Document Detail


A comparison of three psychiatric screening tests using receiver operating characteristic (ROC) analysis.
MedLine Citation:
PMID:  2725088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Self-administered screening questionnaires are available to assist primary care physicians in detecting undiagnosed depression and anxiety disorders. This study used receiver operating characteristic (ROC) analysis to evaluate three such tests: the General Health Questionnaire (GHQ), the Mental Health Inventory (MHI), and the Somatic Symptom Inventory (SSI). Stratified by the results of a preliminary GHQ, 364 health maintenance organization (HMO) members were given these tests and a Diagnostic Interview Schedule (DIS), the latter used as a "truth" standard for current psychiatric diagnosis. The MHI performed significantly better than the GHQ in detecting mental disorders generally and anxiety disorders in particular, and somewhat better in detecting affective disorders. The SSI performed best in detecting anxiety disorders and was significantly better than the GHQ. When subjects who had participated in a previous study involving repeated GHQ administration were excluded, sensitivity of all tests improved, especially the GHQ. We conclude that the MHI can be a useful tool for screening primary care patients, and that the SSI has additional predictive value with respect to anxiety disorders.
Authors:
M C Weinstein; D M Berwick; P A Goldman; J M Murphy; A J Barsky
Related Documents :
3806428 - Developing a screening index for community studies of somatization disorder.
3877088 - The prevalence of visual disorders in a school for emotionally disturbed children.
2203158 - Shiftwork: effects on sleep and health with recommendations for medical surveillance an...
8924298 - The epidemiology, mortality and morbidity of tuberculosis in australia: 1850-94.
19073288 - Chronic fatigue syndrome and dsm-iv personality disorders.
18329598 - The prevalence of binge eating disorder and borderline personality symptomatology among...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Medical care     Volume:  27     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-07-12     Completed Date:  1989-07-12     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  593-607     Citation Subset:  IM    
Affiliation:
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anxiety Disorders / diagnosis*
Depressive Disorder / diagnosis*
Humans
Middle Aged
Psychological Tests*
Questionnaires
ROC Curve*
Grant Support
ID/Acronym/Agency:
R01-MH-40076/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Clinical algorithms teach pediatric decisionmaking more effectively than prose.
Next Document:  Stage at diagnosis of breast cancer. Comparison in a fee-for-service and health maintenance organiza...