Harpham Trudy, Reichenheim Michael, Oser Rebecca, Thomas Elizabeth, Hamid Narmeen, Jaswal Surinder, Ludermir Ana, Aidoo Magna
South Bank University, London, UK.
Health Policy Plan. 2003 Sep;18(3):344-9. doi: 10.1093/heapol/czg041.
Mental health has been found to contribute significantly to the global burden of disease. This has raised the profile of mental health in developing countries. Many countries still do not have mental health policies, nor do they incorporate mental health in their primary care package. Community mental health profiles are needed to inform policy. There is a demand for more studies of mental health and the inclusion of mental health measures in more general, comprehensive, population-based health surveys. This article reviews the use and performance of a World Health Organization-endorsed instrument known as the Self-Reporting Questionnaire 20 items (SRQ20). The paper concludes that the high face and criterion validity, ease of use and suitability for administration by lay workers support the use of the SRQ20 as a cost-effective instrument with which to measure community mental health.
人们发现，心理健康在全球疾病负担中占相当大的比例。这提高了发展中国家对心理健康的关注度。许多国家仍未制定心理健康政策，也未将心理健康纳入其初级保健服务包中。需要了解社区心理健康状况，以便为政策制定提供依据。人们要求开展更多关于心理健康的研究，并将心理健康测量纳入更广泛、更全面的基于人群的健康调查中。本文回顾了一种经世界卫生组织认可的工具——20项自评问卷（SRQ20）的使用情况和性能。该论文得出结论，SRQ20具有较高的表面效度和效标效度，易于使用且适合非专业工作人员进行管理，这些优点支持将其作为一种具有成本效益的工具来测量社区心理健康状况。
