Kortmann F
Psychiatric Hospital Wolfheze, The Netherlands.
Cult Med Psychiatry. 1990 Sep;14(3):381-91. doi: 10.1007/BF00117562.
Attenders of health care facilities usually present somatic complaints. It is important to identify the psychiatric patients among them, especially the neurotic complainers. They are at risk for being exposed to expensive somatic investigations and being prescribed useless and sometimes harmful drug treatment. The World Health Organization designed the Self Reporting Questionnaire (SRQ), to be a universally applicable psychiatric case finding instrument, for use in medical clinics. A feasibility study with this instrument was carried out with 110 respondents in Ethiopia. A moderate criterion validity was found, limitations being partly due to the sensitivity of the SRQ to help-seeking behavior, even in the absence of any mental illness. This study also revealed problems in transcultural communication because many of the diagnostic concepts used in this instrument were too western to be transposed unchanged to the Ethiopian culture. Items need fairly extensive modification to be applicable there.
前往医疗机构就诊的患者通常会提出躯体不适的主诉。在这些患者中识别出精神疾病患者非常重要，尤其是那些有神经症性主诉的患者。他们面临着接受昂贵的躯体检查以及被开具无用甚至有时有害的药物治疗的风险。世界卫生组织设计了自填式问卷调查表（SRQ），作为一种普遍适用的精神疾病筛查工具，用于医疗诊所。在埃塞俄比亚对110名受访者使用该工具进行了一项可行性研究。研究发现该工具具有中等程度的标准效度，其局限性部分归因于SRQ对求助行为的敏感性，即使在没有任何精神疾病的情况下也是如此。这项研究还揭示了跨文化交流方面的问题，因为该工具中使用的许多诊断概念过于西化，无法直接应用于埃塞俄比亚文化。这些条目需要进行相当广泛的修改才能在当地适用。
