Anxiety and-depression screening for youth in a primary care population
Anxiety and-depression screening for youth in a primary care population
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DOI：
10.1016/j.ambp.2008.01.003
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发表时间：
2008-05-01
期刊：
影响因子：
--
通讯作者：
Lozano, Paula
中科院分区：
文献类型：
--
作者：
Katon, Wayne;Russo, Joan;Lozano, Paula
目的：先前的研究表明，初级保健医生对青少年精神健康障碍的准确识别率很低。本研究在大样本青少年中测试了两份简明的心理健康筛查问卷--情绪与感觉问卷(MFQ-SF)和儿童焦虑敏感指数(ASI)。方法：在1375名11-17岁的青少年(779名哮喘患者，596名随机选择的对照)的样本中，心理测量学属性(受试者操作员特征(ROC)曲线的最佳截止点，敏感性，特异性，结果：MFQ-SF和ASI在筛查青少年I级或以上精神疾病诊断和统计手册(DSM-IV)焦虑或抑郁障碍方面都表现良好。对于患有重度抑郁症的年轻人，MFQ-SF在ROC分析中的表现好于ASI(曲线下面积为0.84比0.77)。对于青少年焦虑症的筛查，ROC曲线显示MFQ-SF和ASI都只在较好的范围内(曲线下面积为0.76)。结论：MFQ-SF和ASI是两个相对简短的问卷，在筛查青少年I或更多DSM-IV焦虑或抑郁障碍方面表现良好。在筛查患有重度抑郁症的年轻人方面，MFQ-SF比ASI表现得更好。使用这些工具可以提高初级保健医生识别青少年精神健康障碍的准确性。
Objective.-Prior studies have shown a low rate of accurate identification by primary care physicians of mental health disorders in youth. This study tested the psychometric properties of 2 brief mental health screening questionnaires, the Mood and Feelings Questionnaire, short form, (MFQ-SF) and Childhood Anxiety Sensitivity Index (ASI), in a large sample of youth.Methods.-In a sample of 1375 youth aged 11 to 17 (779 with asthma, 596 randomly selected controls) enrolled in a health maintenance organization, the psychometric properties (optimum cutoffs on receiver operator characteristic (ROC) curves, sensitivity, specificity, positive and negative predictive values) of 2 brief anxiety and depression screens were compared with a gold standard-structured psychiatric interview.Results.-Both the MFQ-SF and ASI performed well on ROC analysis for screening youth for I or more Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) anxiety or depressive disorders. The MFQ-SF performed better on ROC analysis than the ASI for youth with major depression (area under the curve of 0.84 vs 0.77). For screening youth with anxiety disorders, ROC curves showed that both the MFQ-SF and ASI only performed in the fair range (area under the curve of 0.76).Conclusion.-The MFQ-SF and ASI are 2 relatively brief questionnaires that performed well for screening youth for I or more DSM-IV anxiety or depressive disorders. The MFQ-SF performed better than the ASI for screening youth with major depression. Use of these instruments could increase the accuracy of identification of mental health disorders in youth by primary care physicians.