Validation Study of a Distress Screener

被引：70

作者：

Braam, C. ^{[1
,2
]}

van Oostrom, S. H. ^{[1
,2
,3
]}

Terluin, B. ^{[2
,4
]}

Vasse, R. ^{[5
]}

de Vet, H. C. W. ^{[2
,6
]}

Anema, J. R. ^{[1
,2
,3
,7
]}

机构：

[1] Vrije Univ Amsterdam, Med Ctr, Dept Publ & Occupat Hlth, NL-1081 BT Amsterdam, Netherlands

[2] Vrije Univ Amsterdam, Med Ctr, EMGO Inst Hlth & Care Res, NL-1081 BT Amsterdam, Netherlands

[3] TNO VU, Res Ctr Phys Act Work & Hlth, Amsterdam, Netherlands

[4] Vrije Univ Amsterdam, Med Ctr, Dept Gen Practice, NL-1081 BT Amsterdam, Netherlands

[5] Maastricht Univ, Dept Social Med, Maastricht, Netherlands

[6] Vrije Univ Amsterdam, Med Ctr, Dept Epidemiol & Biostat, NL-1081 BT Amsterdam, Netherlands

[7] Vrije Univ Amsterdam, Med Ctr, AMC, Res Ctr Insurance Med,UWV, NL-1081 BT Amsterdam, Netherlands

来源：

JOURNAL OF OCCUPATIONAL REHABILITATION | 2009年 / 19卷 / 03期

关键词：

Mental disorders; Screening; Occupational physician; Medical diagnosis; Distress; Validity; SYMPTOM QUESTIONNAIRE 4DSQ; MENTAL-HEALTH PROBLEMS; TERM SICKNESS ABSENCE; INTERVENTION; DISORDERS; DEPRESSION; ANXIETY;

D O I：

10.1007/s10926-009-9178-z

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objectives A 3-item screening instrument called the Distress Screener was developed for early identification of distress among employees on sick leave. The Distress Screener consists of three items obtained from the distress subscale of the four-dimensional symptom questionnaire (4DSQ). This study assessed an optimal cutoff point and validated the Distress Screener by relating it to the 4DSQ and to medical diagnoses. Methods 171 sick-listed employees filled in the Distress Screener and the 4DSQ (containing four subscales: distress, depression, anxiety and somatisation) and medical diagnoses were obtained from occupational physicians (OPs). The optimal cut-off point was assessed by computing sensitivity and specificity values. Validity was assessed by relating the Distress Screener score to the scores on 4DSQ subscales. In addition scores were compared to mental health medical diagnoses and the degree of similarity between two repeated measurements was obtained. Results Using the 4DSQ distress score >10 as reference standard, the optimal cutoff point of the Distress Screener was >= 4. Regarding validity, a high correlation (0.82) existed between the Distress Screener and the 4DSQ distress subscale and it was significantly different from the correlations with the other 4DSQ subscales. Also a high correlation existed for the test-retest reliability (0.83). Furthermore, a high score on the Distress Screener seemed to be related to the medical diagnosis 'Stress-related complaints'. All low scores seemed to be related to the medical diagnosis 'Other complaints'. Sensitivity (0.85) and specificity (0.78) values, and positive and negative predictive values of the screener were comparable to those of the 4DSQ distress subscale. Conclusions The Distress Screener is a valid instrument for use by the OP during consulting time as a quick scan for early identification of distress in employees on sick leave. The cut-off point >= 4 is useful for early identification of distress in employees on sick leave.

引用

页码：231 / 237

页数：7

共 24 条

[1] Medical care of employees long-term sick listed due to mental health problems: A cohort study to describe and compare the care of the occupational physician and the general practitioner [J].