芬兰初级保健高利用率人群中焦虑症的患病率以及广泛性焦虑障碍筛查量表7项版（GAD-7）和广泛性焦虑障碍筛查量表2项版（GAD-2）芬兰语翻译版的验证
Prevalence of anxiety disorders among Finnish primary care high utilizers and validation of Finnish translation of GAD-7 and GAD-2 screening tools.
作者信息
Kujanpää Tero, Ylisaukko-Oja Tero, Jokelainen Jari, Hirsikangas Sari, Kanste Outi, Kyngäs Helvi, Timonen Markku
机构信息
Institute of Health Sciences, University of Oulu , Oulu , Finland.
出版信息
Scand J Prim Health Care. 2014 Jun;32(2):78-83. doi: 10.3109/02813432.2014.920597. Epub 2014 Jun 12.
OBJECTIVE
To analyse the prevalence of GAD and other anxiety disorders, as well as sensitivity and specificity of GAD-7 among high utilizers of health care.
SETTING
Four municipal health centres in Northern Finland.
SUBJECTS
A psychiatric interview was conducted for 150 high utilizers of health care.
MAIN OUTCOME MEASURES
Prevalence of GAD as well as sensitivity and specificity of GAD-7.
RESULTS
The prevalence of GAD was 4% in this study group of Finnish high utilizers of health care. The sensitivity of GAD-7 was 100.0% (95% CI 54.1-100.0) and the specificity of GAD-7 was 82.6% (95% CI 75.4-88.4) with a cut-off point of 7 or more.
CONCLUSION
GAD is rather common among high utilizers of primary care, although the prevalence of 4% is lower than that previously reported. GAD-7 is a valid and useful tool for detecting GAD among primary health care patients.
目的
分析广泛性焦虑障碍（GAD）及其他焦虑症的患病率，以及GAD-7量表在高医疗服务利用率人群中的敏感性和特异性。
设置
芬兰北部的四个市政卫生中心。
研究对象
对150名高医疗服务利用率者进行了精神科访谈。
主要观察指标
GAD的患病率以及GAD-7量表的敏感性和特异性。
结果
在该芬兰高医疗服务利用率研究组中，GAD的患病率为4%。GAD-7量表的敏感性为100.0%（95%置信区间54.1 - 100.0），特异性为82.6%（95%置信区间75.4 - 88.4），临界值为7分及以上。
结论
GAD在初级保健高医疗服务利用率者中相当常见，尽管4%的患病率低于先前报道。GAD-7量表是在初级卫生保健患者中检测GAD的有效且有用的工具。
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