Sato T, Takeichi M
Department of Psychiatry, Saga Medical School, Japan.
Gen Hosp Psychiatry. 1993 Jul;15(4):224-33. doi: 10.1016/0163-8343(93)90037-o.
Using a two-stage case identification method, the Japanese version of the General Health Questionnaire (GHQ) and the Japanese modified Diagnostic Interview Schedule (DIS-JM), patients in a general medicine clinic in Japan were assessed for psychiatric disorders (DSM-III categories) during a 12-month period. The lifetime prevalence of all psychiatric disorders was 30.6%, excluding tobacco dependence. The most prevalent diagnoses were alcohol abuse and dependence 9.4%, psychosexual dysfunction 5.9%, and major depressive episode 4.7%. The predominant disorders in males were alcohol abuse and dependence and tobacco dependence, and in females (aged 55-80 years), the most striking disorder was organic brain syndrome. The validity of the GHQ was examined against the DIS-JM based on DSM-III as external criteria. A cutoff point between 7 and 8 is suggested.
采用两阶段病例识别方法，使用日本版版的一般健康问卷（GHQ）和日本修订的诊断访谈表（DIS-JM），对日本一家普通内科诊所的患者在12个月期间进行精神障碍（DSM-III分类）评估。排除烟草依赖后，所有精神障碍的终生患病率为30.6%。最常见的诊断是酒精滥用和依赖（9.4%）、性心理功能障碍（5.9%）和重度抑郁发作（4.7%）。男性中主要的障碍是酒精滥用和依赖以及烟草依赖，而在女性（55 - 80岁）中，最突出的障碍是器质性脑综合征。以基于DSM-III的DIS-JM作为外部标准，对GHQ的效度进行了检验。建议临界值在7到8之间。
