四川精神卫生2017，Vol.30Issue(2)：149-153,5.DOI:10.11886/j.issn.1007-3256.2017.02.013
PHQ-9在综合医院住院患者中信效度研究
Evaluation of the reliability and validity of PHQ-9 in general hospital inpatients
陈然 1王瑜 1余建英 1张岚1
作者信息
- 1. 四川大学华西医院心理卫生中心,四川 成都 610041
- 折叠
摘要
Abstract
Objective To investigate the reliability and validity of Patients' Health Questionnaire Depression Scale-9 item(PHQ-9) in general hospital inpatients and to explore the feasibility of PHQ-9 in screening hospitalized patients in general hospital.Methods To facilitate the extraction of 569 hospitalized patients in West China Hospital of Sichuan University, PHQ-9 was completed under the specified guidance.38 patients were randomly selected by random number table and PHQ-9 retest was performed after 2 weeks of initial evaluation.Mini International Neuropsychiatric Interview(MINI) was used as the "gold standard" to evaluate the efficacy and validity of the Chinese version of PHQ-9.A total of 139 patients were interviewed by MINI Chinese version.Results The Cronbach's α coefficient of PHQ-9 was 0.839 and the 2-week test-retest reliability was 0.846.The correlation coefficient of the items and total score was 0.484~0.724(P<0.01) and between items was 0.229~0.520(P<0.01).Factor analysis suggested a three-factor solution: self-assessment factor, affective factor and somatic symptom factor.The best diagnostic demarcation point is 8, maximizing the Youden Index, yielded a sensitivity of 92.6% and a specificity of 60.6%.The results of ROC analysis indicated that the area under the curve (AUC) was 0.841(95% CI: 0.777~0.905).Conclusion The Chinese version of PHQ-9 was shown to have good reliability and validity in general hospital inpatients.8 is the best demarcation of the scale points.关键词
PHQ-9/信度/效度/综合医院/住院患者Key words
PHQ-9/Reliability/Validity/General hospital/Inpatients分类
医药卫生引用本文复制引用
陈然,王瑜,余建英,张岚..PHQ-9在综合医院住院患者中信效度研究[J].四川精神卫生,2017,30(2):149-153,5.
