SSS-CN与PHQ-15在心血管医学疑似心理障碍患者评估中的比较
Comparison of SSS-CN and PHQ-15 in the evaluation of patients with suspected psychological disorders in cardiovascular medicine.
作者信息
Fu Yan, Lin Qiuzhen, Xiang Qunyan, Wen Xingyu, Liu Ling
机构信息
Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Research Institute of Blood Lipid and Atherosclerosis, Central South University, Changsha, Hunan, China.
出版信息
Front Psychol. 2023 Mar 2;14:1027253. doi: 10.3389/fpsyg.2023.1027253. eCollection 2023.
AIMS
Somatic Symptom Scale-China (SSS-CN) has been applied to assess the presence and severity of somatization symptom disorders (SSD) in Chinese patients. However, there was no study comparing SSS-CN with Patient Health Questionnaire-15 (PHQ-15). The aim of this study was to compare the consistency of the SSS-CN with the PHQ-15 in evaluating SSD in patients with suspected psychological disorders in cardiovascular medicine and to explore the relationship between scores on the two SSD self-rating scales and scores on self-rating scales for anxiety or depression.
METHODS
In this study, 1,324 subjects were enrolled by using a "three-question method." Then, they completed four self-assessment scales, i.e., SSS-CN, PHQ-15, Patient Health Questionnaire-9 (PHQ-9), and General Anxiety Disorder-7 (GAD-7), in turn. The ability of SSS-CN to diagnose SSD was analyzed by the receiver operating characteristic (ROC) curve, and the area under the curve (AUC) value, sensitivity, and specificity were calculated. Reliability analysis was performed with the statistic to determine consistency between SSS-CN and PHQ-15. The relationship between two qualitative variables was analyzed by correlation analysis.
RESULTS
The proportions of SSD evaluated by SSS-CN and PHQ-15 were 83.2 and 87.0%, respectively. SSS-CN score was significantly correlated with PHQ-15 one ( = 0.709, < 0.001). The AUC of the SSS-CN for the diagnosis of SSD was 0.891, with a high sensitivity and acceptable specificity. There was a moderate agreement between SSS-CN and PHQ-15 in assessing SSD, with a value of 0.512. Anxiety and/or depression were detected in about 70% of patients with SSD. There was significant correlation between the score of each SSD scale and that of GAD-7 or PHQ-9 (SSS-CN: = 0.614 or 0.674; PHQ-15: = 0.444 or 0.582, all < 0.001). In addition, the SSS-CN score was more closely correlated with the GAD-7 or PHQ-9 score than the PHQ-15 score, and a higher proportion of patients with anxiety or depression was detected in those with moderate and severe SSD evaluated by SSS-CN.
CONCLUSION
The SSS-CN could be one of the ideal scales for the rapid screening of patients with suspected psychological disorders in cardiovascular medicine.
目的
躯体症状量表-中国版（SSS-CN）已用于评估中国患者躯体化症状障碍（SSD）的存在及严重程度。然而，尚无研究将SSS-CN与患者健康问卷-15（PHQ-15）进行比较。本研究旨在比较SSS-CN与PHQ-15在评估心血管内科疑似心理障碍患者的SSD时的一致性，并探讨两种SSD自评量表得分与焦虑或抑郁自评量表得分之间的关系。
方法
本研究采用“三问法”招募了1324名受试者。然后，他们依次完成了四个自评量表，即SSS-CN、PHQ-15、患者健康问卷-9（PHQ-9）和广泛性焦虑障碍量表-7（GAD-7）。通过受试者工作特征（ROC）曲线分析SSS-CN诊断SSD的能力，并计算曲线下面积（AUC）值、敏感性和特异性。采用统计量进行可靠性分析，以确定SSS-CN与PHQ-15之间的一致性。通过相关性分析分析两个定性变量之间的关系。
结果
SSS-CN和PHQ-15评估的SSD比例分别为83.2%和87.0%。SSS-CN得分与PHQ-15得分显著相关（r = 0.709，P < 0.001）。SSS-CN诊断SSD的AUC为0.891，具有较高的敏感性和可接受的特异性。SSS-CN与PHQ-15在评估SSD方面有中度一致性，kappa值为0.512。约70%的SSD患者检测到焦虑和/或抑郁。每个SSD量表得分与GAD-7或PHQ-9得分之间存在显著相关性（SSS-CN：r = 0.614或0.674；PHQ-15：r = 0.444或0.582，均P < 0.001）。此外，SSS-CN得分与GAD-7或PHQ-9得分的相关性比PHQ-15得分更密切，在SSS-CN评估为中度和重度SSD的患者中检测到焦虑或抑郁的比例更高。
结论
SSS-CN可能是心血管内科快速筛查疑似心理障碍患者的理想量表之一。
Zotero 插件