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全髋关节置换术患者常见精神障碍问卷(CMDQ)的重测信度。

Test-retest reliability of Common Mental Disorders Questionnaire (CMDQ) in patients with total hip replacement (THR).

机构信息

Department of Orthopaedic Surgery, Kolding Hospital, a part of Lillebaelt Hospital, Odense, Denmark ; Institute of Psychology, University of Southern Denmark, Campusvej 55, 5230 Odense, Denmark.

Emergency Department, Kolding Hospital, a part of Lillebaelt Hospital, Odense, Denmark.

出版信息

BMC Psychol. 2014 Sep 8;2(1):32. doi: 10.1186/s40359-014-0032-5. eCollection 2014.

DOI:10.1186/s40359-014-0032-5
PMID:25685352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4317134/
Abstract

BACKGROUND

The Common Mental Disorders Questionnaire (CMDQ) is used to assess patients' mental health. It has previously been shown to provide a sensitive and specific instrument for general practitioner setting but has so far not been tested in hospital setting or for changes over time (test-retest). The aim of this study is, by means of a test-retest method, to investigate the reliability of the instrument over time with total hip replacement (THR) patients.

METHODS

Forty-nine hip osteoarthritis patients who had undergone THR answered the questionnaire twelve months after their operation. Fourteen days later they completed it again. Covering emotional disorder, anxiety, depression, concern, somatoform disorder and alcohol abuse, the questionnaire consists of 38 items with six subscales, each of which has between 4 to 12 items. A five-point Likert scale (from 0-4) is used.

RESULTS

For each of the 38 questions, a quadratic-weighted Kappa coefficient of 0.42 (0.68 - 0.16) to 0.98 (1.00 - 0.70) was found. A Cronbach's alpha of 0.94 for all the questions indicated high internal consistency.

CONCLUSION

The results showed a moderate to almost perfect reliability of CMDQ of this specific population.

TRIAL REGISTRATION

Current Controlled Trials: NCT01205295.

摘要

背景

通用心理障碍问卷(CMDQ)用于评估患者的心理健康。此前,它已被证明是一种在全科医生环境中具有敏感性和特异性的工具,但迄今为止尚未在医院环境中或随时间变化(测试-再测试)进行测试。本研究的目的是通过测试-再测试的方法,调查该工具在全髋关节置换(THR)患者中的时间可靠性。

方法

49 名髋关节骨关节炎患者在 THR 后 12 个月回答了问卷。14 天后,他们再次完成了问卷。该问卷涵盖情绪障碍、焦虑、抑郁、担忧、躯体形式障碍和酒精滥用,共 38 个条目,分为 6 个分量表,每个分量表有 4 到 12 个条目。使用 5 点李克特量表(0-4)。

结果

对于 38 个问题中的每一个,二次加权 Kappa 系数为 0.42(0.68-0.16)至 0.98(1.00-0.70)。所有问题的克朗巴赫系数为 0.94,表明内部一致性较高。

结论

结果表明,该特定人群的 CMDQ 具有中等至几乎完美的可靠性。

试验注册

当前对照试验:NCT01205295。

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本文引用的文献

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An appraisal of rehabilitation regimes used for improving functional outcome after total hip replacement surgery.全髋关节置换术后用于改善功能结局的康复方案评估。
Sports Med Arthrosc Rehabil Ther Technol. 2012 Feb 7;4(1):5. doi: 10.1186/1758-2555-4-5.
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Comparative assessment of implantable hip devices with different bearing surfaces: systematic appraisal of evidence.不同表面髋关节植入物的比较评估:证据的系统评价。
BMJ. 2011 Nov 29;343:d7434. doi: 10.1136/bmj.d7434.
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Factors associated with physical activity in patients with osteoarthritis of the hip or knee: a systematic review.
与髋或膝关节骨关节炎患者身体活动相关的因素:系统评价。
Osteoarthritis Cartilage. 2012 Jan;20(1):6-12. doi: 10.1016/j.joca.2011.10.006. Epub 2011 Oct 19.
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Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review.心理因素对全髋关节和全膝关节置换术结果的影响:系统评价。
Semin Arthritis Rheum. 2012 Feb;41(4):576-88. doi: 10.1016/j.semarthrit.2011.07.003. Epub 2011 Oct 28.
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Pre-operative psychological distress does not adversely affect functional or mental health gain after primary total hip arthroplasty.术前心理困扰不会对初次全髋关节置换术后的功能或心理健康改善产生不利影响。
Hip Int. 2011 Jul-Aug;21(4):421-7. doi: 10.5301/HIP.2011.8561.
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The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes.COSMIN 研究就健康相关患者报告结局的测量属性的分类学、术语和定义达成了国际共识。
J Clin Epidemiol. 2010 Jul;63(7):737-45. doi: 10.1016/j.jclinepi.2010.02.006.
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Validation of the Dutch version of the Oxford Shoulder Score.验证荷兰版牛津肩部评分。
J Shoulder Elbow Surg. 2010 Sep;19(6):829-36. doi: 10.1016/j.jse.2010.01.017. Epub 2010 Apr 24.
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Patient-reported outcomes one year after primary hip replacement in a European Collaborative Cohort.欧洲协作队列中初次髋关节置换术后一年的患者报告结局。
Arthritis Care Res (Hoboken). 2010 Apr;62(4):480-8. doi: 10.1002/acr.20038.
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The effect on length of sickness absence by recognition of undetected psychiatric disorder in long-term sickness absence. A randomized controlled trial.通过识别长期病假中未被发现的精神障碍对病假时长的影响。一项随机对照试验。
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Choosing screening instrument and cut-point on screening instruments. A comparison of methods.筛选工具的选择及筛选工具上的切点。方法比较。
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