Screening for anxiety in an epidemiological sample: predictive accuracy of questionnaires

Screening for anxiety in an epidemiological sample: predictive accuracy of questionnaires
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DOI:
10.1016/s0887-6185(01)00094-9
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发表时间:
2002-01-01
影响因子:
10.3
通讯作者:
Margraf, J
Margraf, J
中科院分区:
医学2区
文献类型:
--
作者:
Hoyer, J;Becker, ES;Margraf, J

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该研究在年轻女性代表性流行病学样本(N = 1877)中筛查焦虑时,检验了所选问卷的预测准确性。所有参与者均通过结构化诊断访谈进行诊断。焦虑问卷包括总体和具体测量(贝克焦虑量表(BAI)、症状检查表、焦虑敏感性指数(ASI)、恐惧问卷(FQ)、行动量表(MI))。计算两个筛查决策的敏感性、特异性、阳性和阴性预测力:(1) 识别任何焦虑症或 (2) 识别总样本和临床子样本中的特定焦虑症(广场恐惧症)。由于流行病学样本中的自然(低)基础率,诊断指数低于之前报告的指数。然而,当针对特定疾病(广场恐惧症)并且具体症状得到实施时,调查问卷数据被证明是有用的。 (C) 2002 Elsevier Science Inc. 保留所有权利。
The study examined the predictive accuracy of selected questionnaires when screening for anxiety in a representative epidemiological sample of young female adults (N = 1877). All participants were diagnosed using a structured diagnostic interview. Anxiety questionnaires included global as well as specific measures (Beck Anxiety Inventory (BAI), Symptom Checklist, Anxiety Sensitivity Index (ASI), Fear Questionnaire (FQ), Mobility Inventory (MI)). Sensitivity, specificity, positive and negative predictive power were computed for two screening decisions: (1) identifying any anxiety disorder or (2) identifying a specific anxiety disorder (agoraphobia) within the total sample and the clinical subsample, Due to naturalistic (low) base rates in epidemiological samples, diagnostic indices were lower than those previously reported. However, questionnaire data proved useful when a specific disorder was targeted (agoraphobia) and specific symptoms were operationalized. (C) 2002 Elsevier Science Inc. All rights reserved.