广泛性焦虑障碍量表在基层医疗中应用的信度和效度
发布时间：2018-12-16 20:37
【摘要】：目的 本研究目的是通过中文版GAD-7量表在基层医疗全科门诊的应用,检测GAD-7在基层医疗全科门诊中的信度和效度,探讨其对我国基层医疗全科门诊人群的适用性。以期将GAD-7推广应用于基层医疗全科门诊临床工作中,提高基层医疗焦虑障碍的识别率。 方法 我们对上海市6家社区卫生服务中心的全科门诊就诊患者进行问卷调查。最终纳入94位GAD患者和94位非GAD患者。共188名基层医疗全科门诊就诊患者完成GAD-7、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、Mini版国际精神疾病访谈(MINI)的评定。并随机抽取78名研究对象进行GAD-7量表重测。计算GAD-7的信度系数、敏感度、特异度、效度等。 结果 中文版GAD-7量表具有良好的信度、效度。GAD-7的内部一致性系数为0.907,重测信度系数为0.413。GAD-7各条目间的相关系数为0.373-0.714,各条目与GAD-7总分的相关系数为0.709-0.869。GAD-7总分与HAMA总分的Spearman相关系数为0.787,因子分析支持GAD-7仅有一个因子,且GAD-7与HAMD是不同维度的。GAD-7的ROC曲线下面积是0.931,同时,分界值取5分时,具有理想的灵敏度(90.4%)和特异度(80.9%)。 结论 我们的研究结果表明中文版GAD-7是筛查广泛性焦虑障碍的可靠、有效的工具,适合在中国基层医疗的推广、应用。因为GAD-7有良好的内部一致性信度,GAD-7与HAMA有很好的集合效度,与HAMD有很好的区分效度。GAD-7的ROC曲线面积度显示了GAD-7在诊断广泛性焦虑障碍时价值较高。因子分析支持GAD-7是焦虑一个维度。
[Abstract]:Objective to investigate the reliability and validity of Chinese version of GAD-7 scale in general outpatient service of primary medical treatment, and to explore its applicability to the general outpatient population of primary medical treatment in China. The purpose of this study was to apply GAD-7 to the general outpatient clinic of primary medical care and to improve the recognition rate of anxiety disorder in primary medical care. Methods A questionnaire survey was conducted among the general outpatients in 6 community health service centers in Shanghai. Finally, 94 patients with GAD and 94 patients with non-GAD were included. A total of 188 primary medical outpatients completed the evaluation of GAD-7, Hamilton anxiety scale, (HAMA), Hamilton Depression scale, (HAMD), Mini version of International Mental Disease interview (MINI). A total of 78 subjects were randomly selected to retest the GAD-7 scale. The reliability coefficient, sensitivity, specificity and validity of GAD-7 were calculated. Results the Chinese version of GAD-7 scale had good reliability and validity. The internal consistency coefficient of GAD-7 was 0.907, and the coefficient of test-retest reliability was 0.373-0.714 among the items of 0.413.GAD-7. The correlation coefficient between each item and the total score of GAD-7 is that of the total score of 0.709-0.869.GAD-7 and the total score of HAMA is 0.787.The factor analysis supports that there is only one factor for GAD-7. The area under the ROC curve of GAD-7 is 0.931. At the same time, when the threshold value is 5, it has ideal sensitivity (90.4%) and specificity (80.9%). Conclusion our results indicate that the Chinese version of GAD-7 is a reliable and effective tool for the screening of generalized anxiety disorder and is suitable for the promotion and application of primary medical care in China. Because GAD-7 has good reliability of internal consistency, GAD-7 and HAMA have good collective validity, and have good distinguishing validity with HAMD. The area of ROC curve of GAD-7 shows that GAD-7 is of high value in the diagnosis of generalized anxiety disorder. Factor analysis supports that GAD-7 is a dimension of anxiety.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749.72
本文编号：2383019
[Abstract]:Objective to investigate the reliability and validity of Chinese version of GAD-7 scale in general outpatient service of primary medical treatment, and to explore its applicability to the general outpatient population of primary medical treatment in China. The purpose of this study was to apply GAD-7 to the general outpatient clinic of primary medical care and to improve the recognition rate of anxiety disorder in primary medical care. Methods A questionnaire survey was conducted among the general outpatients in 6 community health service centers in Shanghai. Finally, 94 patients with GAD and 94 patients with non-GAD were included. A total of 188 primary medical outpatients completed the evaluation of GAD-7, Hamilton anxiety scale, (HAMA), Hamilton Depression scale, (HAMD), Mini version of International Mental Disease interview (MINI). A total of 78 subjects were randomly selected to retest the GAD-7 scale. The reliability coefficient, sensitivity, specificity and validity of GAD-7 were calculated. Results the Chinese version of GAD-7 scale had good reliability and validity. The internal consistency coefficient of GAD-7 was 0.907, and the coefficient of test-retest reliability was 0.373-0.714 among the items of 0.413.GAD-7. The correlation coefficient between each item and the total score of GAD-7 is that of the total score of 0.709-0.869.GAD-7 and the total score of HAMA is 0.787.The factor analysis supports that there is only one factor for GAD-7. The area under the ROC curve of GAD-7 is 0.931. At the same time, when the threshold value is 5, it has ideal sensitivity (90.4%) and specificity (80.9%). Conclusion our results indicate that the Chinese version of GAD-7 is a reliable and effective tool for the screening of generalized anxiety disorder and is suitable for the promotion and application of primary medical care in China. Because GAD-7 has good reliability of internal consistency, GAD-7 and HAMA have good collective validity, and have good distinguishing validity with HAMD. The area of ROC curve of GAD-7 shows that GAD-7 is of high value in the diagnosis of generalized anxiety disorder. Factor analysis supports that GAD-7 is a dimension of anxiety.
【学位授予单位】：复旦大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R749.72
【参考文献】
相关期刊论文 前1条
1 贾乐生;赤仁杰;夏凡;关景玉;卢建新;;中老年腰椎间盘突出症患者状态-特质焦虑问卷相关指标调查[J];中国误诊学杂志;2011年09期
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