Industrial Engineering Department, Sharif University of Technology, P.O. Box 11365-9466, Tehran, Iran.
Comput Math Methods Med. 2013;2013:601640. doi: 10.1155/2013/601640. Epub 2013 Feb 7.
Stressors have a serious role in precipitating mental and somatic disorders and are an interesting subject for many clinical and community-based studies. Hence, the proper and accurate measurement of them is very important. We revised the stressful life event (SLE) questionnaire by adding weights to the events in order to measure and determine a cut point.
A total of 4569 adults aged between 18 and 85 years completed the SLE questionnaire and the general health questionnaire-12 (GHQ-12). A hybrid model of genetic algorithm (GA) and artificial neural networks (ANNs) was applied to extract the relation between the stressful life events (evaluated by a 6-point Likert scale) and the GHQ score as a response variable. In this model, GA is used in order to set some parameter of ANN for achieving more accurate results.
For each stressful life event, the number is defined as weight. Among all stressful life events, death of parents, spouse, or siblings is the most important and impactful stressor in the studied population. Sensitivity of 83% and specificity of 81% were obtained for the cut point 100.
The SLE-revised (SLE-R) questionnaire despite simplicity is a high-performance screening tool for investigating the stress level of life events and its management in both community and primary care settings. The SLE-R questionnaire is user-friendly and easy to be self-administered. This questionnaire allows the individuals to be aware of their own health status.
压力源在诱发精神和躯体障碍方面起着重要作用,是许多临床和社区研究的有趣课题。因此,对其进行适当和准确的测量非常重要。我们通过为事件赋予权重来修订压力性生活事件(SLE)问卷,以测量和确定一个切点。
共有 4569 名年龄在 18 至 85 岁之间的成年人完成了 SLE 问卷和一般健康问卷-12(GHQ-12)。遗传算法(GA)和人工神经网络(ANNs)的混合模型被应用于提取压力性生活事件(用 6 点李克特量表评估)与 GHQ 评分之间的关系,作为响应变量。在这个模型中,GA 被用来为 ANN 设置一些参数,以获得更准确的结果。
对于每个压力性生活事件,都定义了一个数字作为权重。在所有压力性生活事件中,父母、配偶或兄弟姐妹的死亡是研究人群中最重要和最具影响力的压力源。对于切点 100,获得了 83%的敏感性和 81%的特异性。
尽管 SLE-R 问卷简单,但它是一种用于调查生活事件压力水平及其在社区和初级保健环境中管理的高性能筛查工具。SLE-R 问卷易于使用,易于自行管理。这个问卷可以让个人了解自己的健康状况。