Lang Ariel J, Norman Sonya B, Means-Christensen Adrienne, Stein Murray B
Department of Psychiatry, University of California-San Diego, CA, USA.
Depress Anxiety. 2009;26(6):537-43. doi: 10.1002/da.20471.
Screening for anxiety and depression in primary-care clinics has the potential to increase identification and treatment of affected patients. The feasibility of such screening, however, depends on the availability of quick, easily interpretable screening tools.
In this pair of studies, a 4-item screening instrument was developed from the depression and anxiety scales of the Brief Symptom Inventory. One sample of undergraduate volunteers was used to identify pairs of items to be included in the screener. A second sample of primary-care patients was used to evaluate the performance of these items as compared to other measures of the same construct and a standardized clinical interview.
The studies suggest that 4 items from the Brief Symptom Inventory can be used to identify patients with depression and/or anxiety in primary care.
Circumstances under which this measure, compared to other measures such as the Patient Health Questionnaire, would be appropriate are discussed.
在基层医疗诊所筛查焦虑和抑郁有可能增加对受影响患者的识别和治疗。然而,这种筛查的可行性取决于快速、易于解释的筛查工具是否可用。
在这两项研究中,从简明症状量表的抑郁和焦虑量表中开发了一种4项筛查工具。使用一组本科志愿者样本确定要纳入筛查工具的项目对。使用基层医疗患者的第二个样本评估这些项目与同一结构的其他测量方法以及标准化临床访谈相比的表现。
研究表明,简明症状量表中的4个项目可用于识别基层医疗中的抑郁和/或焦虑患者。
讨论了与患者健康问卷等其他测量方法相比,该测量方法适用的情况。