Screening for psychiatric disorders with the Patient Health Questionnaire (PHQ).: Results from the German validation study
Screening for psychiatric disorders with the Patient Health Questionnaire (PHQ).: Results from the German validation study
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DOI：
10.1026/0012-1924.50.4.171
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发表时间：
2004-01-01
期刊：
影响因子：
0.7
通讯作者：
Löwe, B
中科院分区：
文献类型：
--
作者：
Gräfe, K;Zipfel, S;Löwe, B
本研究的目的是验证德国版本的“病人健康问卷（PHQ）”。PHQ的开发是为了在初级保健中筛查精神障碍，使用DSM-IV的诊断标准。357名内科门诊患者和171名心身门诊患者完成了PHQ和DSM-IV（SCID）的结构化临床访谈，后者作为标准。PHQ作为筛选工具的可接受性进行了调查的医生和患者。对于重度抑郁症的诊断，PHQ显示出良好的标准效度（医疗患者：敏感性，95%;特异性，86%）。良好的操作特征也被发现用于惊恐障碍的诊断。PHQ的使用被90%以上的医生和患者所接受。总的来说。PHQ是用于研究和临床实践的有效、有效和被广泛接受的诊断工具。它在初级保健和其他临床环境中的应用可能有助于更好地诊断和治疗精神疾病。
The aim of this study was to validate the German version of the "Patient Health Questionnaire (PHQ)". The PHQ has been developed to screen for mental disorders in primary care, using diagnostic criteria from the DSM-IV. Three hundred and fifty-seven medical outpatients and 171 psychosomatic outpatients completed the PHQ and the Structured Clinical Interview for DSM-IV (SCID), the latter serving as criterion standard. Acceptability of the PHQ as the screening instrument was investigated for physicians and patients. For the diagnosis of major depressive disorder, the PHQ showed excellent criterion validity (medical patients: sensitivity, 95%; specificity, 86%). Good operating characteristics were also found for the diagnosis of panic disorder. The use of the PHQ was well accepted by more than 90% of both physicians and patients. Overall. the PHQ is a valid, effective, and well accepted diagnostic tool for use in research and clinical practice. Its' application in primary care and other clinical settings might contribute to better diagnosis and treatment of mental disorders.