Sinoff G, Ore L, Zlotogorsky D, Tamir A
Department of Geriatrics, Carmel Medical Center, Haifa, Israel.
Int J Geriatr Psychiatry. 1999 Dec;14(12):1062-71. doi: 10.1002/(sici)1099-1166(199912)14:12<1062::aid-gps67>3.0.co;2-q.
The Short Anxiety Screening Test (SAST), an easily administered rating scale, was developed to standardize the detection of anxiety disorder in the elderly, even, and especially, in the presence of depression. The instrument also included somatic complaints, often the manifestation of anxiety in the elderly. Failure to relate to the anxiety component in depression may result in the initial failure of antidepressant therapy.
To validate the SAST in the elderly, especially in the presence of depression.
The SAST was validated against a psychiatric evaluation in consecutive patients attending a geriatric service, both inpatient and outpatient. The initial validity of the SAST was tested in all the sample and subsequently in the subgroups of depressed and non-depressed.
An urban geriatric service in Israel.
One hundred and fifty medical inpatients and outpatients, 95 females, aged 70 years and older.
Psychiatric evaluation of modified Anxiety Disorders Interview Schedule for DSM-IV as criterion standard for anxiety and depression, SAST for anxiety and short Zung Interview-Assisted Depression Rating Scale for depression.
By the psychiatrist's evaluation, 40.7% suffered from anxiety. Mean SAST scores in the presence and absence of anxiety were significantly different (25.3 and 20.1; p<0.0005). The overall validity of the SAST was high (sensitivity 75.4%, specificity 78.7%). In the presence of depression, sensitivity was 83.3% and specificity 70.5%.
The SAST was valid in detecting anxiety in the elderly, as well as in depressed patients. The study proved the usefulness of the SAST in a geriatric assessment programme.
简短焦虑筛查测试（SAST）是一种易于实施的评定量表，旨在规范老年人焦虑症的检测，尤其是在存在抑郁症的情况下。该工具还纳入了躯体主诉，这通常是老年人焦虑的表现。未能识别抑郁症中的焦虑成分可能导致抗抑郁治疗初期失败。
验证SAST在老年人中的有效性，尤其是在存在抑郁症的情况下。
对连续就诊于老年科住院部和门诊部的患者进行精神科评估，以此验证SAST。SAST的初始有效性在所有样本中进行测试，随后在抑郁和非抑郁亚组中进行测试。
以色列一家城市老年科服务机构。
150名内科住院患者和门诊患者，95名女性，年龄在70岁及以上。
采用针对DSM-IV的改良焦虑症访谈量表进行精神科评估，作为焦虑和抑郁的标准对照，采用SAST评估焦虑情况，采用简短的zung访谈辅助抑郁评定量表评估抑郁情况。
根据精神科医生的评估，40.7%的患者患有焦虑症。存在焦虑和不存在焦虑时的SAST平均得分有显著差异（分别为25.3和20.1；p<0.0005）。SAST的总体有效性较高（敏感性75.4%，特异性78.7%）。在存在抑郁症的情况下，敏感性为83.3%，特异性为70.5%。
SAST在检测老年人以及抑郁症患者的焦虑方面是有效的。该研究证明了SAST在老年评估项目中的实用性。
