A comparison of standardized measures of psychosocial variables with single-item screening measures used in an urban obstetric clinic

A comparison of standardized measures of psychosocial variables with single-item screening measures used in an urban obstetric clinic
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DOI:
10.1111/j.1552-6909.2002.tb00034.x
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发表时间:
2002-03-01
影响因子:
1.8
通讯作者:
Nuwayhid, B
Nuwayhid, B
中科院分区:
医学4区
文献类型:
--
作者:
Sagrestano, LM;Rodriguez, AC;Nuwayhid, B

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目的:比较标准化的,心理健康的措施,心理社会变量和身体暴力与单项措施目前用于筛选目的在产科clinic.Study设计:两百多民族妇女进行了采访,在计划产前检查在城市围产期中心。参与者以前完成了一个标准的围产期自我管理的清单,其中包括几个单项心理社会问题。医疗和产科史,目前的危险因素,和产时并发症收集从医疗records.Results:相关性分析表明,单项自我报告措施更适合某些类型的变量比其他。具体而言,焦虑,抑郁和社会支持,单项措施显着相关的标准化,psychometrically健全的措施,而这是不正确的压力和家庭violation.Conclusion:它可能是适当的依赖自我报告的单项措施,以检测一些心理社会危险因素在临床环境中的转介的目的。在评估家庭暴力时,单项措施可能不够,因为使用标准化、心理测量学上健全的措施进行的个人访谈导致报告率较高。
Objective: To compare standardized, psychometrically sound measures of psychosocial variables and physical violence with single-item measures currently used for screening purposes in an obstetric clinic.Study Design: Two hundred multiethnic women were interviewed during scheduled prenatal visits at an urban perinatal center. Participants previously completed a standard perinatal self-administered inventory, which included several single-item psychosocial questions. Medical and obstetric history, current risk factors, and intrapartum complications were collected from medical records.Results: Correlational analyses indicated that single-item self-report measures were more appropriate for certain types of variables than for others. Specifically, for anxiety, depression, and social support, single-item measures were significantly correlated with standardized, psychometrically sound measures, whereas this was not true for stress and domestic violence.Conclusion: It may be appropriate to rely on self-reported single-item measures to detect some psychosocial risk factors in clinical settings for the purposes of referral. When assessing for domestic violence, single-item measures may not be adequate, as personal interviews using a standardized, psychometrically sound measure resulted in higher rates of reporting.