Diagnosing mental disorders in primary care: the General Health Questionnaire (GHQ) and the Symptom Check List (SCL-90-R) as screening instruments.

摘要: Background: The treatment of mental disorders in Germany is mainly done by primary care physicians. Several studies have shown that physicians difficulty diagnosing these disorders. Recently, several self-report questionnaires been developed can be used as screening instruments to identify psychopathology settings and the community. aim this paper was investigate properties General Health Questionnaire (GHQ-12) Symptom Check-List (SCL-90-R) a setting Germany. Method: A randomly selected sample (n = 408) adult outpatients from 18 offices Dusseldorf screened using German versions GHQ-12 SCL-90-R. structured diagnostic interview (SCID) an impairment rating (IS) were gold standard which both compared. Test performance evaluated receiver operating characteristic (ROC) analysis. Results: We found no difference general scores two questionnaires. Both able detect cases. Complex scoring methods offered advantages over simpler ones for GHQ-12. ROC analysis confirmed SCL-90-R subscales “anxiety” “depression” showed acceptable concurrent validity groups anxiety depression (according DSM-III-R). Conclusions: appeared useful tools identifying practice research. use or SCL-90-R, employed first step, supplemented second-stage interview, may enhance detection rate disorder settings.