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：

焦虑; 抑郁; 综合医院患者; 快速筛查

Video：

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目的　初步测试中文版情绪障碍快速筛查量表K6、SCL-8AD及其分量表（SCL-8、SCL-ANX4及SCL-DEP6）在综合医院内科和精神科住院患者中的适用性。方法　 2011年11月－12月对四川大学华西医院内科（心脏内科、消化内科、风湿免疫科、内分泌科、神经内科）和精神科的住院患者共373例应用由K6和SCL-8AD量表构成的问卷进行自评，分析总问卷、各量表及分量表的信度及相互之间的相关性；在各科患者间进行评分结果差异性比较，并分别将内科及精神科评分结果与住院日进行相关分析。结果　各量表及全问卷的Cronbach’s α系数和分半系数＞0.75（内科：0.802～0.952，精神科：0.774～0.944）；其中，K6及SCL-8的Cronbach’s α系数和分半系数在内科及精神科均≥0.817。总问卷、各量表及分量表相互之间均存在较高相关性（r≥0.676）；其中，K6及SCL-8与问卷总分均有极高相关性（r≥0.959）。问卷总分、各量表及分量表评分内科组均低于精神科组。结论　条目少、操作简便的中文版K6和SCL-8量表内部一致性高、其评定结果能较全面反应综合医院内科及精神科住院患者中不同程度的焦虑及抑郁情绪，值得对其进行更深入研究，以便推广应用于非精神科患者情绪障碍的快速筛查。

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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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.	杨兴洁, 施旺红, 杨业兵. 自身免疫病伴抑郁障碍的研究进展[J]. 中国行为医学科学, 2006, 15(10): 952-953.
17.	唐玲丽, 赵勇. 类风湿关节炎患者心理健康状况与血清可溶性P-选择素的相关性研究[J]. 中国行为医学科学, 2006, 15(9): 785-786.
18.	李晓峰, 李晓兰, 张亚美. 系统性红斑狼疮患者抑郁情况的调查[J]. 现代护理, 2004, 10(4): 350-351.
19.	李云霞, 丁素菊. 抑郁与神经系统疾病的研究进展[J]. 神经疾病与精神卫生, 2006, 6(6): 466-469.

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. 　费立鹏. 中国的精神卫生问题——21世纪的挑战和选择[J]. 中国神经精神疾病志, 2004, 30(1): 1-10.
3. 　刘微, 张薇, 杨军. 初级保健中抑郁症的识别与治疗[J]. 中国初级卫生保健, 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. 　杨蜀云, 李家磊. 综合医院住院患者合并精神障碍会诊状况分析[J]. 临床心身疾病杂志, 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, 严和耽, 陆余芬, 等. 世界卫生组织初级卫生保健病人心理障碍合作研究的上海样本结果[J]. 中华精神科杂志, 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. 　杨兴洁, 施旺红, 杨业兵. 自身免疫病伴抑郁障碍的研究进展[J]. 中国行为医学科学, 2006, 15(10): 952-953.
17. 　唐玲丽, 赵勇. 类风湿关节炎患者心理健康状况与血清可溶性P-选择素的相关性研究[J]. 中国行为医学科学, 2006, 15(9): 785-786.
18. 　李晓峰, 李晓兰, 张亚美. 系统性红斑狼疮患者抑郁情况的调查[J]. 现代护理, 2004, 10(4): 350-351.
19. 　李云霞, 丁素菊. 抑郁与神经系统疾病的研究进展[J]. 神经疾病与精神卫生, 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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