患者健康问卷在识别焦虑和抑郁方面的局限性：许多病例未被发现。
Limitations of the Patient Health Questionnaire in Identifying Anxiety and Depression: Many Cases Are Undetected.
作者信息
Eack Shaun M, Greeno Catherine G, Lee Bong-Jae
机构信息
6001 Saint Marie St., Apt. #122, Pittsburgh, PA 15206.
Western Psychiatric Institute and Clinic, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA 15213.
出版信息
Res Soc Work Pract. 2006 Nov 1;16(6):625-631. doi: 10.1177/1049731506291582.
Abstract
OBJECTIVE
To determine the concordance between the Structured Clinical Interview for DSM-IV (SCID) and the Patient Health Questionnaire (PHQ) in diagnosing anxiety and depressive disorders.
METHOD
Fifty women seeking psychiatric services for their children at two mental health centers in Western Pennsylvania were assessed for anxiety and depressive disorders using the SCID and the PHQ.
RESULTS
Twenty-five women met SCID criteria for at least one anxiety disorder, 11 (44%) of whom the PHQ failed to identify. The PHQ was particularly limited in identifying individuals with anxiety disorders other than panic disorder. Seventeen women met SCID criteria for at least one major depressive disorder, 6 (35%) of whom the PHQ failed to identify. The PHQ was particularly limited in identifying depressed individuals with dysthymia.
CONCLUSIONS
Caution should be used when screening for anxiety and depression with the PHQ. Implications for improving diagnostic accuracy in social work practice are discussed.
摘要
目的
确定《精神疾病诊断与统计手册》第四版结构化临床访谈（SCID）与患者健康问卷（PHQ）在诊断焦虑症和抑郁症方面的一致性。
方法
对宾夕法尼亚州西部两个心理健康中心为其子女寻求精神科服务的50名女性，使用SCID和PHQ评估焦虑症和抑郁症。
结果
25名女性符合至少一种焦虑症的SCID标准，其中11名（44%）PHQ未能识别。PHQ在识别除惊恐障碍以外的焦虑症患者方面特别有限。17名女性符合至少一种重度抑郁症的SCID标准，其中6名（35%）PHQ未能识别。PHQ在识别患有心境恶劣障碍的抑郁症患者方面特别有限。
结论
使用PHQ筛查焦虑症和抑郁症时应谨慎。讨论了对提高社会工作实践中诊断准确性的启示。
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