一种用于慢性呼吸疾病患者焦虑和抑郁的实用筛查工具。
A practical screening tool for anxiety and depression in patients with chronic breathing disorders.
作者信息
Kunik Mark E, Azzam Pierre N, Souchek Julianne, Cully Jeffrey A, Wray Nelda P, Krishnan Laura L, Nelson Harlan A, Stanley Melinda A
机构信息
Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E DeBakey Veteran Affairs Medical Center (152), 2002 Holcombe, Houston, TX 77030, USA.
出版信息
Psychosomatics. 2007 Jan-Feb;48(1):16-21. doi: 10.1176/appi.psy.48.1.16.
Obstructive lung diseases are associated with high rates of depression and anxiety, yet many patients are never screened or treated. This study evaluated the five-question Depression and Anxiety modules of the Primary Care Evaluation of Mental Disorders (PRIME-MD) Patient Questionnaire as a telephone screen in 1,632 patients with chronic breathing disorders at a Veterans Affairs Medical Center in Houston, TX. Subsequent testing of 828 patients with the Beck Depression Inventory-II and the Beck Anxiety Inventory showed that the sensitivity and specificity, respectively, of the Depression and Anxiety modules of the PRIME-MD Patient Questionnaire screening were 94.6% and 49.5% (Depression); 93.7% and 32.2% (Anxiety); and 97.7%, and 36.0% (combined screen), with an overall accuracy of 80.7%. In such populations, these two modules of the PRIME-MD Patient Questionnaire may be a useful screening tool.
阻塞性肺病与抑郁症和焦虑症的高发病率相关，但许多患者从未接受过筛查或治疗。本研究在德克萨斯州休斯顿一家退伍军人事务医疗中心，对1632例慢性呼吸疾病患者，评估了精神障碍初级保健评估（PRIME-MD）患者问卷中的五题抑郁症和焦虑症模块作为电话筛查工具的效果。随后对828例患者进行贝克抑郁量表第二版（Beck Depression Inventory-II）和贝克焦虑量表（Beck Anxiety Inventory）测试，结果显示PRIME-MD患者问卷筛查的抑郁症和焦虑症模块的敏感性和特异性分别为：94.6%和49.5%（抑郁症）；93.7%和32.2%（焦虑症）；97.7%和36.0%（联合筛查），总体准确率为80.7%。在这类人群中，PRIME-MD患者问卷的这两个模块可能是一种有用的筛查工具。
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