明显好于其他年龄段和单身人群。结论：SRQ-20在越南环境下使用和适应是可行的。我们确认了这一工具在发展中国家的使用价值，但最佳截止限度必须根据当地情况进行评估和确定。
Background: There is a need to develop instruments to measure mental disorders in developing countries because mental disorders are increasingly being recognised as a major public health problem. There has been no previous study in Vietnam validating screening instruments for mental health problems.Aim: To adapt and to validate the Self Reporting Questionnaire-20 (SRQ-20) in the Vietnamese community.Methods: A Vietnamese version of the SRQ-20 was developed and tested in 52 persons in a district hospital sample and 485 persons in a community sample. The psychiatrists' diagnoses were taken as the validity criterion. Receiver Operating Characteristic (ROC) analysis was performed to identify the optimal cut-off value. The area under the ROC curve (AUC) was calculated to assess the performance of SRQ in different sociodemographic groups.Results: In the district hospital sample, the optimal cut-off score was 5/6 with a sensitivity of 85%, a specificity of 46% and an AUC of 0.74 (95% Cl: 0.590.89). In the community sample, it was 6/7 with a sensitivity of 85%, a specificity of 61% and AUC of 0.86 (95% Cl: 0.81-0.93). In terms of AUC, SRQ performed significantly better in the age group 18-24 years as compared with other ages and with single persons as compared with widowed or divorced people.Conclusion: The SRQ-20 was found feasible to use and adapt to the Vietnamese setting. We confirmed the value of this instrument for use in developing countries, but the optimal cut-off limit has to be assessed and determined according to local conditions.