Darves-Bornoz J M, Pierre F, Lépine J P, Degiovanni A, Gaillard P
Clinique Psychiatrique Universitaire, CHU Tours, France.
Eur J Obstet Gynecol Reprod Biol. 1998 Mar;77(1):71-5. doi: 10.1016/s0301-2115(97)00244-3.
This study aimed to determine whether the General Health Questionnaire, a simple psychological screening instrument, could be useful to non-specialists in screening for psychologically traumatized rape victims.
285 rape victims (mean age 22.5, men 8%) attending consecutively a Consultation for Victims of Psychological Trauma at the University Hospital in Tours, France, were assessed through the Structured Interview for Post-Traumatic Stress Disorder (SI-PTSD), and the French 28-item version of the self-rated General Health Questionnaire (GHQ-28).
70% had Post-Traumatic Stress Disorder (PTSD) and 72% a GHQ-28 overthreshold score. The principal component analysis of the GHQ-28 ratings yielded a 4-factor solution: social dysfunction, feeling of foreshortened future type of depression, somatoform complaints and hyperalertness anxiety. GHQ-28 reliability and validity in screening for PTSD were studied through computation of Cronbach's alpha coefficient (0.95), sensitivity (88%) and positive predictive value (86%). CONCCLUSION: Using the GHQ-28 is valid and appropriate for practical use.
本研究旨在确定一种简单的心理筛查工具——一般健康问卷，对非专业人员筛查遭受心理创伤的强奸受害者是否有用。
对连续就诊于法国图尔大学医院心理创伤受害者咨询门诊的285名强奸受害者（平均年龄22.5岁，男性占8%），通过创伤后应激障碍结构化访谈（SI-PTSD）以及自评式28项一般健康问卷（GHQ-28）法语版进行评估。
70%的受害者患有创伤后应激障碍（PTSD），72%的受害者GHQ-28得分超过临界值。对GHQ-28评分进行主成分分析得出一个四因素解决方案：社会功能障碍、抑郁的预期性缩短感、躯体形式主诉和过度警觉性焦虑。通过计算克朗巴赫α系数（0.95）、敏感性（88%）和阳性预测值（86%），研究了GHQ-28在筛查PTSD方面的信度和效度。结论：使用GHQ-28进行筛查是有效且适用于实际应用的。
