I Gunther Eysenbach %V 5 %N 3 %P e23 %T基于网络的初级保健抑郁症和焦虑症筛查仪器%A Farvolden,Peter %A McBride,Carolina %A Bagby,R Michael %A Ravitz,Paula %+临床研究部，人格和精神病理科，成瘾和精神健康中心，250学院街，207室，安大略省多伦多M5T 1R8， +1 416 535 8501 ext 6181，peter_farvolden@camh.net %K抑郁症%K焦虑症%K保健需求评估%K筛查%K网络服务%K治疗%K初级保健%K诊断%K精神健康%D 2003 %7 29.9.2003 %9原始论文%J J医学互联网Res %G英语%X背景:重度抑郁症(MDD)和焦虑症是常见的，会导致相当大的痛苦和经济损失。患有重度抑郁症和/或焦虑症的人通常在初级保健环境中遇到。不幸的是，大多数患有这些疾病的人要么得不到治疗，要么得不到充分的治疗;目前的数据表明，全科医生不能诊断出多达一半的重度抑郁症或焦虑症病例。需要筛选工具，帮助医生和其他初级保健专业人员识别和充分治疗重度抑郁症和焦虑症。虽然目前可用的自我报告筛选工具已被证明是可靠和有效的，但在初级保健中广泛使用它们仍存在相当大的障碍。目的:本研究的目的是报告一种可免费获得的、简短的、基于网络的、自我报告的重度抑郁障碍和焦虑症筛查器的初步验证数据。方法:采用基于web的抑郁和焦虑测试(WB-DAT)对193名参加加拿大安大略省多伦多成瘾和心理健康中心情绪和焦虑项目和临床研究部正在进行的研究项目进行评估和/或治疗的受试者进行测试。受试者完成基于网络的筛查工具，随后接受《精神障碍诊断与统计手册》第四版(DSM-IV) I轴障碍(SCID-I/P)的结构化临床访谈。 The diagnostic data from the screening instrument were then compared with the data from the individual's SCID-I/P interview. Diagnostic concordance between SCID-I/P diagnoses and the Web-Based Depression and Anxiety Test were assessed using Cohen's kappa, sensitivity, specificity, positive predictive value, negative predictive value, and efficiency. Results: Agreement ranged from acceptable to good (0.57-0.70) for major depressive disorder, panic disorder with and without agoraphobia (PD+/-AG), social phobia/social anxiety disorder, obsessive compulsive disorder (OCD), generalized anxiety disorder (GAD), and post traumatic stress disorder (PTSD). With the exception of generalized anxiety disorder, the sensitivity (0.71-0.95) and specificity (0.87-0.97) for the major diagnostic categories assessed by the Web-Based Depression and Anxiety Test were good. The sensitivity for generalized anxiety disorder was somewhat lower (0.63) but acceptable. Positive predictive values were good (0.60-0.75) for major depressive disorder, obsessive compulsive disorder, generalized anxiety disorder, and post traumatic stress disorder, and acceptable for panic disorder with and without agoraphobia and for social phobia/social anxiety disorder. Conclusions: These preliminary data suggest that the Web-Based Depression and Anxiety Test is reliable for identifying patients with and without major depressive disorder and the anxiety disorders of panic disorder with and without agoraphobia, social phobia/social anxiety disorder, obsessive compulsive disorder, and post traumatic stress disorder. Further research is required in a larger sample in primary care. %M 14517114 %R 10.2196/jmir.5.3.e23 %U //www.mybigtv.com/2003/3/e23/ %U https://doi.org/10.2196/jmir.5.3.e23 %U http://www.ncbi.nlm.nih.gov/pubmed/14517114