Wood Fiona, Pill Roisin, Prior Lindsay, Lewis Glyn
Institute of Medical Genetics, Medicentre Unit 32, University Hospital of Wales, Cardiff CF14 4XW, Wales, UK.
Health Expect. 2002 Dec;5(4):282-8. doi: 10.1046/j.1369-6513.2002.00186.x.
The common mental disorders of depression and anxiety often remain undetected in general practice. Psychiatric screening instruments have been recommended to assist detection.
To assess patients' attitudes towards the use of psychiatric screening questionnaires for common mental disorders within general practice.
Twenty focus groups comprising 127 patients were conducted in Wales, UK. The groups were distinguished by age, sex and locality.
The majority of respondents felt that the use of a screening questionnaire was acceptable and would be willing to complete one within a general practice setting. However, a number of individuals expressed concern about the validity of the kinds of questions asked and the usefulness of the instrument in practice. Respondents also discussed their concerns relating to issues of confidentiality and the doctor's response to the assessment.
The study indicates that lay beliefs towards mental illness, particularly relating to perceived stigma, will continue to pose problems for the routine use of psychiatric case-finding questionnaires within general practice.
在全科医疗中，常见的抑郁和焦虑等精神障碍常常未被发现。已推荐使用精神科筛查工具来辅助检测。
评估患者对在全科医疗中使用精神科筛查问卷来筛查常见精神障碍的态度。
在英国威尔士开展了20个焦点小组，共127名患者参与。这些小组按年龄、性别和地区划分。
大多数受访者认为使用筛查问卷是可以接受的，并且愿意在全科医疗环境中完成一份问卷。然而，一些人对所提问题的有效性以及该工具在实际中的有用性表示担忧。受访者还讨论了他们对保密问题以及医生对评估结果的反应的担忧。
该研究表明，公众对精神疾病的看法，尤其是与感知到的污名化相关的看法，将继续给在全科医疗中常规使用精神科病例发现问卷带来问题。
