Madianos M G, Tomaras V, Kapsali A, Vaidakis N, Vlachonicolis J, Stefanis C N
Department of Psychiatry, University of Athens, Greece.
Acta Psychiatr Scand. 1988 Jul;78(1):24-31. doi: 10.1111/j.1600-0447.1988.tb06297.x.
A two stage cross sectional survey on the prevalence of psychiatric disorders was conducted in a sample of 1,574 adults, residents of two boroughs in the greater Athens area. In this paper we examine the value of the first stage self report symptom screening scales (CES-D and Langner) for case finding, by comparing it to five psychiatric case identification criteria, proven to be highly reliable, after the completion of an inter-rater reliability study. A higher proportion of mentally impaired respondents was found with the criterion of screening scale cut off scores than the cases found by the application of the five case identification criteria. The practical significance of establishing case finding reliable criteria is apparent for the purpose of epidemiologic research e.g. the problem of false positive and negative cases, the completion of the second stage of diagnostic interviews and for the planning of outreach programs, identifying and helping high risk individuals.
在大雅典地区两个行政区的1574名成年居民样本中，进行了一项关于精神障碍患病率的两阶段横断面调查。在本文中，我们通过将第一阶段的自我报告症状筛查量表（流调中心用抑郁量表和朗纳量表）与五个经证实高度可靠的精神病例识别标准进行比较，来检验其在病例发现中的价值，这是在完成评分者间信度研究之后进行的。与应用五个病例识别标准所发现的病例相比，发现使用筛查量表临界值标准的精神障碍受访者比例更高。建立可靠的病例发现标准对于流行病学研究具有明显的实际意义，例如假阳性和假阴性病例的问题、诊断访谈第二阶段的完成以及外展项目的规划，识别和帮助高危个体。
