Comparison between primary care evaluation of mental disorders patient questionnaire and the self-reporting questionnaire as screening tools for psychiatric disorders at the UP-PGH Pain Clinic
- Author:
Ly-Uson Josefina T.
;
Perlas Antonio P.
;
Reyes Lilia M.
- Publication Type:Journal Article
- MeSH:
Human;
Male;
Female;
Middle Aged;
Adult;
PSYCHIATRIC DISORDER;
ANESTHESIOLOGY;
PAIN CLINICS;
PRIMARY CARE;
PSYCHOTIC DISORDERS;
DEPRESSION;
MENTAL DISORDERS;
ANXIETY;
PRIMARY HEALTH CARE
- From:
Philippine Journal of Anesthesiology
2000;12(1):7-12
- CountryPhilippines
- Language:English
-
Abstract:
OBJECTIVE: To compare the validities of two instruments- the Primary Care Evaluation of Mental Disorders Patient Questionnaire (PRIME-MD PQ) and the Self-Reporting Questionnaire (SRQ)- in terms of discriminating between patients with and without psychiatric disorders seen at the UP-PGH Pain Clinic.
DESIGN: Cross-sectional, criterion standard
SETTING: Pain Clinic at the Department of Outpatient Services
SUBJECTS: A total of 102 adult patients assessed by three pain fellow physicians
MAIN OUTCOME MEASURES: Positive or negative results for mental disorders using PRIME-MD PQ and SRQ as screening procedure plotted against psychiatric interview whether positive or negative using a two-by-two contingency table
RESULTS: There was good agreement between PRIME-MD PQ and psychiatric interview (k=0.67) whereas poor correlation between SRQ and psychiatric interview (k=0.51). However, with the removal of one item eliciting grandiosity from the "psychotic" items, agreement with the SRQ rose to k=0.76 when all items on psychosis are eliminated (shorter version of SRQ), agreement was almost excellent (k=0.79).
CONCLUSION: The modified version of SRQ is slightly superior to the PRIME-MD PQ in discriminating between patients with and without psychiatric disorders at the Pain Clinic.
