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急诊科的精神科筛查:一般健康问卷的验证

Psychiatric screening in the emergency department: validation of the General Health Questionnaire.

作者信息

Gold I, Haughey L, Baraff L J

出版信息

Am J Emerg Med. 1985 Sep;3(5):419-22. doi: 10.1016/0735-6757(85)90202-5.

DOI:10.1016/0735-6757(85)90202-5
PMID:4041194
Abstract

Both a 28-item psychiatric scale, the Goldberg General Health Questionnaire (GHQ), and the National Institute of Mental Health (NIMH) Diagnostic Interview Schedule (DIS) were administered to 25 emergency department patients to determine the validity of the GHQ as a screening instrument for psychopathology in the emergency department setting. There was a significant association (P = 0.0343) between GHQ scores and DIS assessment. The sensitivity of the GHQ in this series was 55.6% and the specificity was 87.5% when compared with the DIS. This suggests that the GHQ may prove to be a valuable screening tool for patients with somatic complaints to detect unsuspected psychiatric illness in the emergency department.

摘要

研究人员使用一份包含28个条目的精神科量表——戈德堡一般健康问卷(GHQ)以及美国国立精神卫生研究所(NIMH)诊断访谈表(DIS),对25名急诊科患者进行了评估,以确定GHQ作为急诊科精神病理学筛查工具的有效性。GHQ得分与DIS评估之间存在显著关联(P = 0.0343)。与DIS相比,本研究系列中GHQ的敏感性为55.6%,特异性为87.5%。这表明,对于有躯体不适主诉的患者,GHQ可能是一种有价值的筛查工具,可用于在急诊科发现未被怀疑的精神疾病。

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