The Validity of the Five-item Brief Psychiatric Symptom Rating Scale among General Hospital Inpatients

五題簡式精神症狀量表在綜合醫院住院病人的效度

王裕庭(Yu-Ting Wang) ； 楊延光(Yen-Kuang Yang) ； 陳高欽(Kao-Ching Chen) ； 葉宗烈(Tzung-Lieh Yeh) ； 陸汝斌(Ru-Band Lu)

《台灣精神醫學》 22卷4期 (2008/12) Pp. 316-321

https://doi.org/10.29478/TJP.200812.0008

摘要

目的：本研究在一所醫學中心非精神科病房中進行；試驗五題之簡式精神症狀驗檢表在篩檢精神疾病診斷的效度。方法：245個住院病人完成五題之簡式精神症狀驗檢表，從中挑選30位分數大於或等於六分的個案進行迷你國際神經精神會談，並施測漢氏憂鬱量表。方法：18位個案完成會談與量表施測。漢氏憂鬱量表的平均分數為11.71±6.80.分。接收者工作特徵曲線結果顯示若將試驗簡式精神症狀驗檢表的切分點設做11，則敏感度0.5，特異性0.75。結論：此研究的結果顯示當我們在住院病人使用五題之簡式精神症狀驗檢表時，理想的切分點可能需要做調整。

關鍵字

五題之簡式精神症狀驗檢表 ； 共病

並列摘要

Objective: The aim of this study was to screen for mental illness in non-psychiatric medical inpatients in a university hospital using the five-item brief psychiatric symptom rating scale (BSRS-5). Method: Thirty participants whose BSRS-5 scores were greater than or equal to 6 were chosen randomly from 245 inpatients, and 18 of these patients were assessed using the Mini-International Neuropsychiatric Interview (MINI) and the Hamilton Depression Rating Scale (HAM-D). Results: Six of the 18 selected patients (33.3%) were diagnosed as having a psychiatric disorder by MINI. The mean of the HAM-D scores was 11.71±6.80. The receiver-operating-characteristics curve showed that a BSRS-5 cut-off score of 11 provided sensitivity (0.5) and specifi city (0.75). Conclusion: The cut-off point needs to be adjusted when using the BSRS-5 in patients on a non-psychiatric medical ward with a BSRS-5 score of greater than or equal to 6.

並列關鍵字

BSRS-5 ； comorbidity

參考文獻

Liu S I,Prince M,Blizard B,Mann A(2002).The prevalence of psychiatric morbidity and its associated factors in general health care in Taiwan.Psychol Med.32,629-637.

Martucci M,Balestrieri M,Bisoffi G(1999).Evaluating psychiatric morbidity in a general hospital: a two-phase epidemiological survey.Psychol Med.29,823-832.

McDermut W,Mattia J,Zimrnermon M(2001).Comorbidity burden and its impact on psychosocial morbidity in depressed outpatients.J Affect Disord.62,289-295.

Fulop G,Strain JJ,Vita J,Lyons JS,Hammer JS(1987).Impact of psychiatric comorbidity on length of hospital stay for medical/surgical patients: a preliminary report.Am J Psychiatry.144,878-882.

Lee MB,Lee LY,Yen LL,Lin MH,Lue BH(1990).Reliability and validity of using a brief psychiatric symptom rating scale in clinical practice.J Formos Med Assoc.89,1081-1087.