Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative.

Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative.
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DOI:
10.1002/mpr.310
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发表时间:
2010-06
影响因子:
3.1
通讯作者:
Zaslavsky, Alan M.
Zaslavsky, Alan M.
中科院分区:
医学3区
文献类型:
--
作者:
Kessler, Ronald C.;Green, Jennifer Greif;Gruber, Michael J.;Sampson, Nancy A.;Bromet, Evelyn;Cuitan, Marius;Furukawa, Toshi A.;Gureje, Oye;Hinkov, Hristo;Hu, Chi-Yi;Lara, Carmen;Lee, Sing;Mneimneh, Zeina;Myer, Landon;Oakley-Browne, Mark;Posada-Villa, Jose;Sagar, Rajesh;Viana, Maria Carmen;Zaslavsky, Alan M.

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报告了世界卫生组织(WHO)世界精神卫生(WMH)调查中严重精神疾病K6筛查量表(SMI)的背景和性能数据。K6是一个6项量表,旨在根据美国ADAMHA重组法案中的标准,为DSM-IV SMI提供简短的有效筛选。虽然方法学研究已经在一些国家证明了良好的K6效度,但从未提出过最佳评分规则。这些规则是基于对14个国家(合并n = 41,770名受访者)的全国或区域代表性WMH调查中K6数据的分析而提出的。DSM-IV SMI的12个月患病率采用完全结构化的WHO复合国际诊断访谈进行评估。嵌套逻辑回归分析用于根据K6评分生成每个受访者SMI预测概率的估计值,同时考虑到作为受访者年龄、性别、教育和国家函数的变量一致性的可能性。通过计算受试者工作特征曲线下面积(AUC)评估的一致性通常是显著的(中位数0.83;范围0.76 - 0.89;四分位数间距0.81 - 0.85)。基于这一结果,最佳缩放规则,供研究人员使用的K6规模在所研究的国家。
Data are reported on the background and performance of the K6 screening scale for serious mental illness (SMI) in the World Health Organization (WHO) World Mental Health (WMH) surveys. The K6 is a 6-item scale developed to provide a brief valid screen for DSM-IV SMI based on the criteria in the US ADAMHA Reorganization Act. Although methodological studies have documented good K6 validity in a number of countries, optimal scoring rules have never been proposed. Such rules are presented here based on analysis of K6 data in nationally or regionally representative WMH surveys in 14 countries (combined n = 41,770 respondents). Twelve-month prevalence of DSM-IV SMI was assessed with the fully-structured WHO Composite International Diagnostic Interview. Nested logistic regression analysis was used to generate estimates of the predicted probability of SMI for each respondent from K6 scores taking into consideration the possibility of variable concordance as a function of respondent age, gender, education, and country. Concordance, assessed by calculating the area under the receiver operating characteristic curve (AUC), was generally substantial (Median .83; Range .76-.89; Inter-quartile range .81-.85). Based on this result, optimal scaling rules are presented for use by investigators working with the K6 scale in the countries studied.
DOI: 10.1192/bjp.bp.108.058552
发表时间: 2009-07
期刊: The British journal of psychiatry : the journal of mental science
影响因子: --
作者:
Huang Y;Kotov R;de Girolamo G;Preti A;Angermeyer M;Benjet C;Demyttenaere K;de Graaf R;Gureje O;Karam AN;Lee S;Lépine JP;Matschinger H;Posada-Villa J;Suliman S;Vilagut G;Kessler RC
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发表时间: 2007-10-01
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通讯作者: Patel, V.
DOI: 10.1002/mpr.311
发表时间: 2010-06-01
影响因子: 3.1
作者:
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通讯作者: Aldworth, Jeremy
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发表时间: 2001-06-01
影响因子: 3.6
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通讯作者: Racioppo, MW
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发表时间: 2007-02-01
影响因子: 4.6
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通讯作者: Hellard, Margaret