论文部分内容阅读
【目的】研究儿童焦虑敏感性指数(childhood anxiety sensitivity index,CASI)量表在儿童和青少年情绪障碍中的应用,评价其敏感性和特异性。【方法】随机选取上海交通大学医学院附属新华医院心理门诊及儿保门诊就诊的患儿238人填写CASI量表,年龄9～17岁。其中9～16岁患儿同时填写儿童焦虑性情绪障碍筛查表(screen for childanxiety related emotional disorders,SCARED)和儿童抑郁障碍自评量表(depression self-rating scale for children,DSRSC)。统计分析采用ROC分析等方法。【结果】ROC分析显示,男生以9分为划界分,CASI的敏感性为67.6%,特异性为64.9%;女生以11分为划界分,敏感性为75.0%,特异性为68.4%。焦虑组总量表及各因子得分均高于对照组,且差异有统计学意义。CASI总分与SCARED、DSRSC总分间均呈显著正相关(r=0.77、0.47)。【结论】男生以9分、女生以11分为划界分时,CASI中文版有良好的敏感性和特异性,可用于临床上焦虑敏感性的筛查。
【Objective】 To study the application of childhood anxiety sensitivity index (CASI) in emotion disorder of children and adolescents to evaluate its sensitivity and specificity. 【Methods】 238 randomly selected children from Xinhua Hospital, Shanghai Jiao Tong University School of Medicine affiliated with psychiatric clinic and child care clinic were enrolled in the CASI Scale, aged 9 to 17 years. Among them, children aged 9 to 16 years old also filled in the screen for childanxiety related emotional disorders (SCARED) and the depression self-rating scale for children (DSRSC). Statistical analysis using ROC analysis and other methods. [Results] ROC analysis showed that boys divided by 9 points, the sensitivity of CASI was 67.6% and the specificity was 64.9%. The girls were divided by 11 points with a sensitivity of 75.0% and a specificity of 68.4% . The anxiety group total scale and each factor score were higher than the control group, and the difference was statistically significant. CASI total score and SCARED, DSRSC total score was significantly positive correlation (r = 0.77,0.47). 【Conclusion】 The Chinese version of CASI has good sensitivity and specificity for 9 points for boys and 11 points for girls. It can be used for the screening of clinical anxiety sensitivity.