The “GHU-Checkist”: Validity and acceptability of a 17-words checklist for rapid screening of depressive symptoms and anxiety

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2022-10-01 DOI:10.1016/j.ejpsy.2022.03.002
Fabienne El-Khoury , Justine Lahaye , Camille Oudinet , Pierre Alexis Geoffroy , Enrique Casalino , Christophe Choquet , Florence Perquier , Michel Lejoyeux
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Abstract

Background and objectives

Early detection of psychiatric disorders in general hospital settings could facilitate a systematic assessment of anxiety and depression, and lessen their non-detection, misdiagnoses and subsequent negative impacts. We built a new short screening tool with simple Yes/No questions on anxiety and depression and examined its diagnostic capacity and acceptability.

Methods

Our cross-sectional study included 608 patients examined in an emergency department at a Parisian general hospital. Their depressive and anxiety symptoms were assessed with the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder 7 (GAD-7). Participants also completed the ‘GHU-checklist’, a list of 17 words evoking moods or feelings. Sensitivity and specificity of the checklist were determined using receiver operating characteristic (ROC) analysis.

Results

22.7% of participants had depressive symptoms as measured by the PHQ-9, while 25.4% suffered from moderate or severe anxiety. Most participants perceived positively the GHU-checklist, which had a sensitivity of 81.5% in distinguishing patients with depressive symptoms. Sensitivity was 86.0% for moderate anxiety and 94.7% for severe anxiety. The specificity ranged from 64.3% to 71.1%.

Conclusions

A short 17-words checklist is able to ultra-rapidly screen for depressive and anxiety symptoms in non-psychiatric medical settings, and was perceived positively by patients. Its systematic use could facilitate a rapid and systematic assessment of these symptoms, especially in crowded and under-staffed settings such as the emergency department.

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“ghu - checist”:17字快速筛选抑郁症状和焦虑的有效性和可接受性
背景和目的在综合医院环境中早期发现精神障碍有助于对焦虑和抑郁进行系统评估,减少其未发现、误诊和随后的负面影响。我们建立了一个新的简短筛查工具,其中包含关于焦虑和抑郁的简单“是/否”问题,并检查了其诊断能力和可接受性。方法我们的横断面研究包括608名在巴黎综合医院急诊科接受检查的患者。他们的抑郁和焦虑症状采用患者健康问卷(PHQ-9)和广泛性焦虑症7(GAD-7)进行评估。参与者还完成了“GHU清单”,这是一份由17个单词组成的清单,能唤起情绪或感受。使用受试者操作特征(ROC)分析确定检查表的敏感性和特异性。结果22.7%的参与者在PHQ-9测试中有抑郁症状,25.4%的参与者有中度或重度焦虑。大多数参与者对GHU检查表持积极态度,该检查表在区分有抑郁症状的患者方面的敏感性为81.5%。中度焦虑的敏感度为86.0%,重度焦虑的敏感率为94.7%。结论一份简短的17个单词的检查表能够在非精神病医疗环境中超快速筛查抑郁和焦虑症状,并被患者积极感知。它的系统使用可以促进对这些症状的快速和系统评估,特别是在拥挤和人手不足的环境中,如急诊科。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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