Psychometric analysis of the Psychiatric Diagnostic Screening Questionnaire (PDSQ) and determinants of psychopathology in two outpatient clinics in Navarre (Spain).

IF 1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Juan I Arrarás, Manuel J Cuesta, Victor Peralta, Gustavo J Gil-Berrozpe, Laura Barrado, Olga Correa, Rebeca Elorza, Lorea González, Irma Garmendia, Lucía Janda, Patricia Macaya, Camino Núñez, Pablo Sabater, Aileen Torrejon
{"title":"Psychometric analysis of the Psychiatric Diagnostic Screening Questionnaire (PDSQ) and determinants of psychopathology in two outpatient clinics in Navarre (Spain).","authors":"Juan I Arrarás,&nbsp;Manuel J Cuesta,&nbsp;Victor Peralta,&nbsp;Gustavo J Gil-Berrozpe,&nbsp;Laura Barrado,&nbsp;Olga Correa,&nbsp;Rebeca Elorza,&nbsp;Lorea González,&nbsp;Irma Garmendia,&nbsp;Lucía Janda,&nbsp;Patricia Macaya,&nbsp;Camino Núñez,&nbsp;Pablo Sabater,&nbsp;Aileen Torrejon","doi":"10.23938/ASSN.1043","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The self-report Psychiatric Diagnostic Screening Questionnaire PDSQ is designed to screen Axis I psychiatric disorders. We aim to determine its psychometric properties in Spanish outpatients and assess its relationship with two interviews (for psychopathology and for personality disorders) and clinical/demographic variables.</p><p><strong>Methodology: </strong>We administered the study questionnaire, the Mini International Neuropsychiatric Interview Plus (MINI-Plus), the Standardised Assessment of Personality Abbreviated Scale (SAPAS), and the List of Threatening Experiences Questionnaire (LTE-Q) to 375 patients at two public outpatient centres. Reliability of the study questionnaire was evaluated (Cronbach's alpha, ?) and known-group validity measured by comparing groups based on demographic and clinical variables (binary logistic regression analysis) and MINI-Plus diagnoses (Mann-Whitney U). The diagnostic accuracy of the study questionnaire score was analysed taking the MINI-Plus diagnoses as the gold standard (ROC analysis).</p><p><strong>Results: </strong>Internal consistency was adequate across all PDSQ scales (? >0.7; mean ?=0.85). Known-group comparisons were satisfactory. Female and male patients showed higher prevalence of internalizing and externalizing diagnoses, respectively. Younger age, more life events and limitations, higher SAPAS scores, and lower economic levels were linked to a greater number of PDSQ diagnoses. Inter-group differences were found for all PDSQ scales based on the corresponding MINI-Plus diagnoses. Mean values of sensitivity, AUC, and negative predictive value were 88.7, 0.82, and 96.7, respectively.</p><p><strong>Conclusions: </strong>When applied to a sample of Spanish outpatients, the PDSQ exhibits satisfactory psychometric properties and adequate relationships with the psychopathology and personality interviews, and clinical and demographic variables. The study questionnaire is suitable for assessing comorbidity and psychopathology dimensions.</p>","PeriodicalId":7775,"journal":{"name":"Anales Del Sistema Sanitario De Navarra","volume":"46 2","pages":""},"PeriodicalIF":1.0000,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/8a/assn-46-02-e1043.PMC10520750.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anales Del Sistema Sanitario De Navarra","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23938/ASSN.1043","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The self-report Psychiatric Diagnostic Screening Questionnaire PDSQ is designed to screen Axis I psychiatric disorders. We aim to determine its psychometric properties in Spanish outpatients and assess its relationship with two interviews (for psychopathology and for personality disorders) and clinical/demographic variables.

Methodology: We administered the study questionnaire, the Mini International Neuropsychiatric Interview Plus (MINI-Plus), the Standardised Assessment of Personality Abbreviated Scale (SAPAS), and the List of Threatening Experiences Questionnaire (LTE-Q) to 375 patients at two public outpatient centres. Reliability of the study questionnaire was evaluated (Cronbach's alpha, ?) and known-group validity measured by comparing groups based on demographic and clinical variables (binary logistic regression analysis) and MINI-Plus diagnoses (Mann-Whitney U). The diagnostic accuracy of the study questionnaire score was analysed taking the MINI-Plus diagnoses as the gold standard (ROC analysis).

Results: Internal consistency was adequate across all PDSQ scales (? >0.7; mean ?=0.85). Known-group comparisons were satisfactory. Female and male patients showed higher prevalence of internalizing and externalizing diagnoses, respectively. Younger age, more life events and limitations, higher SAPAS scores, and lower economic levels were linked to a greater number of PDSQ diagnoses. Inter-group differences were found for all PDSQ scales based on the corresponding MINI-Plus diagnoses. Mean values of sensitivity, AUC, and negative predictive value were 88.7, 0.82, and 96.7, respectively.

Conclusions: When applied to a sample of Spanish outpatients, the PDSQ exhibits satisfactory psychometric properties and adequate relationships with the psychopathology and personality interviews, and clinical and demographic variables. The study questionnaire is suitable for assessing comorbidity and psychopathology dimensions.

纳瓦拉(西班牙)两个门诊的精神病诊断筛查问卷(PDSQ)和精神病理学决定因素的心理测量分析。
背景:自我报告的精神病诊断筛查问卷PDSQ旨在筛查Axis I精神障碍。我们的目的是确定其在西班牙门诊患者中的心理测量特性,并评估其与两次访谈(精神病理学和人格障碍)和临床/人口统计学变量的关系。方法:我们对两个公共门诊中心的375名患者进行了研究问卷、迷你国际神经心理访谈+(Mini-Plus)、人格缩写标准化评估量表(SAPAS)和威胁经历清单问卷(LTE-Q)。根据人口统计学和临床变量(二元逻辑回归分析)和MINI Plus诊断(Mann-Whitney U),评估研究问卷的可靠性(Cronbach’s alpha,?),并通过比较各组来测量已知组的有效性。以MINI Plus诊断为金标准分析研究问卷评分的诊断准确性(ROC分析)。结果:所有PDSQ量表的内部一致性都足够(?>0.7;平均值?=0.85)。已知的组间比较令人满意。女性和男性患者分别表现出较高的内化和外化诊断患病率。年龄较小、生活事件和限制较多、SAPAS评分较高、经济水平较低与PDSQ诊断数量较多有关。基于相应的MINI Plus诊断,所有PDSQ量表均存在组间差异。敏感性、AUC和阴性预测值的平均值分别为88.7、0.82和96.7。结论:当应用于西班牙门诊患者样本时,PDSQ表现出令人满意的心理测量特性,并与精神病理学和人格访谈以及临床和人口统计学变量有充分的关系。研究问卷适用于评估共病和精神病理学维度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Anales Del Sistema Sanitario De Navarra
Anales Del Sistema Sanitario De Navarra 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.30
自引率
30.00%
发文量
88
审稿时长
>12 weeks
期刊介绍: La revista Anales del Sistema Sanitario de Navarra es una revista de contenido médico sanitario de carácter generalista. En ella tienen cabida artículos referidos a temas de salud/enfermedad en general, salud pública, administración y gestión sanitaria y Atención Primaria de salud.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信