Use of the Beck Anxiety and Depression Inventories for Primary Care with medical outpatients
Use of the Beck Anxiety and Depression Inventories for Primary Care with medical outpatients
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DOI：
10.1177/107319119700400301
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发表时间：
1997-09-01
期刊：
影响因子：
3.8
通讯作者：
Kabat, M
中科院分区：
文献类型：
--
作者：
Beck, AT;Steer, RA;Kabat, M
Beck焦虑（BAI-PC）和抑郁（BDI-PC）清单的有效性进行了研究，用于区分56名初级保健患者与未经修订的第三版精神疾病诊断和统计手册（DSM-III-R）诊断为焦虑和情绪障碍。焦虑和情绪模块从精神障碍的初级保健评估（PRIME-MD）被用来建立诊断。BAI-PC和BDI-PC的系数α分别为0.90和0.88。BAI-PC临界评分为5分及以上的患者临床效率最高（82%），识别有或无惊恐、广泛性焦虑或两者兼有的患者的敏感性为85%，特异性为81%，而BDI-PC临界值为6分及以上时，临床有效率最高（92%），敏感性为83%，特异性检测有和没有严重抑郁症的患者。使用这些仪器进行广泛的诊断评价与他们进行了讨论，以筛选初级保健患者。
The effectiveness of the Beck Anxiety (BAI-PC) and Depression (BDI-PC) Inventories for Primary Care for discriminating 56 primary care patients with and without revised, third edition Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) diagnosed anxiety and mood disorders was studied. The Anxiety and Mood modules from the Primary Care Evaluation of Mental Disorders (PRIME-MD) were used to establish diagnoses. The coefficient alphas for the BAI-PC and BDI-PC were, respectively, .90 and .88. A BAI-PC cutoff score of 5 and above yielded the highest clinical efficiency (82%) with 85% sensitivity and 81% specificity for identifying patients with and without panic, generalized anxiety, or both disorders, whereas a BDI-PC cutoff score of 6 and above afforded the highest clinical efficiency (92%) with 83% sensitivity and 95% specificity for detecting patients with and without major depressive disorders. The use of these instruments to screen primary care patients before conducting extensive diagnostic evaluations with them was discussed.