Dowell A C, Biran L A
Department of General Practice, University of Leeds.
Br J Gen Pract. 1990 Jan;40(330):27-8.
A study was made of the feasibility of screening general practice patients for anxiety and depression using the hospital anxiety and depression scale. A group of consecutive patients aged 18 years and over completed the questionnaire at the surgery and an age and sex matched sample were sent questionnaires by post; 94 patients (84%) returned the postal questionnaire. A further group of 170 consecutive patients coming for consultation were recruited. Using a threshold score of eight and over, 51% of patients screened by post were probable 'cases' of psychiatric disorder and using a score of 11 and over, 28% were 'cases'. These proportions were similar for patients screened when attending the surgery. The findings are discussed in the context of well-person screening, and a strategy for follow-up of probable cases is put forward.
一项关于使用医院焦虑抑郁量表对全科医疗患者进行焦虑和抑郁筛查可行性的研究。一组年龄在18岁及以上的连续患者在诊所完成了问卷，同时向年龄和性别匹配的样本邮寄了问卷；94名患者（84%）返还了邮寄问卷。另外招募了170名前来咨询的连续患者。使用八分及以上的阈值分数，邮寄筛查的患者中有51%可能是精神障碍“病例”，使用十一分及以上的分数，28%是“病例”。在诊所接受筛查的患者中这些比例相似。研究结果在健康体检的背景下进行了讨论，并提出了对可能病例的随访策略。
