Sharma Vimal K, Lepping Peter, Cummins Anthony G P, Copeland John R M, Parhee Rashmi, Mottram Patricia
Evidence Based Practice Centre, Cheshire & Wirral Partnership NHS Trust, Victoria Central Hospital, Wallasey, Wirral CH44 5UF, UK.
World Psychiatry. 2004 Jun;3(2):115-9.
The Global Mental Health Assessment Tool--Primary Care Version (GMHAT/PC) is a computerised clinical assessment tool developed to assess and identify a wide range of mental health problems in primary care. It generates a computer diagnosis, a symptom rating, a self-harm risk assessment, and a referral letter. Patients from primary care and community psychiatric outpatient clinics and a small sample of inpatients were interviewed for a period of two months using the GMHAT/PC. A proportion of patients were simultaneously rated by a psychiatrist and a general practitioner for inter-rater reliability. All patients also completed the Hospital Anxiety and Depression Scale (HAD). To conduct the interview was easy in all settings and took 10-15 minutes for patients who had psychiatric symptoms. Inter-rater agreement on mental state symptom groups ranged from 0.49 to 1 (kappa). The computer diagnosis correlated highly with the clinical diagnosis and there was a good level of agreement between HAD ratings and GMHAT/PC ratings. These data suggest that the GMHAT/PC is an easy to administer computerised tool which can be used in primary care for the standardised assessment of mental health problems.
全球精神健康评估工具——初级保健版（GMHAT/PC）是一种计算机化临床评估工具，旨在评估和识别初级保健中广泛的精神健康问题。它能生成计算机诊断、症状评分、自伤风险评估以及转诊信。使用GMHAT/PC对来自初级保健机构、社区精神科门诊以及一小部分住院患者进行了为期两个月的访谈。一部分患者由精神科医生和全科医生同时进行评分，以评估评分者间信度。所有患者还完成了医院焦虑抑郁量表（HAD）。在所有场景中进行访谈都很容易，对于有精神症状的患者，访谈耗时10 - 15分钟。评分者间在精神状态症状组上的一致性范围为0.49至1（kappa值）。计算机诊断与临床诊断高度相关，HAD评分与GMHAT/PC评分之间也有较好的一致性。这些数据表明，GMHAT/PC是一种易于使用的计算机化工具，可用于初级保健中精神健康问题的标准化评估。
