Ford Julian D, Trestman Robert L, Wiesbrock Valerie H, Zhang Wanli
Department of Psychiatry, University of Connecticut School of Medicine, MC1410, 263 Farmington Ave., Farmington, CT 06030, USA.
Psychiatr Serv. 2009 Jun;60(6):842-6. doi: 10.1176/ps.2009.60.6.842.
This study sought to cross-validate a brief mental healthscreening instrument for newly incarcerated adults with undetected psychiatric impairment.
Women (N=360) and men (N=630) aged 18 to 64 years with no institutionally identified mental health condition were randomly recruited upon entry to jail. Nonclinical research staff administered the Correctional Mental Health Screen for women (CMHS-F) or men (CMHS-M). A randomly selected subsample (100 women and 106 men) subsequently completed research clinical diagnostic interviews for standardized clinical cross-validation.
Accuracy for the CMHS-F and CMHS-M (73%-80%) for the identification of current axis I or II psychiatric disorders replicated results of an instrument development study and exceeded the accuracy levels reported for alternative brief mental health screening measures with incarcerated adults. Cutoff points were identified that maximized positive or negative predictive power.
This cross-validation demonstrates that the CMHS-F and CMHS-M are efficient, accurate screens to identify newly incarcerated adults with undetected psychiatric disorders.
本研究旨在对一种针对新入狱且有未被发现的精神障碍的成年人的简短心理健康筛查工具进行交叉验证。
年龄在18至64岁、入狱时未被机构认定有心理健康问题的女性（N = 360）和男性（N = 630）在入狱时被随机招募。非临床研究人员对女性实施《惩教心理健康筛查量表（女性版）》（CMHS - F），对男性实施《惩教心理健康筛查量表（男性版）》（CMHS - M）。随后，一个随机抽取的子样本（100名女性和106名男性）完成了用于标准化临床交叉验证的研究临床诊断访谈。
CMHS - F和CMHS - M识别当前轴I或轴II精神障碍的准确率（73% - 80%）重复了一项工具开发研究的结果，且超过了针对入狱成年人的其他简短心理健康筛查措施所报告的准确率水平。确定了能使阳性或阴性预测能力最大化的临界点。
本次交叉验证表明，CMHS - F和CMHS - M是识别有未被发现的精神障碍的新入狱成年人的高效、准确的筛查工具。
