Cheng T A
Department of Psychiatry, National Taiwan University Hospital, Taipei, ROC.
Psychol Med. 1988 Nov;18(4):953-68. doi: 10.1017/s0033291700009880.
A community study of minor psychiatric morbidity (MPM) was carried out on three population samples aged 15 and above randomly selected from rural (Yenpu), suburban (Chishan), and urban (Kaohsiung) communities (N = 350 for each) in Taiwan. A two-stage case finding strategy was applied with a newly developed and validated screening questionnaire (CHQ), and a modified Chinese version of the Clinical Interview Schedule (CIS-CV). The total response rate was 99.4% and there was no time lag between the CHQ screening and the second stage clinical interview conducted by a psychiatrist. The weighted validity of the CHQ was found to be acceptable (sensitivity 69.6%, specificity 94.8%, misclassification rate 11.4%). The overall weighted prevalence rate was 18.0% for men and 33.3% for women. Both the CIS and the CHQ data are used as the morbidity indices to investigate the sociodemographic risk factors of MPM. A higher risk of MPM, which occupied 92% of the total morbidity, was found to be associated with women aged 35 and above, the unemployed men, and the lower socioeconomic status after linear modelling.
在台湾地区，针对从农村（燕浦）、郊区（旗山）和城市（高雄）社区随机抽取的三个15岁及以上的人群样本（每个样本N = 350）开展了一项轻度精神疾病（MPM）的社区研究。采用了两阶段病例发现策略，使用了新开发并经验证的筛查问卷（CHQ）以及中文版修订版临床访谈表（CIS-CV）。总应答率为99.4%，CHQ筛查与精神科医生进行的第二阶段临床访谈之间没有时间间隔。发现CHQ的加权效度可以接受（灵敏度69.6%，特异度94.8%，错误分类率11.4%）。总体加权患病率男性为18.0%，女性为33.3%。CIS和CHQ数据均用作发病率指标，以调查MPM的社会人口学风险因素。在线性建模后发现，MPM风险较高者（占总发病率的92%）与35岁及以上女性、失业男性以及社会经济地位较低者有关。
