在普通人群中筛查当前情绪和焦虑症的五项心理健康清单的有效性。

IF 2.4 3区医学 Q2 PSYCHIATRY

International Journal of Methods in Psychiatric Research Pub Date : 2024-07-02 DOI:10.1002/mpr.2030

Margreet Ten Have, Marja J. H. Van Bon-Martens, Frederiek Schouten, Saskia Van Dorsselaer, Laura Shields-Zeeman, Annemarie I. Luik

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引用次数: 0

摘要

目的：心理健康量表（MHI-5）经常被用作情绪和焦虑症的筛查工具。然而，很少有基于人群的研究根据现行诊断标准，将其与评估失调症的诊断工具进行验证：方法：在第三次荷兰心理健康调查和发病率研究（NEMESIS-3）中，使用 MHI-5 测量了过去一个月内的一般心理不健康状况，这是一项具有代表性的基于人口的成人研究（N = 6194；年龄：18-75 岁）。过去一个月是否患有情绪障碍（重度抑郁障碍、持续性抑郁障碍或双相情感障碍）和焦虑障碍（恐慌障碍、广场恐惧症、社交恐惧症或广泛性焦虑障碍），则根据《精神障碍诊断与统计手册-5》中的综合国际诊断访谈 3.0 稍作修改后进行评估：MHI-5 在区分患有和未患有情绪障碍、焦虑障碍以及任何情绪或焦虑障碍的人群方面表现良好至出色。对于情绪障碍，灵敏度最高和特异性最高的临界值为≤68，而对于焦虑障碍或任何情绪或焦虑障碍，灵敏度和特异性均为≤76：结论：当诊断性访谈过于耗时时，MHI-5 可以在普通人群中识别出当前情绪或焦虑障碍的高危人群。

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Validity of the five-item mental health inventory for screening current mood and anxiety disorders in the general population

Objectives

The Mental Health Inventory (MHI-5) is frequently used as a screener for mood and anxiety disorders. However, few population-based studies have validated it against a diagnostic instrument assessing disorders following current diagnostic criteria.

Methods

Within the third Netherlands Mental Health Survey and Incidence Study (NEMESIS-3), a representative population-based study of adults (N = 6194; age: 18–75 years), the MHI-5 was used to measure general mental ill-health in the past month. Presence of mood (major depressive disorder, persistent depressive disorder, or bipolar disorder) and anxiety disorders (panic disorder, agoraphobia, social phobia, or generalized anxiety disorder) in the past month was assessed with a slightly modified version of the Composite International Diagnostic Interview 3.0 per the Diagnostic and Statistical Manual of Mental disorders-5.

Results

The MHI-5 was good to excellent at distinguishing people with and without a mood disorder, an anxiety disorder, and any mood or anxiety disorder. The cut-off value associated with the highest sensitivity and highest specificity for mood disorder was ≤68, and ≤76 for an anxiety disorder or any mood or anxiety disorder.

Conclusions

The MHI-5 can identify individuals at high risk of a current mood or anxiety disorder in the general population when diagnostic interviews are too time consuming.

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来源期刊

International Journal of Methods in Psychiatric Research 医学-精神病学

CiteScore

5.20

自引率

6.50%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.