严重持续性精神疾病：一种用于确定社区心理健康服务干预重点的有用定义。
Severe and persistent mental illness: a useful definition for prioritizing community-based mental health service interventions.
作者信息
Parabiaghi Alberto, Bonetto Chiara, Ruggeri Mirella, Lasalvia Antonio, Leese Morven
机构信息
Dept. of Medicine and Public Health, Section of Psychiatry and Clinical Psychology, University of Verona, Ospedale Policlinico, Verona, Italy.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2006 Jun;41(6):457-63. doi: 10.1007/s00127-006-0048-0. Epub 2006 Mar 25.
OBJECTIVE
There is a lack of consensus on the identification of seriously mentally ill patients (SMI). This study investigates the external and predictive validity of an operationalized definition for the severity and persistency of mental illness applied to a sample of service users attending a community mental health service.
METHOD
The definition is based on the fulfilment of dysfunction (GAF < or = 50) and illness duration (> or = 2 yrs) criteria. The study was conducted with a two-year longitudinal design. External and predictive validity of the SMI definition were assessed against the diagnosis of psychosis.
RESULTS
Our data show evidence for an overall high predictive and external validity of the SMI definition and high sensitivity in predicting those with high burden of mental illness.
CONCLUSIONS
In order to identify people with high levels of psychiatric burden, the SMI working definition seems to be more useful than that simply based on diagnostic criteria.
目的
在严重精神疾病患者（SMI）的识别方面缺乏共识。本研究调查了应用于社区精神卫生服务使用者样本的精神疾病严重程度和持续性的操作性定义的外部效度和预测效度。
方法
该定义基于功能障碍（总体功能评估量表[GAF]≤50）和病程（≥2年）标准的满足情况。本研究采用了为期两年的纵向设计。根据精神病诊断评估SMI定义的外部效度和预测效度。
结果
我们的数据表明，SMI定义总体上具有较高的预测效度和外部效度，且在预测精神疾病负担较重者方面具有较高的敏感性。
结论
为了识别精神疾病负担较重的人群，SMI工作定义似乎比单纯基于诊断标准的定义更有用。
Zotero 插件