RTI International, Research Triangle Park, NC, USA.
Int J Methods Psychiatr Res. 2010 Jun;19 Suppl 1(Suppl 1):61-87. doi: 10.1002/mpr.312.
The Mental Health Surveillance Study (MHSS) is an ongoing initiative by the Substance Abuse and Mental Health Services Administration to develop and implement methods for measuring the prevalence of serious mental illness (SMI) among adults in the USA. The 2008 MHSS used data from clinical interviews administered to a sub-sample of respondents to calibrate mental health screening scale data from the National Survey on Drug Use and Health (NSDUH) for estimating the prevalence of SMI in the full NSDUH sample. The mental health scales included the K6 screening scale of psychological distress (administered to all respondents) along with two measures of functional impairment (each administered to a random half-sample of respondents): the World Health Organization Disability Assessment Schedule (WHODAS) and the Sheehan Disability Scale (SDS). The Structured Clinical Interview for DSM-IV (SCID) was administered to a sub-sample of 1506 adult NSDUH respondents within 4 weeks of completing the NSDUH interview. Results indicate that while SMI prediction accuracy of the K6 is improved by adding either the WHODAS or the SDS to the prediction equation, the models with the WHODAS are more robust. The results of the calibration study and methods used to derive prevalence estimates of SMI are presented.
心理健康监测研究（MHSS）是美国物质滥用和心理健康服务管理局正在进行的一项倡议，旨在开发和实施测量美国成年人严重精神疾病（SMI）患病率的方法。2008 年 MHSS 使用了来自临床访谈的数据，对国家药物使用和健康调查（NSDUH）受访者的子样本进行了校准，以便对 NSDUH 全样本中的 SMI 患病率进行估计。心理健康量表包括 K6 心理困扰筛查量表（对所有受访者进行测试）以及两个功能障碍评估指标（每个量表对受访者的随机半样本进行测试）：世界卫生组织残疾评估量表（WHODAS）和 Sheehan 残疾量表（SDS）。在完成 NSDUH 访谈后 4 周内，对 1506 名成年 NSDUH 受访者的子样本进行了 DSM-IV 结构临床访谈（SCID）。结果表明，虽然通过向预测方程中添加 WHODAS 或 SDS 可以提高 K6 的 SMI 预测准确性，但使用 WHODAS 的模型更稳健。介绍了校准研究的结果和用于得出 SMI 患病率估计的方法。
