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Designing and implementing an experimental survey on knowledge and perceptions about alcohol warning labels 设计并实施一项关于酒精警告标签的知识和看法的实验调查。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-17 DOI: 10.1002/mpr.2016
Daniela Correia, Alexander Tran, Daša Kokole, Maria Neufeld, Aleksandra Olsen, Tiina Likki, Carina Ferreira-Borges, Jürgen Rehm

Objectives

This paper describes the design and implementation of an online survey experiment to investigate the effects of alcohol warning labels on alcohol-related knowledge, risk perceptions and intentions.

Method

The survey collected self-reported data from 14 European countries through two waves of data collection with different recruitment strategies: dissemination via social media and public health agencies was followed by paid-for Facebook ads. The latter strategy was adopted to achieve broader population representation. Post-stratification weighting was used to match the sample to population demographics.

Results

The survey received over 34,000 visits and resulted in a sample size of 19,601 participants with complete data on key sociodemographic characteristics. The responses in the first wave were over-representing females and higher educated people, thus the dissemination was complemented by the paid-for Facebook ads targeting more diverse populations but had higher attrition rate.

Conclusion

Experiments can be integrated into general population surveys. Pan-European results can be achieved with limited resources and a combination of sampling methods to compensate for different biases, and statistical adjustments.

目的:本文介绍了一项在线调查实验的设计和实施:本文介绍了一项在线调查实验的设计和实施,该实验旨在研究酒精警示标签对酒精相关知识、风险认知和意向的影响:调查通过两波数据收集活动收集了来自 14 个欧洲国家的自我报告数据,并采用了不同的招募策略:通过社交媒体和公共卫生机构进行传播,然后在 Facebook 上发布付费广告。采用后一种策略是为了实现更广泛的人群代表性。采用后分层加权法使样本与人口统计相匹配:该调查的访问量超过 34,000 人次,样本容量为 19,601 人,其中包含关键社会人口特征的完整数据。第一轮调查中,女性和高学历人群占比过高,因此,针对更多样化人群的 Facebook 付费广告对传播起到了补充作用,但自然减员率较高:结论:可以将实验纳入普通人口调查。结论:可以将实验纳入普通人口调查,利用有限的资源,结合抽样方法来弥补不同的偏差,并进行统计调整,从而取得泛欧结果。
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引用次数: 0
Lifetime prevalence, risk, and treatment of mood and anxiety disorders in Qatar's national mental health study 卡塔尔国家心理健康研究中情绪和焦虑症的终生患病率、风险和治疗。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1002/mpr.2011
Salma Mawfek Khaled, Nour W. Z. Alhussaini, Majid Alabdulla, Nancy A. Sampson, Ronald C. Kessler, Peter W. Woodruff, Sheik Mohammed Al-Thani

Objectives

To estimate lifetime prevalence, risk, and treatment for mental disorders and their correlates in Qatar's general population for the first time.

Methods

We conducted a national phone survey of 5,195 Qatari and Arab residents in Qatar (2019–2022) using the Composite International Diagnostic Interview Version 3.3 and estimated lifetime mood and anxiety defined diagnoses. Survival-based discrete time models, lifetime morbid risk, and treatment projections were estimated.

Results

Lifetime prevalence of any disorder was 28.0% and was associated with younger cohorts, females, and migrants, but lower formal education. Treatment contact in the year of disorder onset were 13.5%. The median delay in receiving treatment was 5 years (IQR = 2–13). Lifetime treatment among those with a lifetime disorder were 59.9% for non-healthcare and 63.5% for healthcare; it was 68.1% for any anxiety and 80.1% for any mood disorder after 50 years of onset. Younger cohorts and later age of onset were significantly predictors of treatment.

Conclusions

Lifetime prevalence of mental disorders in Qatar is comparable to other countries. Treatment is significantly delayed and delivered largely in non-healthcare sectors thus the need for increased literacy of mental illness to reduce stigma and improve earlier help-seeking in healthcare settings.

目的首次估算卡塔尔普通人群一生中精神障碍的患病率、风险和治疗情况及其相关性:我们使用国际综合诊断访谈 3.3 版对卡塔尔的 5195 名卡塔尔人和阿拉伯居民进行了一次全国性电话调查(2019-2022 年),并估算了终生情绪和焦虑定义诊断。对基于生存期的离散时间模型、终生发病风险和治疗预测进行了估算:结果:终生任何障碍的患病率为 28.0%,与年轻群体、女性和移民有关,但正规教育程度较低。发病当年接受治疗的比例为 13.5%。接受治疗的中位延迟时间为 5 年(IQR = 2-13)。在终生患有失调症的人群中,59.9%的人终生接受非保健类治疗,63.5%的人终生接受保健类治疗;在发病50年后,68.1%的人终生接受焦虑症治疗,80.1%的人终生接受心境障碍治疗。较年轻的组群和较晚的发病年龄是治疗的重要预测因素:结论:卡塔尔精神障碍的终生患病率与其他国家相当。治疗严重滞后,且主要由非医疗保健部门提供,因此有必要提高对精神疾病的认识,以减少耻辱感并改善医疗保健环境中的早期求助。
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引用次数: 0
Qatar's National Mental Health Survey—The World Mental Health Qatar: Sampling design, instrument adaptation, quality control, and fielding procedures 卡塔尔全国心理健康调查--卡塔尔世界心理健康:抽样设计、工具调整、质量控制和实地调查程序。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1002/mpr.2010
Salma M. Khaled, Iman Amro, Lina Bader, John Lee Holmes, Kien Le Trung, Abdoulaye Diop

Objectives

The World Mental Health Qatar (WMHQ) study, the first national general population mental health survey in Qatar, was conducted as part of the World Health Organization (WHO) World Mental Health (WMH) Survey Initiative. It was one of the few WMH survey conducted during the COVID-19 pandemic. This paper presents the methodological advances and challenges encountered while conducting the survey by telephone during the pandemic.

Methods

Disproportionate stratified sampling using a national-level cellular telephone frame selected a representative sample of Arabic-speaking adults. Participants were initially contacted via Short Message Service text, followed by telephone interviews. WMH training materials supported a comprehensive training program, and data quality was ensured through a quality control indicator system and extensive monitoring.

Results

Over 234 days, 5195 interviews in Arabic were completed, averaging 77 min each. In line with Qatar's population, the majority of participants were non-Qatari residents living in Qatar (72.2%).

Conclusions

A distributed remote Computer Assisted Telephone Interviewing system facilitated centralized quality monitoring and data security. However, the pandemic intensified challenges such as remote management of interviewer productivity, low response rates, and rising survey costs. The findings will inform Qatar's mental health policymakers, and the strategies used to address these challenges offer valuable insights for researchers worldwide.

调查目的卡塔尔世界心理健康(WMHQ)研究是卡塔尔首次开展的全国普通人群心理健康调查,是世界卫生组织(WHO)世界心理健康(WMH)调查倡议的一部分。它是在 COVID-19 大流行期间开展的为数不多的 WMH 调查之一。本文介绍了在大流行期间通过电话进行调查在方法上取得的进展和遇到的挑战:方法:使用国家级移动电话框架进行不成比例分层抽样,选出具有代表性的阿拉伯语成人样本。首先通过短信服务与参与者取得联系,然后进行电话访谈。WMH 培训材料为综合培训计划提供了支持,数据质量则通过质量控制指标体系和广泛监测得到了保证:在 234 天内,完成了 5195 次阿拉伯语访谈,平均每次 77 分钟。与卡塔尔的人口情况一致,大多数参与者是居住在卡塔尔的非卡塔尔居民(72.2%):分布式远程计算机辅助电话访问系统有利于集中质量监控和数据安全。然而,大流行病加剧了各种挑战,如远程管理访谈员的工作效率、低应答率和调查成本上升。研究结果将为卡塔尔的心理健康政策制定者提供参考,而应对这些挑战的策略也为全球研究人员提供了宝贵的启示。
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引用次数: 0
Clinical reappraisal of the composite international diagnostic interview version 3.3 in Qatar's National Mental Health Study 卡塔尔国家心理健康研究对 3.3 版国际综合诊断访谈的临床再评估。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1002/mpr.2013
Salma M. Khaled, Iman Amro, Menatalla Abdelkader, Dalia Al Bahari, Mahmoud Al Shawwaf, Majid Alabdulla, Ahmed Alhassan, Amal Ali, Sheeren Aly, Asmaa Amin, Wai Tat Chiu, James Currie, Hana El Fakki, Michael B. First, Mohammed H. O. Hassan, Zainab Hijawi, Rumaisa Mohammed, Marwa Nofal, Salma Salman, Nancy A. Sampson, Peter W. Woodruff, Ronald C. Kessler

Objectives

Lifetime DSM-5 diagnoses generated by the lay-administered Composite International Diagnostic Interview for DSM-5 (CIDI) in the World Mental Health Qatar (WMHQ) study were compared to diagnoses based on blinded clinician-administered reappraisal interviews.

Methods

Telephone follow-up interviews used the non-patient edition of the Structured Clinician Interview for DSM-5 (SCID) oversampling respondents who screened positive for five diagnoses in the CIDI: major depressive episode, mania/hypomania, panic disorder, generalized anxiety disorder, and obsessive-compulsive disorder. Concordance was also examined for a diagnoses of post-traumatic stress disorder based on a short-form versus full version of the PTSD Checklist for DSM-5 (PCL-5).

Results

Initial CIDI prevalence estimates differed significantly from the SCID for most diagnoses (χ12 ${chi }_{1}^{2}$ = 6.6–31.4, p = 0.010 < 0.001), but recalibration reduced most of these differences and led to consistent increases in individual-level concordance (AU-ROC) from 0.53–0.76 to 0.67–0.81. Recalibration of the short-form PCL-5 removed an initially significant difference in PTSD prevalence with the full PCL-5 (from χ12 ${chi }_{1}^{2}$ = 610.5, p < 0.001 to χ12 ${chi }_{1}^{2}$ = 2.5, p = 0.110) while also increasing AU-ROC from 0.76 to 0.81.

目的:将世界心理健康卡塔尔(WMHQ)研究中由非专业人员主持的DSM-5综合国际诊断访谈(CIDI)得出的DSM-5终生诊断结果与由临床医生主持的盲法再评估访谈得出的诊断结果进行比较:电话随访使用了非患者版的 DSM-5 临床医师结构化访谈(SCID),对在 CIDI 中筛查出五项诊断阳性的受访者进行了过度取样,这五项诊断是:重度抑郁发作、躁狂/狂躁症、恐慌症、广泛性焦虑症和强迫症。此外,还根据 DSM-5 创伤后应激障碍核对表(PCL-5)的简短版与完整版,对创伤后应激障碍诊断的一致性进行了检查:在大多数诊断中,CIDI 最初的患病率估计值与 SCID 有显著差异 ( χ 1 2 ${chi }_{1}^{2}$ = 6.6-31.4, p = 0.010 χ 1 2 ${chi }_{1}^{2}$ = 610.5,p χ 1 2 ${chi }_{1}^{2}$ = 2.5,p = 0.110),同时也将 AU-ROC 从 0.76 提高到 0.81:重新校准后,卡塔尔全国心理健康调查中常见精神障碍的诊断结果是有效的,但某些精神障碍的患病率估计值被夸大了,在解释结果时需要加以考虑。
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引用次数: 0
Qatar's National Mental Health Study—The World Mental Health Qatar 卡塔尔国家心理健康研究--卡塔尔世界心理健康。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1002/mpr.2008
Salma Mawfek Khaled, Majid Al-Abdulla, Iain Tulley, Sheik Mohammed Al-Thani, Peter W. Woodruff

Background

We provide an overview of Qatar's first epidemiological study on prevalence, predictors, and treatment contact for mood and anxiety disorders.

Aims

We highlight the importance of the three-pronged study, its aims, and its key components.

Materials & Methods

The first component comprised a probability-based representative survey of Qatari and non-Qatari (Arab) adult males and females recruited from the general population and interviewed using the International Diagnostic Interview (CIDI version 3.3). The second component, a clinical reappraisal study, assessed concordance between diagnoses based on the CIDI and independent clinical assessments conducted by trained clinical interviewers. The third component comprised a resting-state functional magnetic resonance imaging study of healthy survey respondents who were matched to patients with psychosis.

Results

5000 survey interviews provided data on prevalence and treatment of common mental disorders. Clinical re-interviews (N = 485) provided important diagnostic validity data. Finally, state-of-the art structural and functional brain markers for psychosis were also collected (N = 100).

Discussion

Descriptive epidemiological data were collected to inform future mental health priorities in Qatar and situates these within a global context.

Conclusion

The study fills important gaps in regional and global estimates and establish necessary baseline to develop comprehensive risk estimates for mental health in Qatar’s young population.

背景:我们概述了卡塔尔首次针对情绪和焦虑障碍的患病率、预测因素和治疗接触进行的流行病学研究。目的:我们强调了这项三管齐下研究的重要性、目标及其关键组成部分:第一部分是对卡塔尔和非卡塔尔(阿拉伯)成年男性和女性进行的概率代表性调查,调查对象从普通人群中招募,采用国际诊断访谈法(CIDI 3.3 版)进行访谈。第二部分是临床再评估研究,评估基于 CIDI 的诊断与训练有素的临床访谈员进行的独立临床评估之间的一致性。第三部分包括一项静息态功能磁共振成像研究,研究对象是与精神病患者相匹配的健康调查对象:5000份调查访谈提供了有关常见精神障碍的患病率和治疗情况的数据。临床再访谈(N = 485)提供了重要的诊断有效性数据。最后,还收集了最先进的精神病大脑结构和功能标记(N = 100):讨论:收集到的描述性流行病学数据为卡塔尔未来的精神健康优先事项提供了信息,并将其置于全球背景之下:这项研究填补了地区和全球估算中的重要空白,为制定卡塔尔年轻人群精神健康综合风险估算建立了必要的基线。
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引用次数: 0
Feasibility of replacing face-to-face with telephone interviews for the World Mental Health Qatar survey during the COVID-19 pandemic 在 COVID-19 大流行期间,在卡塔尔世界心理健康调查中用电话访谈取代面对面访谈的可行性。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1002/mpr.2009
Salma M. Khaled, Iman Amro, Lina Bader, John Lee Holmes, Abdoulaye Diop, Kien Le Trung

Objectives

We investigated the feasibility of replacing face-to-face with telephone interviews conducted as part of the World Mental Health Qatar (WMHQ) survey and discuss the main methodological changes across the two pilots that were subsequently implemented in the full-scale WMHQ telephone survey.

Methods

We assessed the net mode effect by comparing the lifetime prevalence estimates of the main mental disorder classes (mood and anxiety disorders) and a number of disorders across the two survey pilots conducted prior to and post-pandemic.

Results

The main differences in terms of methodology for both pilots stemmed from differences in the survey mode, including questionnaire length, study recruitment method, and fielding team size and structure. These factors influenced response rates and costs. However, the lifetime prevalence estimates and other key indicators of survey results did not differ across modes.

Conclusions

Our findings confirm the comparability of data collected via telephone and face-to-face modes, supporting the adoption of telephone surveys for future mental health studies, particularly in the context of pandemics. They also confirm the feasibility of changing or mixing modes depending on field conditions in future psychiatric epidemiological research.

调查目的我们研究了在世界心理健康卡塔尔(WMHQ)调查中用电话采访取代面对面采访的可行性,并讨论了两次试点调查在方法上的主要变化,这些变化随后在全面的 WMHQ 电话调查中得以实施:我们通过比较大流行前后两次试点调查中主要精神障碍类别(情绪障碍和焦虑障碍)和一些障碍的终生患病率估计值,评估了净模式效应:结果:两个试点项目在调查方法上的主要差异源于调查模式的不同,包括问卷长度、研究招募方法以及实地调查团队的规模和结构。这些因素影响了回复率和成本。然而,终生流行率估计值和调查结果的其他关键指标在不同模式下并无差异:我们的研究结果证实了通过电话和面对面方式收集的数据具有可比性,支持在未来的心理健康研究中采用电话调查,尤其是在大流行病的背景下。结论:我们的研究结果证实了电话调查和面对面调查方式收集数据的可比性,支持在未来的精神健康研究中采用电话调查方式,尤其是在流行病的情况下。研究结果还证实了在未来的精神流行病学研究中根据现场条件改变或混合调查方式的可行性。
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引用次数: 0
Closing the gaps in mental health epidemiology—New survey data from Qatar 缩小心理健康流行病学方面的差距--来自卡塔尔的新调查数据。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1002/mpr.2014
John J. McGrath

To understand mental disorders, we need to describe the patterns of different mental disorders across time and place. There are many different ways to count the frequency of mental disorders (e.g. incidence, 12 months and lifetime prevalence, lifetime morbid risk etc). From a practical perspective, we rely on population-based registers and surveys to enumerate the frequency of mental disorders in the community. Registers can provide a wealth of information, especially if datasets can be linked. However, these registers can be biased. Most registers are designed for administrative needs, and thus often oversample individuals who seek help from health settings or who have more severe disabling disorders. These registers ignore individuals who do not seek help for their mental disorders. To address these biases, community-based surveys provide an important perspective on the mental health of societies (Wang et al., 2011). While surveys also have biases (related to participation rates and recall of past events), they allow health planners and researchers to drill down into important topics related to the causes and consequence of mental disorders. From a planning perspective, it is valuable to have data on duration of untreated disorder, the adequacy of treatment and the participants' perspective of the impact of the disorder on their daily life. From a research perspective, it is important to explore potential risk factors that may have caused the disorder. This includes a range of questions related to exposure to childhood adversity, natural disasters, war and civilian conflict, pandemics and other stressors.

The empirical foundation of mental health epidemiology has been enriched over the last few decades, as more sites have conducted large, well-planned community-based surveys. In particular, the field of psychiatric epidemiology has greatly benefited from the international collaboration under the banner of the WHO World Mental Health (WMH) Surveys (Scott et al., 2018). Design features, survey instruments and analytic strategies have been shared, enhancing workforce skills and enabling, cross-national studies (Kessler et al., 2018). For example, in 2007 data were available from a total of 16 countries on key mental health estimates related to age of onset, lifetime prevalence, and cumulative lifetime risk (Kessler et al., 2007). Sixteen years later, data from 13 additional countries were available (McGrath et al., 2023). The updated study included data from 32 WMH surveys conducted in 29 countries (including 12 low- and middle-income).

With all these new surveys, it would be fair to ask if we still need additional community-based surveys. The answer is simple—yes. Put bluntly, ‘if you don't count it, it doesn't count’ (McGrath et al., 2018). There are still many gaps in the global landscape of mental health epidemiology (Kestel et al., 2022;

要了解精神障碍,我们需要描述不同精神障碍在不同时间和地点的模式。有许多不同的方法来计算精神障碍的频率(如发病率、12 个月和终生患病率、终生发病风险等)。从实际角度来看,我们依靠基于人口的登记册和调查来统计精神障碍在社区中的发生频率。登记册可以提供丰富的信息,尤其是在数据集可以相互关联的情况下。然而,这些登记册可能存在偏差。大多数登记册都是为了行政管理的需要而设计的,因此往往会对那些向医疗机构寻求帮助或患有较严重致残性障碍的人进行过度采样。这些登记册忽略了那些没有因精神障碍而寻求帮助的人。为了解决这些偏差,基于社区的调查为社会的心理健康提供了一个重要的视角(Wang 等人,2011 年)。虽然调查也有偏差(与参与率和对过去事件的回忆有关),但它们使健康规划者和研究人员能够深入研究与精神障碍的原因和后果有关的重要课题。从规划的角度来看,掌握有关精神障碍未经治疗的持续时间、治疗的充分性以及参与者对精神障碍对其日常生活的影响的看法等方面的数据是非常有价值的。从研究的角度来看,探索可能导致精神障碍的潜在风险因素非常重要。这包括一系列与童年逆境、自然灾害、战争和平民冲突、大流行病和其他压力因素相关的问题。在过去的几十年里,随着越来越多的地方开展了大规模、计划周密的社区调查,心理健康流行病学的实证基础得到了丰富。尤其是在世界卫生组织世界心理健康(WMH)调查(Scott et al.)调查的设计特点、调查工具和分析策略得到了共享,从而提高了工作人员的技能,并促成了跨国研究(Kessler 等人,2018 年)。例如,2007 年,共有 16 个国家提供了与发病年龄、终生患病率和终生累积风险相关的主要心理健康估计数据(Kessler 等人,2007 年)。16 年后,又有 13 个国家提供了数据(McGrath 等人,2023 年)。更新后的研究包括了来自 29 个国家(包括 12 个中低收入国家)的 32 项 WMH 调查数据。答案很简单--是的。直截了当地说,'如果你不计算它,它就不算数'(McGrath 等人,2018 年)。全球心理健康流行病学的研究仍存在许多空白(Kestel 等人,2022 年;Patel 等人,2018 年)。医疗服务提供者需要了解哪些类型的精神障碍最常见,以及不同的精神障碍是如何在人一生的不同阶段首次出现的。掌握了这些信息,健康规划者就能更好地匹配精神障碍患者所需的服务。这对于中低收入国家尤为重要,因为在这些国家,传染性疾病与非传染性疾病的相对比例正在发生变化(《2019 年全球疾病与伤害报告》疾病与伤害合作者,2020 年)。教学中经常使用的一个比喻简明扼要地描述了这些变化:在本卷中,我们有幸发表了一组论文,报告了卡塔尔精神健康的首次全面调查。卡塔尔加入了既举办过国际足联世界杯,又进行过世界精神卫生调查的国家精英俱乐部。心理健康调查可能不会像世界杯那样引起国际关注,但卡塔尔的研究人员却为这项研究的开展立下了汗马功劳,他们提供了高质量的数据,为这个年轻国家未来的心理健康服务提供了指导。这些研究人员还在 COVID-19 全球疫情影响卡塔尔和全世界的困难时期,设法在卡塔尔开展了迄今为止最大规模的心理健康调查之一。卡塔尔的数据是对黎巴嫩、以色列、伊拉克和沙特阿拉伯等中东国家之前开展的 WMH 调查的补充。正如第一篇论文(Khaled 等人,2024a)所述,卡塔尔是一个独特的国家。它是一个相对年轻的国家(1971 年脱离英国独立),人口不断增长,经济蓬勃发展。虽然国土面积只有 11,000 平方公里,但人口却有约 290 万,其中只有约 18% 是卡塔尔公民。卡塔尔是世界上最富有的国家之一。大部分人口居住在首都多哈,这里经历了令人惊叹的现代化和发展。
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引用次数: 0
Twelve-month prevalence, persistence, severity, and treatment of mood and anxiety disorders in Qatar's national mental health study 卡塔尔国家心理健康研究中情绪和焦虑症的十二个月患病率、持续时间、严重程度和治疗情况。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-05-10 DOI: 10.1002/mpr.2012
Salma M. Khaled, Sheik Mohammed Al-Thani, Nancy A. Sampson, Ronald C. Kessler, Peter W. Woodruff, Majid Alabdulla

Objectives

To estimate 12-month prevalence, persistence, severity, and treatment of mental disorders and socio-demographic correlates in Qatar.

Methods

We conducted the first national population-based telephone survey of Arab adults between 2019 and 2022 using the Composite International Diagnostic Interview and estimated 12-month DSM-5 mood and anxiety disorders and their persistence (the proportion of lifetime cases who continue to meet 12-month criteria).

Results

The 12-month prevalence of any disorder was 21.1% (10.4% mild, 38.7% moderate, and 50.9% severe) and was associated with: younger age, female, previously married, and with persistence of any disorder. Persistence was 74.7% (64.0% mood and 75.6% anxiety) and was significantly associated with secondary education or lower. Minimally adequate treatment received among those with any 12-month mental disorder was 10.6% (74.6% in healthcare and 64.6% non-healthcare sectors). Severity and the number of disorders significantly associated with each other and with treatment received (χ2 = 7.24, p = 0.027) including adequate treatment within the mental health specialty sector (χ2 = 21.42, p < 0.001).

Conclusions

Multimorbidity and sociodemographics were associated with 12-month mental disorder. Treatment adequacy in Qatar are comparable to high-income countries. Low treatment contact indicate need for population-wide mental health literacy programes in addition to more accessible and effective mental health services.

目的估计卡塔尔精神障碍的 12 个月患病率、持续率、严重程度和治疗情况以及与之相关的社会人口学因素:我们在 2019 年至 2022 年期间使用国际综合诊断访谈对阿拉伯成年人进行了首次全国人口电话调查,并估算了 12 个月的 DSM-5 情绪和焦虑障碍及其持续性(持续符合 12 个月标准的终生病例比例):任何障碍的 12 个月患病率为 21.1%(10.4% 为轻度,38.7% 为中度,50.9% 为重度),并且与以下因素有关:年龄较小、女性、曾结过婚以及任何障碍的持续存在。持续性失调的比例为 74.7%(64.0%为情绪失调,75.6%为焦虑失调),与中学或以下教育程度有显著关联。在 12 个月内患有任何精神障碍的人群中,10.6%(74.6%在医疗保健行业,64.6%在非医疗保健行业)接受过最基本的治疗。精神障碍的严重程度和数量与所接受的治疗(χ2 = 7.24,p = 0.027)显著相关,包括在精神卫生专业部门接受的充分治疗(χ2 = 21.42,p 结论:精神障碍的严重程度和数量与所接受的治疗(χ2 = 7.24,p = 0.027)显著相关:多病症和社会人口统计学与 12 个月的精神障碍有关。卡塔尔的治疗充分性与高收入国家相当。治疗接触率低表明,除了提供更方便有效的心理健康服务外,还需要开展全民心理健康扫盲计划。
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引用次数: 0
What I see, what you say: How cross-method variation sharpens characterization of irritability in early childhood 我看到什么,你说什么:不同方法的差异如何使幼儿期易怒的特征更加鲜明。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-03-13 DOI: 10.1002/mpr.2019
Alyssa J. Parker, Peyton Brock, Maria Kryza-Lacombe, Margaret Briggs-Gowan, Lea R. Dougherty, Lauren S. Wakschlag, Jillian Lee Wiggins

Objectives

Identification of clinically significant irritability in preschool age is important to implement effective interventions. However, varying informant and measurement methods display distinct patterns. These patterns are associated with concurrent and future mental health concerns. Patterns across multi-informant methods in early-childhood irritability may have clinical utility, identifying risk for impaired psychosocial functioning.

Methods

Using data from the Multidimensional Assessment of Preschoolers Study (N = 425), latent profile analysis identified irritability patterns through the parent-reported Multidimensional Assessment Profile Scales–Temper Loss (MAPS-TL), parent-reported interviewer-rated Preschool Age Psychiatric Assessment (PAPA), and observer-rated Disruptive Behavior Diagnostic Observation Schedule (DB-DOS). These profiles were characterized on protective factors, global functioning, and mental health syndromes, concurrently and at early school age and preadolescent follow-up.

Results

Fit indices favored a five-class model: Low All, High Observation with Examiner (high DB-DOS Examiner Context), High All, High Parent Report (high MAPS-TL/PAPA), and Very High Parent Report (very high MAPS-TL/PAPA). Whereas Low All and High Observation with Examiner exhibited strong psychosocial functioning, remaining profiles showed impaired psychosocial functioning, with the Very High Parent Report group showing higher impairment at follow-ups, ds = 0.37–1.25.

Conclusions

Multi-informant measurements of irritability may have utility for clinical prediction, and future studies should test utility for diagnostic precision.

目的:在学龄前儿童中识别具有临床意义的易激惹性对于实施有效的干预措施非常重要。然而,不同的信息提供者和测量方法显示出不同的模式。这些模式与当前和未来的心理健康问题有关。幼儿期易激惹的多信息方法模式可能具有临床实用性,可识别心理社会功能受损的风险:方法:利用学龄前儿童多维评估研究(N = 425)的数据,通过家长报告的多维评估档案量表-脾气损失(MAPS-TL)、家长报告的访谈者评定的学龄前儿童精神病学评估(PAPA)和观察者评定的破坏性行为诊断观察表(DB-DOS),进行潜在特征分析,确定易怒模式。在学龄前和青春期前的随访中,同时对这些资料的保护因素、整体功能和心理健康综合症进行了分析:结果:拟合指数倾向于五级模型:结果:拟合指数倾向于五类模型:低全部模型、高考官观察模型(高 DB-DOS 考官情境)、高全部模型、高家长报告模型(高 MAPS-TL/PAPA)和极高家长报告模型(极高 MAPS-TL/PAPA)。低全部和高考官观察组表现出较强的社会心理功能,而其余组别则表现出受损的社会心理功能,其中极高家长报告组在随访时表现出较高的受损程度,ds = 0.37-1.25:易激惹性的多信息测量可能对临床预测有用,未来的研究应测试其诊断精确性。
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引用次数: 0
Assessing gambling disorder using frequency- and time-based response options: A Rasch analysis of the gambling disorder identification test 使用基于频率和时间的反应选项评估赌博障碍:对赌博障碍识别测试的拉施分析。
IF 3.1 3区 医学 Q1 Medicine Pub Date : 2024-03-12 DOI: 10.1002/mpr.2018
Olof Molander, Peter Wennberg, Nicki A. Dowling, Anne H. Berman

Objectives

The Gambling Disorder Identification Test (GDIT) is a recently developed self-report measure. The GDIT includes items with multiple response options that are either based on frequency or time, and item response theory evaluations of these could yield vital knowledge on its measurement performance.

Methods

The GDIT was evaluated using Rasch analysis in a study involving 597 Swedish gamblers.

Results

In a three-dimensional Rasch model, the item response difficulty range extended from −1.88 to 4.06 and increased with higher time- and frequency-based responses. Differential item functioning showed that some GDIT items displayed age and gender-related differences. Additionally, person-separation reliability indicated the GDIT could reliably be divided into three to four diagnostic levels.

Conclusions

The frequency- and time-based item response options of the GDIT offer excellent measurement, allowing for elaborate assessment across both lower and higher gambling severity. The GDIT can be used to detect DSM-5 Gambling Disorder, thereby holding significance from both epidemiological and clinical standpoints. Notably, the 3-item GDIT Gambling Behavior subscale also shows potential as a brief screening tool for identifying at-risk gambling behavior.

目的:赌博障碍识别测验(GDIT)是最近开发的一种自我报告测量方法。GDIT 包括基于频率或时间的多个回答选项的项目,对这些项目进行项目反应理论评估可以获得有关其测量性能的重要知识:方法:在一项涉及 597 名瑞典赌徒的研究中,使用 Rasch 分析法对 GDIT 进行了评估:在三维拉施模型中,项目反应难度范围从-1.88到4.06,随着时间和频率反应的增加而增加。差异项目功能显示,一些 GDIT 项目显示出与年龄和性别相关的差异。此外,人际分离信度表明,GDIT 可以可靠地分为三到四个诊断等级:结论:GDIT以频率和时间为基础的项目反应选项提供了出色的测量方法,可以对较低和较高的赌博严重程度进行详细评估。GDIT 可用于检测 DSM-5 赌博障碍,因此从流行病学和临床角度来看都具有重要意义。值得注意的是,3 个项目的 GDIT 赌博行为子量表还显示出作为简短筛查工具识别高危赌博行为的潜力。
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引用次数: 0
期刊
International Journal of Methods in Psychiatric Research
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