GGZ Oost Brabant, Boekel, The Netherlands.
GGNet, Apeldoorn, The Netherlands.
J Appl Res Intellect Disabil. 2019 Sep;32(5):1096-1102. doi: 10.1111/jar.12599. Epub 2019 Apr 29.
The reliability and validity of the Screener for Intelligence and Learning Disabilities (SCIL) are unknown in a population of outpatients with severe mental illness. The prevalence of mild or borderline intellectual disabilities (MBID); an umbrella term for people with borderline intellectual functioning (BIF) and mild intellectual disability (MID) in this population is also unknown.
A total of 625 patients were screened with the SCIL, 201 of which also had IQ test results.
Cronbach's alpha of the SCIL was 0.73. The AUC value for detecting MBID was 0.81, and also 0.81 for detecting MID, with percentages of correctly classified subjects (when using the advised cut-off scores) being 73% and 79%, respectively. The SCIL results suggested that 40% of the patients were suspected of MBID and 20% of MID.
The SCIL seems to be an appropriate screening tool for MBID. It is important to screen for MBID because a substantial proportion of outpatients with severe mental illness appear to be functioning at this level. It is necessary to adapt treatment for these patients.
在患有严重精神疾病的门诊患者人群中，尚不清楚 Screener for Intelligence and Learning Disabilities（SCIL）的可靠性和有效性。该人群中轻度或边缘智力障碍（MBID）的患病率（边缘智力人群的一个总称，包括边缘智力功能（BIF）和轻度智力障碍（MID）人群）也未知。
共有 625 名患者接受了 SCIL 筛查，其中 201 名患者还进行了智商测试。
SCIL 的克朗巴赫α系数为 0.73。检测 MBID 的 AUC 值为 0.81，检测 MID 的 AUC 值也为 0.81，当使用建议的临界值时，正确分类受试者的百分比分别为 73%和 79%。SCIL 的结果表明，40%的患者疑似存在 MBID，20%的患者疑似存在 MID。
SCIL 似乎是一种用于检测 MBID 的合适的筛查工具。筛查 MBID 很重要，因为相当一部分患有严重精神疾病的门诊患者似乎处于这个水平。需要为这些患者调整治疗方法。
