将 GAD-7 和 PHQ-9 与 TBI-QOL 焦虑和抑郁项目银行相关联。

Linking the GAD-7 and PHQ-9 to the TBI-QOL Anxiety and Depression Item Banks.

机构信息

Center for Health Assessment Research and Translation, College of Health Sciences (Drs Boulton, Tyner, and Tulsky and Ms Kisala) and Departments of Physical Therapy and Psychological & Brain Sciences (Dr Tulsky), University of Delaware, Newark; Educational Psychology Department, The University of Texas at Austin (Dr Choi); H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine and Harris Health System, Houston, Texas (Dr Sander); TIRR Memorial Hermann, Houston, Texas (Drs Sander and Sherer); Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, Illinois (Dr Heinemann); Shirley Ryan AbilityLab, Chicago, Illinois (Dr Heinemann); Rusk Rehabilitation, NYU Langone Health, New York, New York (Dr Bushnik); Kessler Foundation, East Hanover, New Jersey (Dr Chiaravalloti); and Department of Physical Medicine & Rehabilitation, Rutgers New Jersey Medical School, Newark (Dr Chiaravalloti).

出版信息

J Head Trauma Rehabil. 2019 Sep-Oct;34(5):353-363. doi: 10.1097/HTR.0000000000000529.

DOI:10.1097/HTR.0000000000000529

PMID:31498233

Abstract

OBJECTIVE

To link scores on commonly used measures of anxiety (7-item Generalized Anxiety Disorder Scale; GAD-7) and depression (9-item Patient Health Questionnaire; PHQ-9) to the Traumatic Brain Injury Quality of Life (TBI-QOL) measurement system.

SETTING

5 Traumatic Brain Injury Model Systems.

PARTICIPANTS

A total of 385 individuals with traumatic brain injury (TBI) (31% complicated mild; 14% moderate; and 54% severe).

DESIGN

Observational cohort.

MAIN MEASURES

GAD-7, PHQ-9, TBI-QOL Anxiety v1.0 and TBI-QOL Depression v1.0.

RESULTS

Item response theory-based linking methods were used to create crosswalk tables that convert scores on the GAD-7 to the TBI-QOL Anxiety metric and scores on the PHQ-9 to the TBI-QOL Depression metric. Comparisons between actual and crosswalked scores suggest that the linkages were successful and are appropriate for group-level analysis. Linking functions closely mirror crosswalks between the GAD-7/PHQ-9 and the Patient-Reported Outcomes Measurement Information System (PROMIS), suggesting that general population linkages are similar to those from a TBI sample.

CONCLUSION

Researchers and clinicians can use the crosswalk tables to transform scores on the GAD-7 and the PHQ-9 to the TBI-QOL metric for group-level analyses.

摘要

目的

将常用焦虑量表（7 项广泛性焦虑障碍量表；GAD-7）和抑郁量表（9 项患者健康问卷；PHQ-9）的得分与创伤性脑损伤生活质量（TBI-QOL）测量系统联系起来。

环境

5 个创伤性脑损伤模型系统。

参与者

共 385 名创伤性脑损伤（TBI）患者（31%为复杂轻度；14%为中度；54%为重度）。

设计

观察性队列。

主要措施

GAD-7、PHQ-9、TBI-QOL 焦虑 v1.0 和 TBI-QOL 抑郁 v1.0。

结果

使用基于项目反应理论的关联方法创建了转换表，将 GAD-7 的分数转换为 TBI-QOL 焦虑量表的分数，将 PHQ-9 的分数转换为 TBI-QOL 抑郁量表的分数。实际分数与转换分数的比较表明，关联是成功的，适用于群体水平分析。关联函数与 GAD-7/PHQ-9 和患者报告结果测量信息系统（PROMIS）之间的转换密切相关，这表明一般人群的关联与创伤性脑损伤样本的关联相似。