Kortmann F, ten Horn S
Psychiatric Hospital Wolfheze, The Netherlands.
Br J Psychiatry. 1988 Jul;153:95-101. doi: 10.1192/bjp.153.1.95.
The Self Reporting Questionnaire (SRQ), a psychiatric-case-finding instrument designed by the WHO for developing countries, was tested in Ethiopia. It was submitted to 40 patients attending a psychiatric clinic, 30 at a somatic clinic, and 40 subjects not attending a clinic. Forty per cent of the yes-answers were rated as invalid. The concept-invalidity contributed mainly to the rather poor criterion-validity of the SRQ. In addition, clinic patients seemed to heighten the number of yes-answers to express their need for help. The SRQ measured not only psychiatric complaints but also illness behaviour, even without the presence of any illness. This is a substantial disadvantage if the SRQ is applied to detect the psychiatric cases in the primary-care facilities.
自测问卷（SRQ）是世界卫生组织为发展中国家设计的一种精神病例筛查工具，在埃塞俄比亚进行了测试。该问卷被提交给40名在精神科诊所就诊的患者、30名在躯体科诊所就诊的患者以及40名未就诊的受试者。40%的肯定回答被评定为无效。概念无效性是导致SRQ标准效度相当低的主要原因。此外，诊所患者似乎会增加肯定回答的数量以表达他们对帮助的需求。即使不存在任何疾病，SRQ不仅能测量精神症状，还能测量患病行为。如果将SRQ应用于基层医疗设施中筛查精神病例，这是一个很大的劣势。
