Evaluation of the AC-OK mental health and substance abuse screening measure in an international sample of Latino immigrants
Evaluation of the AC-OK mental health and substance abuse screening measure in an international sample of Latino immigrants
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DOI：
10.1016/j.drugalcdep.2017.07.042
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发表时间：
2017-11-01
影响因子：
4.2
通讯作者：
Alegria, Margarita
中科院分区：
文献类型：
--
作者：
Chavez, Ligia M.;Shrout, Patrick E.;Alegria, Margarita
背景：初级保健的早期发现和干预对于行为健康至关重要。有效、实用的筛查评估很少，特别是对于非英语人群。我们通过评估西班牙版 AC-OK 共存疾病筛查的心理测量特性来满足这一需求，该筛查适用于美国马萨诸塞州以及西班牙马德里和巴塞罗那的第一代和第二代拉丁裔移民。 方法：在诊所的等候区或通过初级保健、心理健康、药物使用和艾滋病毒治疗诊所以及社区机构转介招募 567 名拉丁裔参与者。我们使用验证性因子分析来评估因子结构，使用相关性分析来检查并发和判别效度，并使用接受者操作曲线 (ROC) 来确定 AC-OK 逼近旨在测量抑郁、广泛性焦虑、创伤后应激障碍症状、酒精和药物（包括苯二氮卓类药物）作为外部标准的现有工具组合的能力。 结果：在美国和西班牙的拉丁裔受访者样本中复制了原始的双因子结构。与其他指标的相关性遵循预期模式。在美国和西班牙，ROC 分析表明 AC-OK 量表充分近似于其他具体的心理健康指标 (ROC = 0.90) 和药物滥用问题 (ROC = 0.83)。 结论：西班牙版本的 AC-OK 筛查在其两个分量表中均具有良好至优异的心理测量特性。这些发现在各个地点、性别和诊所类型中都是稳健的。我们建议将其用于临床研究和治疗中心的常规筛查。
Background: Early detection and intervention in primary care is integral to behavioral health. Valid, practical screening assessments are scarce, particularly for non-English speaking populations. We address this need by evaluating the psychometric properties of the Spanish version of the AC-OK Screen for Co-occurring Disorders for first and second generation immigrant Latinos in Massachusetts, USA, and Madrid and Barcelona, Spain.Methods: 567 Latino participants were recruited in waiting areas of clinics or by referral from Primary Care, Mental Health, Substance Use, and HIV Treatment Clinics, as well as Community Agencies. We use confirmatory factor analyses to evaluate the factor structure, correlation analysis to examine concurrent and discriminant validity, and receiver operating curves (ROC) to determine the ability of the AC-OK to approximate a composite of established instruments designed to measure depression, generalized anxiety, post-traumatic stress disorder symptoms, alcohol, and drugs (including benzodiazepines) as external criteria.Results: The original two factor structure was replicated in samples of Latino respondents in the US and Spain. Correlations with other measures followed the expected pattern. In both the US and Spain, ROC analyses suggested that the AC-OK scale was an adequate approximation to other specific measures of mental health (ROC = 0.90) and substance abuse problems (ROC = 0.83).Conclusions: The Spanish version of the AC-OK Screen has good to excellent psychometric properties in both its subscales. These findings are robust across sites, gender, and type of clinic. We recommend its use for clinical research and for routine screening at treatment centers.