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首页> 外文期刊>The International journal of social psychiatry >The Schedule for Evaluating Persistent Symptoms (SEPS): a new method of recording medically unexplained symptoms.
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The Schedule for Evaluating Persistent Symptoms (SEPS): a new method of recording medically unexplained symptoms.

机译：评估持久性症状（SEPS）的时间表：一种记录医学上无法解释的症状的新方法。

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Medically unexplained symptoms are difficult to measure and in most cases the diagnosis is made either from independent data such as consultants' opinions or medical outcomes, or by proxy measures such as numbers of symptoms or consultations. A valid self-rated measure would be of value in assessing this highly prevalent condition.To describe a new scale of nine items, the Schedule for Evaluation of Persistent Symptoms (SEPS), its properties, its internal consistency, its distribution in a sample of 470 medical patients, its relationship to social functioning and health anxiety (hypochondriasis), and its construct validity by comparing its results with an independent diagnostic examination of each patient's notes two years subsequent to assessment.A prevalence study was carried out in 405 consenting medical patients in primary care, cardiology, respiratory medicine, gastroenterology and endocrine clinics, in which the SEPS scale, the Health Anxiety Inventory (HAI) and the Social Functioning Questionnaire (SFQ) were each completed.The mean score on the SEPS scale in 470 patients was 13.4. Exploratory factor analysis revealed two main factors, one concerned focus on symptoms and the other on their attribution. Examination of all data showed a cut-off point of 14 as indicating the presence of pathological medically unexplained symptoms (MUS). Agreement between the consultants' diagnosis and pathological MUS scores was fairly good with a score of 14 or more on the SEPS showing sensitivity of 0.65 and negative predictive accuracy of 0.90.It is concluded that the SEPS scale has potential value in screening patients with suspected medically unexplained symptoms.
机译：医学上无法解释的症状难以测量，并且在大多数情况下，诊断是根据独立数据（例如顾问的意见或医疗结果）或通过替代指标（例如症状或咨询次数）进行的。有效的自我评估措施对于评估这种高度流行的疾病将具有价值。为了描述一个新的9个项目的量表，持续症状评估表（SEPS），其性质，内部一致性，在样本中的分布评估后两年对470名医疗患者，其与社会功能和健康焦虑（软骨症）的关系以及其结果与每位患者笔记的独立诊断检查结果进行比较而得出的结构效度。对405名同意接受医疗的患者进行了患病率研究在初级保健，心脏病学，呼吸内科，消化内科和内分泌诊所中，分别完成了SEPS量表，健康焦虑量表（HAI）和社会功能问卷（SFQ）.470位患者的SEPS量表平均得分为13.4。探索性因素分析揭示了两个主要因素，一个关注症状，另一个关注其归因。所有数据的检查表明，存在14分的临界点，表明存在医学上无法解释的病理症状（MUS）。顾问的诊断和病理MUS评分之间的一致性相当好，SEPS评分为14分或更高，敏感性为0.65，阴性预测准确度为0.90。结论是，SEPS量表对筛查疑似患者具有潜在价值无法解释的症状。

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