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3种焦虑评定量表在综合医院门诊患者中的应用比较 被引量:160

Comparison of three scales to detect anxiety in general hospital outpatients: HADS, SAS and HAMA
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摘要 目的探讨医院焦虑抑郁量表(HDAS)和焦虑自评量表(SAS)、汉密顿焦虑量表(HAMA)评定焦虑的一致性。方法采用多中心、横断面设计,在广州15家综合医院2000名焦虑抑郁调查样本中现场抽取229例HADS总分≥8的可疑焦虑抑郁患者,采用SAS、HAMA进行再次评定。结果HDAS、HAD—A、SAS量表内部一致性良好,Cronbach系数分别为0.866,0.849,0.832。相关分析显示,HADS总分、HAD—A因子分与SAS标准分、HAMA总分呈正相关,相关系数为0.494~0.874,相关有显著性(P〈0.01)。量表评定的一致性检验显示,SAS标准分≥46、≥50作为焦虑划界分与HAMA≥14分的一致性McNemar检验,Kappa值分别为0.524,0.449(P〈0.01);HAD—A≥8作为焦虑划界分与HAMA≥14、SAS≥50、SAS≥46一致性检验,Kappa值分别为0.314,0.265,0.401(P〈0.01)。结论HDAS和SAS均具有良好的量表内部一致性,但HAD—A与SAS、HAMA间的焦虑评定一致性仅为轻到中等程度。 Objective To the hospital anxiety and depression scale (HADS) and the seff-rating anxiety scale(SAS) and hanfihon anxiety scale (HAMA) in assessment anxiety among outpatients in general hospital. Methods 229 outpatients from 15 general hospitals who have tested with HADS( HADS ≥ 8 )completed the SAS and HAMA. Analyses with respect to internal consistency, correlation analysis,and agreement (Kappa coefficient and McNemar test) at recommended cut-off score were performed. Results The HADS, HAD-A and SAS had high internal consistency with Cronbach coefficient (0. 866,0. 849,0. 832 respectively). Significant positive correction was observed among HADS,HAD-A and SAS,HAMA score( r=0. 494-0. 874, P〈0.01 ). The best agreement with HAMA≥14 was HAD-A ≥8, SAS ≥46, their Kappa values were 0.314,0. 524 respectively (P 〈 0.01 ). The Kappa values between HAD-A ≥ 8 and SAS i〉 46, SAS≥ 50 were 0. 401,0. 265 (P 〈 0.01 ). Conclusion HDAS and SAS scale have high internal consistency. The agreement in assessment anxiety between HAD-A and SAS, HAMA at the best suitable cut-off score is mild to moderate.
出处 《中华行为医学与脑科学杂志》 CAS CSCD 北大核心 2013年第3期271-273,共3页 Chinese Journal of Behavioral Medicine and Brain Science
基金 广东省科技计划项目(2006B368006)
关键词 医院焦虑抑郁量表 焦虑自评量表 汉密顿焦虑量表 Hospital anxiety and depression scale Seffrating anxiety scale Hamilton anxiety scale
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