在综合医疗环境中检测焦虑和抑郁。
Detecting anxiety and depression in general medical settings.
作者信息
Goldberg D, Bridges K, Duncan-Jones P, Grayson D
机构信息
Department of Psychiatry, University of Manchester.
出版信息
BMJ. 1988 Oct 8;297(6653):897-9. doi: 10.1136/bmj.297.6653.897.
Abstract
To aid general practitioners and other non-psychiatrists in the better recognition of mental illness short scales measuring anxiety and depression were derived by latent trait analysis from a standardised psychiatric research interview. Designed to be used by non-psychiatrists, they provide dimensional measures of the severity of each disorder. The full set of nine questions need to be administered only if there are positive answers to the first four. When assessed against the full set of 60 questions contained in the psychiatric assessment schedule they had a specificity of 91% and a sensitivity of 86%. The scales would be used by non-psychiatrists in clinical investigations and possibly also by medical students to familiarise them with the common forms of psychiatric illness, which are often unrecognised in general medical settings.
摘要
为帮助全科医生和其他非精神科医生更好地识别精神疾病，通过对标准化精神科研究访谈进行潜在特质分析，得出了测量焦虑和抑郁的简短量表。这些量表专为非精神科医生设计，可提供每种疾病严重程度的维度测量。仅当前四个问题回答为正时，才需要给出全套九个问题。与精神科评估表中包含的全套60个问题相比，它们的特异性为91%，敏感性为86%。这些量表将由非精神科医生用于临床研究，医学生也可能会使用，以使他们熟悉精神疾病的常见形式，而这些形式在普通医疗环境中常常未被识别。
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本文引用的文献
1
A rating scale for depression.一种抑郁症评定量表。
J Neurol Neurosurg Psychiatry. 1960 Feb;23(1):56-62. doi: 10.1136/jnnp.23.1.56.
2
The assessment of anxiety states by rating.通过评分对焦虑状态进行评估。
Br J Med Psychol. 1959;32(1):50-5. doi: 10.1111/j.2044-8341.1959.tb00467.x.
3
Psychiatric illness in general practice. I: Why is it missed?全科医疗中的精神疾病。I：为何会被漏诊？
Aust Fam Physician. 1982 Aug;11(8):625-7, 629-31.
4
The hospital anxiety and depression scale.医院焦虑抑郁量表。
Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.
5
Comparison of research diagnostic systems in an Edinburgh community sample.爱丁堡社区样本中研究诊断系统的比较。
Br J Psychiatry. 1983 Mar;142:247-56. doi: 10.1192/bjp.142.3.247.
6
Screening for psychiatric disorder in general practice.在全科医疗中筛查精神障碍
Psychol Med. 1984 May;14(2):365-77. doi: 10.1017/s0033291700003615.
7
Psychiatric illness in inpatients with neurological disorders: patients' views on discussion of emotional problems with neurologists.患有神经系统疾病的住院患者中的精神疾病：患者对与神经科医生讨论情感问题的看法。
Br Med J (Clin Res Ed). 1984 Sep 15;289(6446):656-8. doi: 10.1136/bmj.289.6446.656.
8
Training family doctors to recognise psychiatric illness with increased accuracy.培训家庭医生以提高识别精神疾病的准确性。
Lancet. 1980 Sep 6;2(8193):521-3. doi: 10.1016/s0140-6736(80)91843-7.
9
Psychiatric illness in general practice. A detailed study using a new method of case identification.全科医疗中的精神疾病。一项采用新病例识别方法的详细研究。
Br Med J. 1970 May 23;1(5707):439-43. doi: 10.1136/bmj.2.5707.439.
10
Depression in general practice: case thresholds and diagnosis.全科医疗中的抑郁症：病例阈值与诊断
Br J Psychiatry. 1985 Aug;147:113-9. doi: 10.1192/bjp.147.2.113.
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