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首页> 外文期刊>The International journal of social psychiatry >A screening instrument for psychological distress in botswana: validation of the Setswana version of the 28-item general health questionnaire.
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A screening instrument for psychological distress in botswana: validation of the Setswana version of the 28-item general health questionnaire.

机译：博茨瓦纳心理困扰的筛查工具：验证28项普通健康调查问卷的Setswana版本。

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OBJECTIVES: To develop a Setswana version of the 28-item General Health Questionnaire (GHQ-28) for use in Botswana. METHODS: A sample of 126 subjects attending primary healthcare clinics completed the GHQ-28, which contains four subscales of seven questions each for the following domains: somatic concerns, anxiety, social function and depression. All subjects were also interviewed with the Clinical Interview Schedule (CIS). Psychiatric casesness was ascertained by CIS scores greater than 20 and an overall severity of symptoms rating (OSR) of > or =2 on a 0-4 point scale. A receiver operating characteristic (ROC) analysis was undertaken to assess which GHQ cut-off score gave the best casesness yield as defined by the combined CIS and OSR assessments. RESULTS: Of the 126 subjects enrolled, 122 completed the study, with 18 (14.5%) meeting criteria for caseness. There were no gender differences with respect to GHQ or CIS scores. The ROC analysis revealed that the GHQ threshold of 7/8 gave the best sensitivity (88%) and specificity (67%) results. The internal consistency of the translated GHQ was maintained with Cronbach alpha scores ranging from 0.76 to 0.91 for the subscales. CONCLUSIONS: The Setswana GHQ-28 represents a valid instrument of screening for psychological distress in a primary healthcare setting in Botswana.
机译：目的：开发一套28项通用健康问卷（GHQ-28）的Setswana版本，用于博茨瓦纳。方法：从126名就诊的初级保健诊所就诊的受试者完成了GHQ-28，该问卷包含四个分量表，每个分量表包含以下七个领域的七个问题：躯体关注，焦虑，社交功能和抑郁。所有受试者均接受了临床访谈时间表（CIS）的采访。 CIS评分大于20，症状评分（OSR）的总体严重程度（OSR）≥0或= 2，可确定精神病学情况。进行了接收者操作特征（ROC）分析，以评估哪一个GHQ截止评分给出了CIS和OSR联合评估所定义的最佳案例收率。结果：在入选的126名受试者中，有122名完成了研究，其中18名（14.5％）符合病例标准。 GHQ或CIS分数没有性别差异。 ROC分析显示，GHQ阈值为7/8可获得最佳灵敏度（88％）和特异性（67％）结果。分量表的Cronbach alpha分数保持在0.76至0.91之间，翻译后的GHQ的内部一致性得以维持。结论：Setswana GHQ-28是在博茨瓦纳主要医疗机构筛查心理困扰的有效工具。

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