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[检测和测量普通人群中的功能性和器质性疾病:TOPYPS临床量表的开发与验证]

[Detecting and measuring functional and organic disease in general population: Development and validation of TOPYPS clinical scale].

作者信息

Pailhez Guillem, Castaño Juan, Rosado Silvia, Ballester M Del Mar, Vendrell Cristina, Canale Francisco, Bulbena Antonio

机构信息

Instituto de Neuropsiquiatría y Adicciones, Hospital del Mar, Barcelona, España; Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.

Instituto de Neuropsiquiatría y Adicciones, Hospital del Mar, Barcelona, España.

出版信息

Aten Primaria. 2017 Dec;49(10):570-575. doi: 10.1016/j.aprim.2016.12.003. Epub 2017 Mar 6.

DOI:10.1016/j.aprim.2016.12.003
PMID:28279506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6876013/
Abstract

OBJECTIVE

To develop and validate the TOPYPS scale, an instrument designed to: (i)detect with a high degree of suspicion the most frequent functional pathologies according to standard diagnostic criteria, and (ii)to assess the physical health in the general population quickly, comprehensive and reliable.

DESIGN

Validation of a scale.

LOCATION

Primary Care Centre, Barcelona.

PARTICIPANTS

The scale was administered to 67 randomly selected adults.

MEASUREMENTS

TOPYPS scale was administered to 67 adults randomly selected from a primary care setting in Barcelona, Spain. TOPYPS has six sections based on body systems, each one scored according to the degree of interference in daily activity, type of treatment received, and prognostic of the reported illnesses in each section. Test-retest reliability completions were on two separate occasions one week apart. Validity was then tested by comparing the results with the clinical examination conducted by two different specialists in general practice (gold standard).

RESULTS

Repeatability (test-retest) and inter-rater agreement for each of the six sections and for the total score were satisfactory. Validity was acceptable both for content and construct, according to their correlation with the gold standard.

CONCLUSIONS

TOPYPS displayed good psychometrical properties. It is a suitable tool to detect and measure functional and organic diseases in general population.

摘要

目的

开发并验证TOPYPS量表,该工具旨在:(i)根据标准诊断标准高度怀疑地检测出最常见的功能障碍,以及(ii)快速、全面且可靠地评估普通人群的身体健康状况。

设计

量表验证。

地点

巴塞罗那的初级保健中心。

参与者

该量表应用于67名随机选取的成年人。

测量方法

TOPYPS量表应用于从西班牙巴塞罗那一家初级保健机构随机选取的67名成年人。TOPYPS量表基于身体系统分为六个部分,每个部分根据对日常活动的干扰程度、接受的治疗类型以及各部分所报告疾病的预后情况进行评分。重测信度在相隔一周的两个不同时间点完成。然后通过将结果与两名不同的普通科专科医生进行的临床检查(金标准)相比较来测试效度。

结果

六个部分以及总分的重复性(重测)和评分者间一致性均令人满意。根据与金标准的相关性,内容效度和结构效度均可接受。

结论

TOPYPS量表显示出良好的心理测量学特性。它是检测和测量普通人群中功能性和器质性疾病的合适工具。

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