The Application of K6 and SCL-8AD among Inpatients in A General Hospital_West China Medical Journal

Authors：

WANG Can ,  GUO Wanjun , WANG Jian , LI Tao

Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China;

Corresponding?author：

GUO Wanjun, Email: 714404670@qq.com

Keywords：

焦慮; 抑郁; 綜合醫院患者; 快速篩查

Video：

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目的　初步測試中文版情緒障礙快速篩查量表K6、SCL-8AD及其分量表（SCL-8、SCL-ANX4及SCL-DEP6）在綜合醫院內科和精神科住院患者中的適用性。方法　 2011年11月－12月對四川大學華西醫院內科（心臟內科、消化內科、風濕免疫科、內分泌科、神經內科）和精神科的住院患者共373例應用由K6和SCL-8AD量表構成的問卷進行自評，分析總問卷、各量表及分量表的信度及相互之間的相關性；在各科患者間進行評分結果差異性比較，并分別將內科及精神科評分結果與住院日進行相關分析。結果　各量表及全問卷的Cronbach’s α系數和分半系數＞0.75（內科：0.802～0.952，精神科：0.774～0.944）；其中，K6及SCL-8的Cronbach’s α系數和分半系數在內科及精神科均≥0.817。總問卷、各量表及分量表相互之間均存在較高相關性（r≥0.676）；其中，K6及SCL-8與問卷總分均有極高相關性（r≥0.959）。問卷總分、各量表及分量表評分內科組均低于精神科組。結論　條目少、操作簡便的中文版K6和SCL-8量表內部一致性高、其評定結果能較全面反應綜合醫院內科及精神科住院患者中不同程度的焦慮及抑郁情緒，值得對其進行更深入研究，以便推廣應用于非精神科患者情緒障礙的快速篩查。

Citation： WANG Can,GUO Wanjun,WANG Jian,LI Tao. The Application of K6 and SCL-8AD among Inpatients in A General Hospital. West China Medical Journal, 2012, 27(5): 647-651. doi: Copy

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13.	Furukawa TA, Kessler RC, Slade T, et al. The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being[J]. Psychol Med, 2003, 33(2): 357-362.
14.	Sakurai K, Nishi A, Kondo K, et al. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan[J]. Psychiatry Clin Neurosci, 2011, 65(5): 434-441.
15.	Lee S, Tsang A, Ng KL, et al. Performance of the 6-item Kessler scale for measuring serious mental illness in Hong Kong[J]. Compr Psychiatry, 2011, doi: 10.1016/j.comppsych.2011.10.001.
16.	楊興潔, 施旺紅, 楊業兵. 自身免疫病伴抑郁障礙的研究進展[J]. 中國行為醫學科學, 2006, 15(10): 952-953.
17.	唐玲麗, 趙勇. 類風濕關節炎患者心理健康狀況與血清可溶性P-選擇素的相關性研究[J]. 中國行為醫學科學, 2006, 15(9): 785-786.
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1. 　Guo WJ, Tsang A, Li T, et al. Psychiatric epidemiological surveys in China 1960-2010: how real is the increase of mental disorders? [J]. Curr Opin Psychiatry, 2011, 24(4): 324-330.
2. 　費立鵬. 中國的精神衛生問題——21世紀的挑戰和選擇[J]. 中國神經精神疾病志, 2004, 30(1): 1-10.
3. 　劉微, 張薇, 楊軍. 初級保健中抑郁癥的識別與治療[J]. 中國初級衛生保健, 2001, 15(10): 58-59.
4. 　Schilte AF, Portegijs PJ, Blankenstein AH, et al. Randomised controlled trial of disclosure of emotionally important events in somatisation in primary care[J]. BMJ, 2001, 323(7304): 86.
5. 　Søgaard HJ, Bech P. Psychometric analysis of common mental disorders -- Screening Questionnaire (CMD-SQ) in long-term sickness absence[J]. Scand J Public Health, 2009, 37(8):855-863.
6. 　Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress[J]. Psychol Med, 2002, 32(6): 959-976.
7. 　Kessler RC, Green JG, Gruber MJ, et al. Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative[J]. Int J methods psychiatr Res, 2010, 19(Suppl 1): 4-22.
8. 　楊蜀云, 李家磊. 綜合醫院住院患者合并精神障礙會診狀況分析[J]. 臨床心身疾病雜志, 2009, 15(6): 544-545.
9. 　Hansen MS, Fink P, Frydenberg M, et al. Mental disorders among internal medical inpatients: prevalence, detection, and treatment status[J]. J Psychosom Res, 2001, 50(4): 199-204.
10. 　肖世富, 嚴和耽, 陸余芬, 等. 世界衛生組織初級衛生保健病人心理障礙合作研究的上海樣本結果[J]. 中華精神科雜志, 1997(2): 27-31.
11. 　Andersen LS, Grimsrud A, Myer L, et al. The psychometric properties of the K10 and K6 scales in screening for mood and anxiety disorders in the South African Stress and Health study[J]. Int J Methods Psychiatr Res, 2011, 20(4): 215-223.
12. 　Carrà G, Sciarini P, Segagni-Lusignani G, et al. Do they actually work across Borders?Evaluation of two measures of psychological distress as screening instruments in a non Anglo-Saxon country[J]. Eur Psychiatry, 2011, 26(2): 122-127.
13. 　Furukawa TA, Kessler RC, Slade T, et al. The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being[J]. Psychol Med, 2003, 33(2): 357-362.
14. 　Sakurai K, Nishi A, Kondo K, et al. Screening performance of K6/K10 and other screening instruments for mood and anxiety disorders in Japan[J]. Psychiatry Clin Neurosci, 2011, 65(5): 434-441.
15. 　Lee S, Tsang A, Ng KL, et al. Performance of the 6-item Kessler scale for measuring serious mental illness in Hong Kong[J]. Compr Psychiatry, 2011, doi: 10.1016/j.comppsych.2011.10.001.
16. 　楊興潔, 施旺紅, 楊業兵. 自身免疫病伴抑郁障礙的研究進展[J]. 中國行為醫學科學, 2006, 15(10): 952-953.
17. 　唐玲麗, 趙勇. 類風濕關節炎患者心理健康狀況與血清可溶性P-選擇素的相關性研究[J]. 中國行為醫學科學, 2006, 15(9): 785-786.
18. 　李曉峰, 李曉蘭, 張亞美. 系統性紅斑狼瘡患者抑郁情況的調查[J]. 現代護理, 2004, 10(4): 350-351.
19. 　李云霞, 丁素菊. 抑郁與神經系統疾病的研究進展[J]. 神經疾病與精神衛生, 2006, 6(6): 466-469.

West China Medical Journal

The Application of K6 and SCL-8AD among Inpatients in A General Hospital

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