Screening people with anxiety/depression for suitability for guided self-help
Screening people with anxiety/depression for suitability for guided self-help
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DOI：
10.1080/16506070410015031
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发表时间：
2005-01-01
影响因子：
4.7
通讯作者：
Marks, Isaac M.
中科院分区：
文献类型：
--
作者：
Gega, Lina;Kenwright, Mark;Marks, Isaac M.
本研究的目的是测试一份问卷，用于筛选焦虑/抑郁症患者是否适合某些形式的电脑引导自助。共有196名转诊者完成了筛查问卷。三名临床医生各自独立判断转诊的广泛问题类型和适用性。将转诊患者随机分配至3名临床医生中的1名进行筛选访谈。结果表明，临床医生之间的协议是良好的，以面试为基础的问题类型和适用性，并筛选面试为基础的问题类型和适用性优秀。问卷和访谈之间的协议是好的问题类型，但适用性差。与筛选访谈相比，问卷对适合患者的检出率较高，对不适合患者的检出率较低。总之，通过快速扫描完成的问卷，临床医生能够灵敏地检测出适合某种形式自助的患者问题类型。一些不适合的项目需要改进。
The aim of this study was to test a questionnaire for screening people with anxiety/ depression for their suitability for certain forms of coniputer-guided self-help. A total of 196 referrals completed the screening questionnaire. Three clinicians each independently judged the referrals' broad problem type and suitability. Referrals were randomized to 1 of 3 clinicians for a screening interview. The results show that inter-clinician agreement was good for questionnaire-based problem type and suitability, and excellent for screening interview-based problem type and suitability. Agreement between the questionnaire and interview was good on problem type but poor on suitability. Compared with the screening interview, the questionnaire detected suitable patients well but unsuitable patients less well. In conclusion, by quickly scanning the completed questionnaire, clinicians were able sensitively to detect patients' problem types that were suitable for certain forms of self-help. Some unsuitability items need refining.