Concordance between Hopkins Symptom Checklist (HSCL-10) and Pakistan Anxiety and Depression Questionnaire (PADQ), in a rural self-motivated population in Pakistan
Concordance between Hopkins Symptom Checklist (HSCL-10) and Pakistan Anxiety and Depression Questionnaire (PADQ), in a rural self-motivated population in Pakistan
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巴基斯坦农村自我激励人群霍普金斯症状检查表 (HSCL-10) 与巴基斯坦焦虑和抑郁问卷 (PADQ) 之间的一致性
作者：
H. Syed;H. Zachrisson;O. Dalgard;I. Dalen;Nora L Ahlberg
背景 以前在巴基斯坦没有进行过研究，比较任何成熟的西方焦虑/抑郁筛查工具与本地量表在社区环境中的一致性。 方法 本研究的参与者 (n = 1040) 是使用方便的抽样技术从巴基斯坦古吉拉特邦我们感兴趣的六个村庄招募的。采用访谈版霍普金斯症状检查表十项版（HSCL-10）和巴基斯坦焦虑抑郁问卷（PADQ）来观察参与者的焦虑和抑郁模式。结果HSCL-10和PADQ的内部一致性分别为0.86和0.84。探索性因子分析发现了 HSCL-10 的一维（痛苦）和二维（焦虑和抑郁）解决方案的证据，但 PADQ 仅有一维（痛苦）解决方案。 HSCL-10 和 PADQ 具有中度至高度相关性（r = 0.62，p < 0.0001，衰减校正后为 0.73）。结论 HSCL-10 在巴基斯坦农村环境中显示出良好的筛查能力，并且与测量心理困扰的本土仪器具有中度至良好的一致性。因此，HSCL-10 可以用作巴基斯坦临床和流行病学环境以及生活在西方社会的巴基斯坦移民的筛查工具。
BackgroundThere have been no previous studies conducted in Pakistan comparing the concordance of any well established Western anxiety/depression screening instrument with an indigenous scale, in a community based setting.MethodsParticipants (n = 1040) in the present study were recruited from the six villages of our interest from the district Gujarat of Pakistan, using a convenient sampling technique. Interview versions of the Hopkins Symptom Checklist 10-item version (HSCL-10) and the Pakistani Anxiety and Depression Questionnaire (PADQ) were used to observe the pattern of anxiety and depression among the participants.ResultsThe internal consistency of HSCL-10 and PADQ were 0.86 and 0.84 respectively. Exploratory factor analysis found evidence for both a one-dimensional (distress) and a two-dimensional (anxiety and depression) solution for the HSCL-10, but only a one-dimensional (distress) solution for the PADQ. The HSCL-10 and PADQ found to be moderately to highly correlated (r = 0.62, p < 0.0001, 0.73 after correction for attenuation).ConclusionHSCL-10 has shown good screening abilities in a rural setting in Pakistan, and moderate to good concordance with an indigenous instrument measuring psychological distress. The HSCL-10 can therefore be used as a screening instrument, both in clinical and epidemiological settings in Pakistan, and for Pakistani immigrants living in Western societies.