Assessing psychiatric impairment in primary care with the Sheehan disability scale
Assessing psychiatric impairment in primary care with the Sheehan disability scale
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DOI：
10.2190/t8em-c8yh-373n-1uwd
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发表时间：
1997-01-01
影响因子：
2
通讯作者：
Sheehan, DV
中科院分区：
文献类型：
--
作者：
Leon, AC;Olfson, M;Sheehan, DV
目的：最近的几项研究表明，在初级保健中，大量的功能障碍与许多精神障碍有关。然而，与精神健康有关的功能损害的简短测量通常不应用于初级保健机构。Sheehan残疾量表（SDS）是一种评估这种缺陷的三项工具，在本研究中进行了评估。方法：对加州奥克兰Kaiser Permanente的1001名初级保健患者进行SDS的心理测量分析。完成症状驱动诊断系统（SDS）和初级保健评估。结果：SDS的内部一致性信度；高，alpha系数为0.89。构念效度从两个方面得到证实。单因素模型很好地拟合了数据。此外，患有六种精神疾病的患者的损伤得分明显高于没有精神疾病的患者。最后，超过80%被诊断为精神障碍的患者SDS得分较高，近50% SDS得分较高的患者至少有一种疾病。结论：SDS的心理测量特性在初级保健中被评估。内部一致性信度高。这些分析也为结构效度提供了实证支持。该量表是一个敏感的工具，用于识别初级保健患者与心理健康相关的功能障碍，谁将保证诊断导向的心理健康评估。
Objective: Several recent studies have documented that substantial functional impairment is associated with many of the mental disorders seen in primary care. However, brief measures of mental health-related functional impairment are not commonly applied in primary care settings. The Sheehan Disability Scale (SDS), a three-item instrument for assessing such impairment, is evaluated in this study. Method: A psychometric analysis of the SDS was conducted with a sample of 1001 primary care patients at Kaiser Permanente in Oakland, California. The SDS rind the Symptom Driven Diagnostic System for Primary Care assessments were completed. Results: The internal consistency reliability of the SDS ii; high, with coefficient alpha of 0.89. The construct validity was substantiated in two ways. A one-factor model fit the data quite well. Furthermore, patients with each of six psychiatric disorders had significantly higher impairment scores than those who did not. Finally, over 80 percent of the patients with mental disorder diagnoses had an elevated SDS score and nearly 50 percent of those with elevated SDS scores had at least one disorder. Conclusions: The psychometric properties of the SDS were evaluated in primary care. The internal consistency reliability was high. The analyses also lend empirical support for the construct validity. The scale is a sensitive tool for identifying primary care patients with mental health-related functional impairment, who would warrant a diagnostically-oriented mental health assessment.