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医疗诊所中的精神科筛查。一份自我报告量表的评估。

Psychiatric screening in a medical clinic. An evaluation of a self-report inventory.

作者信息

Glass R M, Allan A T, Uhlenhuth E H, Kimball C P, Borinstein D I

出版信息

Arch Gen Psychiatry. 1978 Oct;35(10):1189-95. doi: 10.1001/archpsyc.1978.01770340039003.

DOI:10.1001/archpsyc.1978.01770340039003
PMID:697537
Abstract

A self-report symptom inventory, the Hopkins Symptom Checklist, was used as a screening test for psychiatric disorder in a group of 82 new patients in a university hospital outpatient medical clinic, and the results were compared with interviewer diagnoses. The prevalence of psychiatric disorder in the group was high (83%). Both parametric (discriminant function analysis) and nonparametric (contingency table) methods produced screening results from the patient self-ratings that were statistically significant but of limited accuracy in separating psychiatrically ill from well patients. Comparison of patient and interviewer ratings of symptoms indicated substantial agreement, suggesting that the screening accuracy of the symptom inventory is limited by the absence of historical and observational data.

摘要

一份自我报告症状清单,即霍普金斯症状清单,被用作对一家大学医院门诊医疗诊所的82名新患者进行精神障碍筛查测试,并将结果与访谈者的诊断结果进行比较。该组中精神障碍的患病率很高(83%)。参数方法(判别函数分析)和非参数方法(列联表)从患者自我评分中得出的筛查结果在统计学上具有显著性,但在区分精神疾病患者和健康患者方面准确性有限。患者和访谈者对症状的评分比较表明存在实质性的一致性,这表明症状清单的筛查准确性受到缺乏病史和观察数据的限制。

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