【摘要】：目的:探討患者健康問卷軀體癥狀群量表(PHQ-15)中文版在綜合醫(yī)院門診的篩檢價值。方法:600名綜合醫(yī)院普通門診患者在規(guī)定指導(dǎo)語下完成PHQ-15中文版、廣泛性焦慮量表(GAD-7)、抑郁癥狀群量表(PHQ-9)自評量表,并接受經(jīng)過培訓(xùn)的精神科專業(yè)人員進(jìn)行漢密頓焦慮量表(HAMA)和漢密頓抑郁量表(HAMD)的評定。隨機(jī)抽取其中44名患者在完成初次評定后7~14 d內(nèi)接受PHQ-15重測。以HAMA、HAMD、GAD-7、PHQ-9為效標(biāo),分別與PHQ-15進(jìn)行相關(guān)分析。計算軀體癥狀群檢出率,并分析其人口學(xué)特征。分析PHQ-15不同分?jǐn)?shù)段與焦慮、抑郁癥狀群的關(guān)系。結(jié)果:PHQ-15內(nèi)部一致性信度系數(shù)為0.73,重測信度系數(shù)為0.75。PHQ-15得分與HAMA、HAMD、GAD-7、PHQ-9得分均呈正相關(guān)(r=0.65、0.68、0.52、0.73,均P0.05)。探索性因素分析得到全身不適、胃腸不適和心胸不適3個公因子。檢出軀體癥狀群者共364人,占總樣本量的60.7%。不同性別、年齡、就業(yè)情況和就診科室患者的軀體癥狀群檢出率差異均有統(tǒng)計學(xué)意義。女性檢出率高于男性(64.5%vs.56.0%);45~59歲者檢出率高于其他年齡段(71.3%vs.53.4%、53.2%、60.2%);非在職者檢出率高于在職者(64.2%vs.54.9%);內(nèi)科就診者檢出率高于外科及其他科室就診者(64.5%vs.47.4%),均P0.05。PHQ-15得分≥15分者合并抑郁(93.1%vs.0、2.5%、46.7%)、焦慮(34.5%vs.0.4%、2.5%、12.0%)、抑郁合并焦慮癥狀群檢出率(31.0%vs.0、0.4%、4.3%)均高于其他分值者(均P0.001)。結(jié)論:患者健康問卷軀體癥狀群量表中文版可用于篩查軀體癥狀為表現(xiàn)的精神問題和軀體癥狀嚴(yán)重程度的評估,具有較好的信效度。
[Abstract]:Objective: to explore the screening value of Chinese version of physical symptom Group scale (PHQ-15) in outpatients of general hospital. Methods: the Chinese version of PHQ-15, the General anxiety scale (GAD-7) and the depressive symptom Group scale (PHQ-9) were completed under the prescribed instructions, and the trained psychiatry professionals were evaluated with Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD). Among them, 44 patients were randomly selected to receive PHQ-15 re-test within 7 to 14 days after the completion of the initial assessment. Using HAMA,HAMD,GAD-7,PHQ-9 as the standard, the correlation analysis was carried out with PHQ-15. The detection rate of somatic symptom group was calculated and its demographic characteristics were analyzed. The relationship between different PHQ-15 scores and anxiety and depression symptoms was analyzed. Results: the internal consistency reliability coefficient of PHQ-15 was 0.73, and the test-retest reliability coefficient of 0.75.PHQ-15 was positively correlated with HAMA,HAMD,GAD-7,PHQ-9 score (r 鈮，

本文編號：2518422