Moscow Research and Clinical Center for Neuropsychiatry, Donskaya ul., 43, Moscow, Russian Federation.
Moscow Research and Clinical Center for Neuropsychiatry, Donskaya ul., 43, Moscow, Russian Federation.
Epilepsy Behav. 2022 Aug;133:108801. doi: 10.1016/j.yebeh.2022.108801. Epub 2022 Jun 23.
To develop a Russian version of The Epilepsy Anxiety Survey Instrument (EASI) and assess its psychometric properties in a Russian sample of patients with epilepsy (PWE). To compare the brief version of EASI with the General Anxiety Disorder-7 (GAD-7) - the most common tool for a rapid anxiety screening.
The study sample consisted of 181 consecutive Russian-speaking PWE. The Mini-International Neuropsychiatric Interview was used as a gold standard for diagnosing anxiety disorders. All patients completed the set of questionnaires - the Russian version of the GAD-7, The Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), and the EASI. Internal reliability of the EASI and brEASI, convergent and divergent validity of the brEASI with the GAD-7 and the NDDI-E, and factor structure assessment were performed.
Among 33.7% of patients with epilepsy diagnosed with any anxiety disorder, 16% had panic disorder, 10.5% had agoraphobia, 8.3% had social anxiety disorder, 21.0% had generalized anxiety disorder, and 13.3% had several comorbid anxiety disorders. The EASI factor structure differed from the original, revealing an additional factor with two items. Nevertheless, the brief version (brEASI) showed excellent screening properties - the AUC to detect any anxiety disorder was 0.916 with the optimal cutoff point > 7 points.
The brEASI performed better than the GAD-7 in our sample and, therefore, may be considered a first-line screening tool for anxiety disorders in PWE.
开发俄罗斯版癫痫焦虑量表（EASI），并在俄罗斯癫痫患者（PWE）样本中评估其心理测量学特性。将 EASI 简短版与最常用于快速焦虑筛查的一般焦虑障碍-7（GAD-7）进行比较。
研究样本由 181 名连续的俄语 PWE 组成。使用迷你国际神经精神访谈作为诊断焦虑障碍的金标准。所有患者均完成了一套问卷 - 俄罗斯版 GAD-7、癫痫神经障碍抑郁量表（NDDI-E）和 EASI。评估了 EASI 和 brEASI 的内部信度、brEASI 与 GAD-7 和 NDDI-E 的收敛和发散效度，以及因子结构。
在诊断为任何焦虑障碍的 33.7%的癫痫患者中，16%患有惊恐障碍，10.5%患有广场恐怖症，8.3%患有社交焦虑症，21.0%患有广泛性焦虑症，13.3%患有多种共患焦虑症。EASI 的因子结构与原始结构不同，揭示了具有两个项目的附加因子。尽管如此，简短版（brEASI）表现出出色的筛查特性 - 检测任何焦虑障碍的 AUC 为 0.916，最佳截断点 > 7 分。
在我们的样本中，brEASI 比 GAD-7 表现更好，因此可以考虑作为 PWE 焦虑障碍的一线筛查工具。
