Kirk C A, Saunders M
Acta Psychiatr Scand. 1979 Nov;60(5):427-37. doi: 10.1111/j.1600-0447.1979.tb00553.x.
342 patients referred to a neurological out-patient department in North East England between November 1975 and November 1976 were studied prospectively using two methods of psychiatric case identification, by clinical interview and by use of the General Health Questionnaire. The population of psychiatric patients identified by clinical techniques is different from that identified by the GHQ and it is concluded that GHQ cannot be used for routine screening in the neurological clinic. Clinical data were compared with a previous retrospective study. Clinical assessment revealed 27% with psychiatric disorders whilst GHQ showed a probable psychiatric morbidity of 48% with a cut off score of 11/12 and 21% with our best cut off score of 26/27. Statistical problems with this method are discussed and the results of this study compared with others using the same questionnaire. Aspects of organic and psychiatric disorder in a neurological clinic are discussed.
1975年11月至1976年11月期间，对转诊至英格兰东北部一家神经科门诊的342名患者进行了前瞻性研究，采用了两种精神病例识别方法，即临床访谈和使用一般健康问卷。通过临床技术识别出的精神疾病患者群体与通过一般健康问卷识别出的不同，得出的结论是，一般健康问卷不能用于神经科门诊的常规筛查。将临床数据与之前的一项回顾性研究进行了比较。临床评估显示，27%的患者患有精神疾病，而一般健康问卷显示，以11/12分为临界值时，可能的精神疾病发病率为48%，以我们的最佳临界值26/27分时为21%。讨论了该方法的统计学问题，并将本研究结果与使用相同问卷的其他研究结果进行了比较。还讨论了神经科门诊中器质性疾病和精神疾病的相关方面。
