【摘要】：目的 本研究目的是通過中文版GAD-7量表在基層醫(yī)療全科門診的應用,檢測GAD-7在基層醫(yī)療全科門診中的信度和效度,探討其對我國基層醫(yī)療全科門診人群的適用性。以期將GAD-7推廣應用于基層醫(yī)療全科門診臨床工作中,提高基層醫(yī)療焦慮障礙的識別率。 方法 我們對上海市6家社區(qū)衛(wèi)生服務中心的全科門診就診患者進行問卷調查。最終納入94位GAD患者和94位非GAD患者。共188名基層醫(yī)療全科門診就診患者完成GAD-7、漢密爾頓焦慮量表(HAMA)、漢密爾頓抑郁量表(HAMD)、Mini版國際精神疾病訪談(MINI)的評定。并隨機抽取78名研究對象進行GAD-7量表重測。計算GAD-7的信度系數(shù)、敏感度、特異度、效度等。 結果 中文版GAD-7量表具有良好的信度、效度。GAD-7的內部一致性系數(shù)為0.907,重測信度系數(shù)為0.413。GAD-7各條目間的相關系數(shù)為0.373-0.714,各條目與GAD-7總分的相關系數(shù)為0.709-0.869。GAD-7總分與HAMA總分的Spearman相關系數(shù)為0.787,因子分析支持GAD-7僅有一個因子,且GAD-7與HAMD是不同維度的。GAD-7的ROC曲線下面積是0.931,同時,分界值取5分時,具有理想的靈敏度(90.4%)和特異度(80.9%)。 結論 我們的研究結果表明中文版GAD-7是篩查廣泛性焦慮障礙的可靠、有效的工具,適合在中國基層醫(yī)療的推廣、應用。因為GAD-7有良好的內部一致性信度,GAD-7與HAMA有很好的集合效度,與HAMD有很好的區(qū)分效度。GAD-7的ROC曲線面積度顯示了GAD-7在診斷廣泛性焦慮障礙時價值較高。因子分析支持GAD-7是焦慮一個維度。
[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.
【學位授予單位】：復旦大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R749.72

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本文編號：2383019