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黎巴嫩焦虑量表(LAS-10)的构建:一种用于评估成年患者焦虑的新量表。

Construction of the Lebanese Anxiety Scale (LAS-10): a new scale to assess anxiety in adult patients.

机构信息

Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.

INSPECT-LB, Institut National de Santé Publique, Épidémiologie Clinique et Toxicologie, Beirut, Lebanon.

出版信息

Int J Psychiatry Clin Pract. 2020 Sep;24(3):270-277. doi: 10.1080/13651501.2020.1744662. Epub 2020 Mar 31.

Abstract

The study objectives were (1) to create a new 10-item scale, the 'Lebanese Anxiety Scale' (LAS-10), inspired by the diagnostic criteria of DSM-5, and the HAM-A and STAI scales and (2) to evaluate the performance of this new scale on a sample of Lebanese individuals. This cross-sectional study enrolled 1332 community dwelling participants between November 2017 and March 2018. In sample 1, the participants' mean age was 28.08 years (63.9% females). The LAS items converged over a solution of two factors that had an Eigenvalue over 1, explaining a total of 51.97% of the variance (α=0.857). The optimal cut-off between healthy controls and anxious patients was 13.50 according to the ROC curve. The sensitivity and specificity were good at this cut-off (77.5% and 70.8%, respectively). The area under the curve was high: 0.811 [0.778-0.845];  < .001. The positive predicted value of the LAS-10 score in sample 1 was 26.9%, whereas the negative predicted value was 95.2%. The results of the present study show that the LAS-10 is a tool that can be used in clinical practice and research to screen for anxiety.KEY POINTSThe positive predicted value of the LAS-10 score was 26.9%.Its negative predicted value was 95.2%.People with scores above 13.5 be referred to a health care professional for further assessment.The LAS-10 is a tool can be used in clinical practice and research to screen for anxiety.Future studies are needed to validate the LAS-10 in other countries.

摘要

研究目的为

(1)基于 DSM-5 的诊断标准、HAM-A 和 STAI 量表,创建一个新的 10 项量表,即“黎巴嫩焦虑量表”(LAS-10);(2)评估该新量表在黎巴嫩人群样本中的表现。这项横断面研究于 2017 年 11 月至 2018 年 3 月招募了 1332 名居住在社区的参与者。在样本 1 中,参与者的平均年龄为 28.08 岁(63.9%为女性)。LAS 项在具有特征值大于 1 的两个因子的解中收敛,解释了总方差的 51.97%(α=0.857)。根据 ROC 曲线,健康对照组和焦虑患者的最佳截断值为 13.50。在该截断值下,灵敏度和特异性良好(分别为 77.5%和 70.8%)。曲线下面积较高:0.811 [0.778-0.845];<0.001。LAS-10 评分在样本 1 中的阳性预测值为 26.9%,阴性预测值为 95.2%。本研究结果表明,LAS-10 是一种可在临床实践和研究中用于筛查焦虑的工具。

关键点

LAS-10 评分的阳性预测值为 26.9%。

其阴性预测值为 95.2%。

得分高于 13.5 的人应转介给医疗保健专业人员进行进一步评估。

LAS-10 是一种可在临床实践和研究中用于筛查焦虑的工具。

需要进一步的研究来验证 LAS-10 在其他国家的有效性。

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