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Il Symptom Questionnaire come strumento di screening nei contesti sanitari di base

Published online by Cambridge University Press:  07 August 2014

Paola Rucci ,
Piero de Marco  and
Raffaella Bivi
Piero de Marco
Affiliation:
SERT, USL 27, Bologna Ovest
Raffaella Bivi
Affiliation:
Servizio di Salute Mentale, USL 31, Ferrara
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Summary

Objective. - To test by means of ROC analysis the performance of the Symptom Questionnaire (SQ) of Kellner and Fava against an interview designed for making DSM-III diagnoses in 517 subjects. To analyse the trend of SQ scores at 3 months, 1 year and 2 years after the first interview in a sample of 112 persons. Design. - Cross-sectional and longitudinal analysis of the distributions of SQ scores in DSM-III cases and in non-cases. Setting. - General practice, hospital medical wards and emergency departments of Regione Emilia Romagna. Main outcome measures. - Symptom Questionnaire, Bech Mini-compendium to formulate DSM-III diagnoses. Results. - The SQ reached high sensitivity and specificity levels (80%, 76% in general practice, 86%, 74% in hospital medical wards, 83%, 85% in emergency departments with the cut-off scores of 24, 24 and 26, respectively). SQ scores show a similar trend in cases and in non-cases, with a significant drop at three months. Conclusions. - The SQ seems to be an adequate screening tool in the above-mentioned settings, but its length and the assistance sometimes needed during the compilation make its use in the emergency departments problematic.

Keywords

general medical settingsscreening toolcontesti sanitari di basestrumento di screening
Type
Articoli
Information
Epidemiology and Psychiatric Sciences , Volume 3 , Issue 1 , April 1994 , pp. 31 - 37
Copyright
Copyright © Cambridge University Press 1994

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References

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