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1.
目的评估广泛性焦虑量表(GAD-7)以及由其中的2个核心问题构成的GAD-2在心血管科门诊焦虑筛查的信度和效度,并确定其筛查的临床界值。方法选取心血管内科双心门诊的连续201例就诊者作为研究对象,患者自主完成GAD-7问卷以及个人基本信息的填写,在心血管专家完成心血管状态评估后,所有患者由精神心理医生根据DSM-IV轴I障碍临床定式访谈(SCID)进行心理状态评估。一周后随机选择50例进行电话重测GAD-7及其子量表GAD-2,评估其重测信度。以SCID作为焦虑的临床诊断方法,评估GAD-7与GAD-2的内容效度。结果根据CIDI诊断方法,74人(36.8%)被诊断为焦虑。GAD-7的内部一致性系数为0.867,重测信度系数为0.823。GAD-2以3分为诊断界值,其敏感度和特异度分别为97.3%、59.1%;阳性预测值(PPV)和阴性预测值(NPV)分别为59.3%为97.4%;ROC曲线下面积(AUC)为0.836(SE=0.026,95%CI:0.782~0.898)。GAD-7以10分为诊断界值,其敏感度和特异度分别为86.4%、85.8%;PPV和NPV分别为88.8%为91.5%;其AUC为0.927(SE=0.032,95%CI:0.813~0.938)。结论 GAD-2和GAD-7是心血管科门诊可靠有效的焦虑筛查、诊断工具,值得在心血管内科门诊推广应用。  相似文献   

2.
目的:探讨广泛性焦虑量表(GAD-7)在颈椎病患者焦虑情绪评估的信度和效度。方法:应用GAD-7及焦虑自评量表(SAS)对100例颈椎病患者进行筛查,同时进行美国《精神障碍诊断与统计手册》第4版(DSM-Ⅳ)临床定式访谈(SCID)评定。随机抽取30例患者在GAD-7测定1周后再次进行GAD-7评定。结果:GAD-7 Cronbach'sα系数为0.965;各条目与量表总分的相关系数为0.882~0.938,各条目间相关系数为0.718~0.887,相关有统计学意义(P均0.01)。1周后重测信度为0.952。GAD-7总分与SAS总分的Pearson相关系数为0.884(P0.01)。探索性因子分析显示该量表为1个因子结构,解释方差82.90%。以GAD-7≥10分为划界分,GAD-7灵敏度为94.23%,特异度为93.75%;与SCID评定的一致性Kappa值为0.880(u=18.345,P0.01)。结论:GAD-7应用于颈椎病患者焦虑情绪评估具有良好的信度和效度。  相似文献   

3.
目的评价思维、语言和交流评定量表(TLC)中文译本的信度和效度。方法对46例精神障碍住院患者评定,应用Alpha模型和Split-Half模型评定TLC的内在信度,1周或2周后重测评定其外在信度。以临床评定的思维形式障碍和阳性与阴性症状量表(PANSS)评分作为效标评定TLC的效度。结果①内在信度:α信度系数为0.82,折半信度系数为0.90。②外在信度:重测信度系数除了TLC18偏低外,其余各项均大于0.7,TLC总评和总分的重测信度系数分别为0.82和0.96;评分者一致性系数除了TLC18和TLC14偏低外,其余各项均大于0.7,TLC总分的一致性系数高达0.99。③临床评定的思维形式障碍和TLC总评及总分的相关系数分别为0.92和0.75,以TLC总分≥7分为界值,TLC诊断的敏感度和特异度分别为91.9%和88.9%。④TLC总分或总评与PANSS总分、阳性量表分、思维障碍分、认知因子和兴奋因子等均显著相关(P均〈0.01)。结论TLC量表中文译本具有较好的信度和效度。  相似文献   

4.
目的:评估中文版广泛性焦虑障碍量表(the generalized anxiety disorder 7-item scale,GAD-7)在国内综合医院住院患者中应用的信效度。方法:以简明国际神经精神访谈(MINI)作为"金标准",评价GAD-7中文版的效标效度。方便抽取四川大学华西医院肿瘤科、心脏内科、疼痛科、风湿免疫科及甲乳科569例住院患者进行GAD-7评测,在完成初次评定后的第10天采用系统抽样方法随机抽取其中40例患者进行GAD-7重测,并连续纳入不同分数段的150例患者于调查当天进行中文版MINI诊断性访谈。使用SPSS 18.0分析处理数据。结果:GAD-7的Cronbach's系数为0.90,各条目间的相关系数为0.483~0.712(P均0.01),各条目与GAD-7总分的相关系数为0.734~0.820,重测信度系数为0.76(P0.01)。在GAD-7分界值为9分时,灵敏度(66.70%)和特异度(85.80%)最佳。GAD-7的ROC曲线下面积(AUC)为0.84(95%CI:0.76~0.92),验证性因子分析显示该量表确为一因子结构,即焦虑因子(解释方差59.56%)。结论:中文版GAD-7在综合医院住院患者应用中具有良好的信效度,适用于该人群焦虑障碍的筛查。  相似文献   

5.
目的 翻译英文版剑桥人格解体量表(CDS)并对中文版CDS进行信、效度检验.方法 对119例健康受试者分别间隔2、3、4周进行CDS测验以计算其重测信度;临床医生按DSM-IV-TR诊断标准对76例门诊患者做出诊断,之后进行CDS测验,计算测验的重测信度、内部一致性、折半信度和效标关联效度、结构效度.结果 中文版CDS重测信度中等(0.651),内部一致性和分半信度良好(Cronbach's α系数为0.938,Guttman折半信度为0.957),效标关联效度良好(Mann-WhitneyZ值为-6.059,P<0.001),项目-总分相关系数从0.321~0.777,均达到显著性,结构效度尚可.结论 中文版CDS具有良好的信、效度,可以很好地评定人格解体症状.  相似文献   

6.
目的:评价自我护理能力实施量表(ESCA)中文版在精神分裂症患者中的信度和效度。方法:抽取150例精神分裂症患者进行ESCA初测,进行初步的项目分析;正式施测阶段抽取300例精神分裂症患者,7 d后对其中30例进行重测,计算克朗巴赫α系数、重测信度评价量表内部一致性;采用探索性因子分析方法考评量表结构效度;相关分析来评价量表的效标效度。结果:条目一总分相关法及决断值法对条目的区分度进行分析后,组成35个条目的新量表,经最大方差旋转法旋转后提取4个因子,4个因子累计解释的方差为42.38%;ESCA与日常生活能力评定量表、护士用住院病人观察量表相关系数分别为0.59,0.63;Cranach'sα系数为0.88,重测信度为0.65。结论:ESCA中文版具有较好的信度和效度,用于精神分裂症患者自我护理能力的研究需要反复修订。  相似文献   

7.
上海某综合性医院内科门诊患者焦虑与抑郁症状调查   总被引:1,自引:0,他引:1  
目的调查综合性医院内科门诊患者的焦虑和抑郁症状的发生率及不同性别、年龄、文化程度和职业间的差异。方法采用综合性医院焦虑抑郁量表(HADS)在上海某三级综合性医院4个普通内科门诊按10∶1随机调查6117例患者,有效回收完整量表6104例。HADS每个亚量表评分大于等于8分即表示存在焦虑或抑郁症状。结果调查对象中焦虑和抑郁的检出率分别为9.5%(95%CI=8.8%~10.2%)和23.0%(21.9%~24.1%)。其中30岁以下、文化程度高、职业为学生或无业者的人群,焦虑检出率较高;男性、60岁及以上、文化程度低、职业为农民或学生的人群抑郁检出率较高。结论上海三级综合性医院内科门诊患者焦虑和抑郁的发生率较高,应提高识别率,给予有效的预防和干预。  相似文献   

8.
目的 编制职业院校教师心理素质量表,并检验其信效度。方法 通过对630例职业院校教师的调研和访谈,编制了职业院校教师心理素质量表,间隔两周后对其中的87例教师重新施测,考察问卷的重测信度、同质性信度;选用大学优秀教师心理素质量表(DTPA)、中学教师心理素质量表(MTCA)作为效标问卷,对其中64例进行效标效度检验。结果 探索性因子分析形成6个因子,分别为表达与交流性、创新性、操作演示性、稳定性、聪慧性、职业认同感。量表重测信度为0.654,6个因子的Cronbach'sα系数均大于0.7;总的分半信度系数为0.871,90.6%的条目的 CVR在0.6以上。效标效度检验除操作演示性与两个量表的相关没有达到显著性水平外,其他均具有统计学意义(P〈0.05)。结论该量表具有较好的信度效度,可以作为职业院校教师心理素质的测量工具。  相似文献   

9.
夏仲  肖世富 《上海精神医学》2001,13(B12):26-26,33,57
目的 评价痴呆行为评定量表(BRSD)的信度和效度。方法 对51例老年精神科病房住院的痴呆和非痴呆患者,先由两名评定员用BRSD同时评定12名患者,再同时对所有病例评定BRSD和老年临床评定量表(SCAG),一周后重测BRSD。对评定员之间的一致性,量表的分半相关,重测信度及平行效度进行分析。结果 BRSD的Cronbach‘s α系数为0.706,两评定员之间的一致性为0.834,BRSD重测总分相关系数γ为0.986。BRSD总分与SCAG的相关系数γ为0.787。结论 BRSD有较好的信度和效度。  相似文献   

10.
目的 检验暴食量表(BES)在中国青少年中的信度和效度。方法 2017 年9— 12 月采用 BES、进食行为问卷(DEBQ)和自我控制量表(SCS)对1 266名12~18岁青少年进行集体施测。结果 (1)验 证性因素分析显示,因子模型适配较好;(2)效度检验显示,BES 与其他校标之间相关均达到统计学水平 (r=0.168~0.500,P < 0.01);(3)信度分析显示,量表的Cronbach''s α 系数为0.805,重测信度为0.768。 结论 BES 在我国青少年中的信效度良好。  相似文献   

11.
To assess the anxiety and depression situation and psychological intervention effect of the first-line medical staff in our hospital during the COVID-19 epidemic. A total of 384 front-line medical staff in our hospital from January 25 to March 8, 2020 were selected as subjects, which were divided into group A and group B respectively. PHQ-9 depression scale and GAD-7 self-rating anxiety scale questionnaire were used to investigate their anxiety and depression. After 1 month, all subjects were re-self-assessed for anxiety and depression, which were named as A1 and B1 group respectively. The GAD-7 anxiety scale had mild, moderate, and severe anxiety scores before group A, which were significantly higher than those in group B (P < 0.05); after psychological intervention, group A1 had significantly reduced anxiety scores (P < 0.05). And there were no markedly difference of PHQ-9 scale scores before and after psychological intervention between groups A and B, A and A1, and B and B1 (P > 0.05). The first-line medical staff in our hospital have different degree of anxiety and depression during COVID-19. Early positive psychological intervention has an effect on ameliorating the anxiety.  相似文献   

12.
目的调查综合医院神经内科门诊患者焦虑症状群的检出率;探讨神经内科门诊伴有焦虑症状群患者的生活质量。方法使用中文版患者健康问卷(patient health questionnaire,PHQ)、焦虑症状群分量表(GAD-7)及健康状况调查问卷(the short form-36health survey,SF-36)对综合医院神经内科门诊患者进行问卷调查。对受调查患者同时进行生活质量评估,采用Pearson简单相关法对资料进行相关性分析,分析焦虑症状群与生活质量之间的相关性。结果具有焦虑症状群患者97例/306例[31.7%(95%CI:26.5%~36.9%)];具有焦虑症状群的神经内科门诊患者的SF-36各维度评分低于不伴有焦虑症状群患者;SF-36各维度评分与GAD-7评分呈负相关,具有统计学意义。结论在综合医院神经内科门诊就诊者中,焦虑症状群检出率较高;具有焦虑症状群的神经内科患者生活质量较差,尤其以精神健康状况差为显著。  相似文献   

13.
综合医院门诊患者焦虑、抑郁症状调查   总被引:1,自引:0,他引:1  
目的:分析综合医院门诊患者中,焦虑、抑郁症状的发生率及其可能的影响因素。方法:选取4所综合医院2485例门诊患者,采用自编一般情况调查表及综合医院焦虑抑郁量表进行调查。结果:门诊患者中焦虑、抑郁发生率分别达到26.0%、26.6%,焦虑抑郁共发率达12.7%,明显高于普通人群。不同级别医院、科室、男女之间焦虑、抑郁评分有显著差异。结论:综合医院门诊患者中焦虑抑郁有较高的患病率,值得引起关注。  相似文献   

14.
综合医院焦虑抑郁量表在内科门诊患者中的应用   总被引:1,自引:1,他引:0  
凌政  沙亮  季建林  尹俊  朱琳  范青  王一凡  陈华  黄啸 《上海精神医学》2010,22(4):204-206,223
目的了解综合性医院内科门诊患者中焦虑与抑郁的现状以及综合医院焦虑抑郁量表(hospital anxiety and depression scale,HAD)在此类人群中调查的特点。方法采用10∶1连续病例抽查,自填相关问卷的方法。对6 172例门诊患者使用HAD进行调查。结果内科门诊患者中有6.93%患者存在焦虑症状,3.66%的患者存在抑郁症状,1.31%的患者共病焦虑与抑郁。焦虑部分得分高的条目分别是"我感到紧张(或痛苦)"和"我心中充满了烦恼";抑郁部分"我对以往感兴趣的事情还是一样感兴趣"得分最高。女性的焦虑抑郁得分明显高于男性。结论综合性医院内科门诊小部分患者存在焦虑、抑郁症状,HAD量表结构大致符合"抑郁+焦虑+不安"的三因子模型。  相似文献   

15.
神经内科门诊患者焦虑与抑郁症状的调查研究   总被引:3,自引:1,他引:2  
目的 探讨综合医院神经内科门诊患者焦虑与抑郁症状的特征及影响因素.方法 调查河南省人民医院神经内科门诊患者,采用综合医院焦虑抑郁量表(HADS)和自制问卷.从年龄、性别、文化程度、职业和健康状况等多因素进行调查.结果 神经内科门诊患者焦虑症状阳性者占所有就诊患者的34.8%,抑郁症状阳性者占39.8%;伴发神经内科疾病组的焦虑/抑郁分和阳性率均高于无神经内科疾病组;焦虑和抑郁症状的发生与患者的年龄、性别、文化程度有密切关系.结论 神经内科门诊患者焦虑与抑郁症状是一种普遍现象,女性多于男性,随着年龄的增大其发生率呈增加趋势,高学历人群更易患焦虑与抑郁症状.  相似文献   

16.
目的探讨新冠肺炎疫情期间封闭管理精神科医护人员焦虑抑郁状况及相关因素,为改善其心理健康状况提供参考。方法采用随机数字表法抽取临沂市精神卫生中心接受封闭管理的精神科医护人员124名,应用一般情况调查表、广泛性焦虑量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)进行测查。结果封闭管理精神科医护人员轻度、中度、重度焦虑症状检出率分别为49.59%、4.96%、4.13%;轻度、中度、中重度、重度抑郁症状检出率分别为30.58%、7.44%、2.48%、2.48%。不同年龄的精神科医护人员GAD-7评分差异有统计学意义(F=3.207,P=0.044),有无子女及不同行为类型的精神科医护人员PHQ-9评分差异有统计学意义(F=3.993,P=0.048;F=6.523,P=0.002)。逐步回归分析显示,影响封闭管理精神科医护人员焦虑的因素为:年龄和存在A型行为(β=0.225、0.183,P均<0.05);影响其抑郁的因素为:A型行为和年龄(β=0.258、0.187,P<0.05或0.01)。结论新冠肺炎疫情期间,封闭管理精神科医护人员普遍出现不同程度的焦虑、抑郁症状,年龄大和存在A型行为类型者是出现焦虑、抑郁症状的高危人群。  相似文献   

17.
目的调查新型冠状病毒肺炎疫情期间护士的焦虑情绪及影响因素,为对其给予心理支持提供参考。方法采用方便取样方法,于2020年1月29日-2月5日通过电子问卷的形式对2 104名护士进行调查。采用自制调查表收集护士的一般资料,使用广泛性焦虑障碍量表(GAD-7)评估其焦虑症状。结果 GAD-7评分总体情况:无焦虑症状1 186人(56. 4%),轻度665人(31. 6%),中度149人(7. 1%),重度104人(4. 9%)。不同婚姻状况、工作年限、工作省份(是否在湖北省)、是否在新型冠状病毒肺炎专门收治病房工作和是否曾接受心理调适的护士GAD-7评分差异均有统计学意义(P均<0. 01)。回归分析显示,婚姻状况(β=0. 597,95%CI:0. 156~1. 038,P<0. 01)、工作省份(是否在湖北省)(β=3. 119,95%CI:1. 967~4. 272,P<0. 05)和曾接受过心理调适(β=0. 508,95%CI:0. 083~0. 934,P<0. 05)是影响GAD-7评分的因素。结论新型冠状病毒肺炎疫情期间,护士群体普遍出现不同程度的焦虑情绪,尤其应关注已婚、在疫情爆发地区工作以及曾经接受过心理调适的易感个体。  相似文献   

18.
OBJECTIVE: Results from general population studies suggest a relationship between gastrointestinal (GI) symptoms, depression, and anxiety. However, no primary care study has investigated this issue. This study investigates the prevalence of GI symptoms in primary care and their association with depression and anxiety. METHOD: Within a cross-sectional survey, 2091 consecutive patients from 15 primary care clinics in the United States completed self-report questionnaires regarding GI symptoms [15-item Patient Health Questionnaire (PHQ-15)], anxiety [seven-item Generalized Anxiety Disorder Scale (GAD-7)], and depression (PHQ-8). Of those, 965 randomly selected patients additionally underwent a criterion standard diagnostic telephone interview (Structured Clinical Interview for DSM-IV) for the most common anxiety disorders. RESULTS: A total of 380 [18% (95% CI, 16.3% to 19.3%)] patients reported to be substantially bothered by at least one GI symptom in the previous 4 weeks. The prevalence of severe levels of depression (PHQ-8 score > or =15) was nearly fivefold in patients with GI symptoms compared to patients without GI symptoms (19.1% vs. 3.9%; P<.001), and the prevalence of severe levels of anxiety (GAD-7 score > or =15) was nearly fourfold in patients with GI symptoms compared to patients without GI symptoms (19.4% vs. 5.6%; P<.001). Similarly, with each additional GI symptom, the odds for an interview-based diagnosis of specific anxiety disorders increased significantly: For example, compared to patients with no GI symptom, the odds ratio (OR) (95% CI) for generalized anxiety disorder in patients with one GI symptom was 3.7 (2.0 to 6.9); in patients with two GI symptoms, OR=6.5 (3.1 to 13.6); and in patients with three GI symptoms, OR=7.2 (2.7 to 18.8). CONCLUSION: GI symptoms are associated significantly with depression and anxiety in primary care. It is suggested to screen as a routine for anxiety and depression in patients with GI symptoms and, if indicated, to initiate specific treatment.  相似文献   

19.

Objective:

About 24.1% of pregnant women suffer from at least 1 anxiety disorder, 8.5% of whom suffer specifically from generalized anxiety disorder (GAD). GAD is often associated with major depressive disorder (MDD). During the perinatal period, the presence of physical and somatic symptoms often makes differentiation between depression and anxiety more challenging. To date, no screening tools have been developed to detect GAD in the perinatal population. We investigated the psychometric properties of the GAD 7-item Scale (GAD-7) as a screening tool for GAD in pregnant and postpartum women.

Methods:

Two hundred and forty perinatal women (n = 155 pregnant and n = 85 postpartum) referred for psychiatric consultation were enrolled. On the day of initial assessment, all women completed the GAD-7 and the Edinburgh Postnatal Depression Scale (EPDS). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition–based diagnoses were made by experienced psychiatrists. Scores from the GAD-7 and EPDS were compared with the clinical diagnoses to evaluate the psychometric properties of the GAD-7 and EPDS when used as a screening tool for GAD.

Results:

The GAD-7 yielded a sensitivity of 61.3% and specificity of 72.7% at an optimal cut-off score of 13. Compared with the EPDS and the EPDS-3A subscale, the GAD-7 displayed greater accuracy and specificity over a greater range of cut-off scores and more accurately identified GAD in patients with comorbid MDD.

Conclusion:

Our findings suggest that the GAD-7 represents a clinically useful scale for the detection of GAD in perinatal women.  相似文献   

20.
BackgroundAlthough developed as a screener for Generalized Anxiety Disorder (GAD) in primary care, the GAD-7 is now commonly used as a measure of general anxiety symptoms across various settings and populations. However, little is known about its psychometric properties when used in such heterogeneous samples. We examined the internal consistency, convergent validity, sensitivity and specificity, sensitivity to change, and structure of the GAD-7 in patients receiving brief, intensive CBT treatment in a partial hospital setting. We also examined the properties of a modified version that assessed symptoms over the past 24-h.MethodsParticipants (n = 1082) completed the GAD-7 upon admission and discharge from a partial hospital program. They also completed measures of worry, depression, and well being and a structured diagnostic interview. We examined psychometric properties in the total sample and separately for patients with GAD, post-traumatic stress disorder, Social Anxiety Disorder (SAD), and panic disorder.ResultsInternal consistency and convergent validity were good for the total sample and each anxiety disorder group. The GAD-7 demonstrated poor specificity and a high false positive rate for all anxiety disorders. Sensitivity to change was generally good. Factor analysis revealed that a one-factor structure did not fit the data well. The 24-h version performed similarly to the original version.ConclusionsThe GAD-7 performed well as a measure of anxiety symptom severity, but not as a screener in this psychiatric sample. It is a useful outcome measure for hetereogenous samples, but it may not perform as well specifically for individuals with SAD. A modified version of the GAD-7 that assessed anxiety symptoms over the past 24-h appears to be a reliable and valid modification.  相似文献   

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