Gega Lina, Kenwright Mark, Mataix-Cols David, Cameron Rachel, Marks Isaac M
School of Nursing and Midwifery, King's College, London, UK.
Cogn Behav Ther. 2005;34(1):16-21. doi: 10.1080/16506070410015031.
The aim of this study was to test a questionnaire for screening people with anxiety/ depression for their suitability for certain forms of computer-guided self-help. A total of 196 referrals completed the screening questionnaire. Three clinicians each independently judged the referrals' broad problem type and suitability. Referrals were randomized to 1 of 3 clinicians for a screening interview. The results show that inter-clinician agreement was good for questionnaire-based problem type and suitability, and excellent for screening interview-based problem type and suitability. Agreement between the questionnaire and interview was good on problem type but poor on suitability. Compared with the screening interview, the questionnaire detected suitable patients well but unsuitable patients less well. In conclusion, by quickly scanning the completed questionnaire, clinicians were able sensitively to detect patients' problem types that were suitable for certain forms of self-help. Some unsuitability items need refining.
本研究的目的是测试一份问卷，以筛选出适合某些形式计算机引导自助治疗的焦虑/抑郁患者。共有196名转诊患者完成了筛查问卷。三名临床医生各自独立判断转诊患者的大致问题类型和适用性。转诊患者被随机分配给三名临床医生中的一名进行筛查访谈。结果表明，临床医生之间对于基于问卷的问题类型和适用性的一致性良好，而对于基于筛查访谈的问题类型和适用性的一致性极佳。问卷和访谈在问题类型上的一致性良好，但在适用性上的一致性较差。与筛查访谈相比，问卷能很好地检测出适合的患者，但对不适合的患者检测效果较差。总之，通过快速浏览填好的问卷，临床医生能够灵敏地检测出适合某些形式自助治疗的患者问题类型。一些关于不适用性的项目需要完善。
