COMMUNITY SCREENING FOR MENTAL-ILLNESS - A VALIDITY STUDY OF THE GENERAL HEALTH QUESTIONNAIRE

COMMUNITY SCREENING FOR MENTAL-ILLNESS - A VALIDITY STUDY OF THE GENERAL HEALTH QUESTIONNAIRE
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DOI:
10.1192/bjp.140.2.174
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发表时间:
1982-01-01
影响因子:
10.5
通讯作者:
HARAN, D
HARAN, D
中科院分区:
医学1区
文献类型:
--
作者:
BENJAMIN, S;DECALMER, P;HARAN, D

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通过与 CIS(临床访谈表)进行比较,60 项 GHO(一般健康问卷)在社区人群中得到了验证。 GHQ 未能识别出该人群中近一半的精神病病例。那些漏掉的病例与发现的病例相似,只是疾病的长期性更大,社会和人际问题更频繁。 GHQ 似乎不适合作为社区精神疾病的筛查工具,并讨论了不可能的原因。主成分分析产生了 15 项 GHQ 因素,与 Likert 评分一起使用时,取得了相当大的改善,并且仅未能识别 4% 的病例。建议这可以提供更令人满意的筛选工具。
The 60 item GHO (General Health Questionnaire) was validated in a community population by comparison with the CIS (Clinical Interview Schedule). The GHQ failed to identify nearly half of the psychiatric cases in this population. Those missed were similar to those detected except for greater chronicity of illness and more frequent social and interpersonal problems. The GHQ appears to be unsuitable as a screening instrument for mental illness in the community and the impossible reasons are discussed. Principal components analysis resulted in a 15 item GHQ factor which, when used with Likert scoring, resulted in considerable improvement and failed to identify only 4% of cases. It is suggested that this may provide a more satisfactory screening instrument.