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Two Stage Design in a Community Survey

Published online by Cambridge University Press:  29 January 2018

J. L. Vázquez-Barquero ,
J. F. Díez-Manrique ,
C. Peña ,
R. G. Quintanal  and
M. Labrador Lopez
J. L. Vázquez-Barquero*
Affiliation:
Department of Psychiatry & Medical Psychology, National Hospital ‘Valdecilla’ Santander Medical School, Santander, Spain
J. F. Díez-Manrique
Affiliation:
Department of Psychiatry & Medical Psychology, National Hospital ‘Valdecilla’ Santander Medical School, Santander, Spain
C. Peña
Affiliation:
Department of Psychiatry & Medical Psychology, National Hospital ‘Valdecilla’ Santander Medical School, Santander, Spain
R. G. Quintanal
Affiliation:
Department of Psychiatry & Medical Psychology, National Hospital ‘Valdecilla’ Santander Medical School, Santander, Spain
M. Labrador Lopez
Affiliation:
Mental Health Centre AISN, Santander, Spain
*
∗Correspondence
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Abstract

By comparison with the PSE-ID system, we showed that the GHQ-60 could be used with good results as a screening instrument in the first of a two stage community survey. Unlike the sensitivity and negative predictive values, the specificity and positive predictive rates reach low figures in this study. The global efficiency and positive and negative predictive values of the test are significantly improved by raising its cut-off score, but at the expense of great reduction in sensitivity. The revised scoring system failed to provide better prediction of caseness' than conventional scoring. The GHQ does not distinguish fully between persons in the community afflicted by ‘transient states of distress' and those whose symptoms would classify them as cases' by the PSE.

Type
Papers
Information
The British Journal of Psychiatry , Volume 149 , Issue 1 , July 1986 , pp. 88 - 97
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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