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Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“
Abstract
Zusammenfassung. Ziel dieser Studie ist die Validierung der deutschen Version des “Patient Health Questionnaire (PHQ-D)“. Der PHQ wurde zum praktikablen Screening psychischer Störungen für die Primärmedizin entwickelt und erfasst direkt die diagnostischen Kriterien des DSM-IV. N = 357 allgemeinmedizinische/internistische Patienten und N = 171 psychosomatische Patienten wurden mit dem PHQ-D und dem Strukturierten Klinischen Interview für DSM-IV (SKID-I) untersucht, wobei das SKID-I als diagnostischer Goldstandard diente. Ärzte und Patienten wurden zur Akzeptanz des PHQ-D befragt. Eine ausgezeichnete Kriteriumsvalidität des PHQ-D zeigte sich insbesondere bei der Diagnose der Major Depression, wo die Sensitivität für die medizinische Stichprobe bei 95% und die Spezifität bei 86% lag. Gute teststatistische Werte ergaben sich u.a. auch für die Panikstörung. Die Anwendung des PHQ-D wurde von jeweils mehr als 90% der Patienten und Ärzte gut akzeptiert. Mit dem PHQ-D liegt ein praktikables, valides und gut akzeptiertes Instrument zur Anwendung in Forschung und klinischer Praxis vor. Sein Einsatz kann zur verbesserten Versorgung psychischer Störungen beitragen.
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Metadata
- Authors
- Gräfe, K., Zipfel, S., Herzog, W., & Löwe, B.
- Venue
- Diagnostica
- Publisher
- Hogrefe Publishing Group
- Published
- 2004-10
- Volume
- 50
- Issue
- 4
- Pages
- 171-181
- ISSN
- 0012-1924 (ISSN-L)
- 2190-622X
- OpenAlex
- W2056499119
- Cited by
- 801
- References
- 12
- FWCI
- 3.72
- Type
- journal article
- Language
- de
- Open access
- closed
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