Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative

被引:1015
作者
Kessler, Ronald C. [1 ]
Green, Jennifer Greif [1 ]
Gruber, Michael J. [1 ]
Sampson, Nancy A. [1 ]
Bromet, Evelyn [2 ]
Cuitan, Marius [3 ]
Furukawa, Toshi A. [4 ]
Gureje, Oye [5 ]
Hinkov, Hristo [6 ]
Hu, Chi-Yi [7 ,8 ]
Lara, Carmen [9 ]
Lee, Sing [10 ]
Mneimneh, Zeina [11 ,12 ]
Myer, Landon [13 ]
Oakley-Browne, Mark [14 ]
Posada-Villa, Jose [15 ]
Sagar, Rajesh [16 ]
Viana, Maria Carmen [17 ]
Zaslavsky, Alan M. [1 ]
机构
[1] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA
[2] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY 11794 USA
[3] Natl Sch Publ Hlth & Hlth Serv Management Buchare, Bucharest, Romania
[4] Nagoya City Univ, Grad Sch Med Sci, Dept Psychiat & Cognit Behav Med, Nagoya, Aichi, Japan
[5] Univ Coll Ibadan Hosp, Dept Psychiat, Ibadan, Nigeria
[6] Natl Ctr Publ Hlth Protect, Dept Global Mental Hlth, Sofia, Bulgaria
[7] Shenzhen Inst Mental Hlth, Shenzhen, Peoples R China
[8] Shenzhen Kangning Hosp, Shenzhen, Peoples R China
[9] Autonomous Univ Puebla, Dept Psychiat, Puebla, Mexico
[10] Chinese Univ Hong Kong, Dept Psychiat, Shatin, Hong Kong, Peoples R China
[11] Univ Michigan, Inst Social Res, Ann Arbor, MI USA
[12] IDRAAC, Beirut, Lebanon
[13] Univ Cape Town, Sch Publ Hlth & Family Med, ZA-7925 Cape Town, South Africa
[14] Univ Tasmania, Discipline Psychiat, Hobart, Tas 7001, Australia
[15] Cundinamarca Univ, Colegio Mayor, Bogota, Colombia
[16] All India Inst Med Sci, Dept Psychiat, New Delhi, India
[17] Univ Sao Paulo, Sch Med, Inst Psychiat, Sect Psychiat Epidemiol, Sao Paulo, Brazil
基金
巴西圣保罗研究基金会;
关键词
K6 screening scale; psychiatric epidemiology; serious mental illness (SMI); INTERNATIONAL DIAGNOSTIC INTERVIEW; OF-ONSET DISTRIBUTIONS; DSM-IV DISORDERS; PSYCHOLOGICAL DISTRESS; LIFETIME PREVALENCE; LIKELIHOOD RATIOS; NATIONAL-SURVEY; PRIMARY-CARE; VALIDITY; VERSION;
D O I
10.1002/mpr.310
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Data are reported on the background and performance of the K6 screening scale for serious mental illness (SMI) in the World Health Organization (WHO) World Mental Health (WMH) surveys. The K6 is a six-item scale developed to provide a brief valid screen for Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) SMI based on the criteria in the US ADAMHA Reorganization Act. Although methodological studies have documented good K6 validity in a number of countries, optimal scoring rules have never been proposed. Such rules are presented here based on analysis of K6 data in nationally or regionally representative WMH surveys in 14 countries (combined N = 41,770 respondents). Twelve-month prevalence of DSM-IV SMI was assessed with the fully-structured WHO Composite International Diagnostic Interview. Nested logistic regression analysis was used to generate estimates of the predicted probability of SMI for each respondent from K6 scores, taking into consideration the possibility of variable concordance as a function of respondent age, gender, education, and country. Concordance, assessed by calculating the area under the receiver operating characteristic curve, was generally substantial (median 0.83; range 0.76-0.89; inter-quartile range 0.81-0.85). Based on this result, optimal scaling rules are presented for use by investigators working with the K6 scale in the countries studied. Copyright (c) 2010 John Wiley & Sons, Ltd.
引用
收藏
页码:4 / 22
页数:19
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