81000137

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A Simple Interview-format Screening Measure for Disaster Mental Health : An instrument newly developed after the 1995 Great Hanshin Earthquake in Japan - The Screening Questionnaire for Disaster Mental Health (SQD)

English (英語)

The Kobe journal of the medical sciences

53(6)

375-385

Kobe University School of Medicine

2007-12

2008-02-20

Psychological intervention after a large-scale disaster requires an efficient andpractical measure. Using self-reporting scale imposes certain limitations, especiallywhen dealing with the elderly. It is also required that non-experts in mental healthshould be able to use the screening device, so that it can be easily incorporated into anylocal level post-disaster health service. To satisfy such requirements, we developed asimple interview-format measure, the Screening Questionnaire for Disaster MentalHealth (SQD), which screens for posttraumatic stress disorder (PTSD) and depression.In this article, its validity and usefulness was analyzed. Data were obtained from 68individuals living in reconstruction housing five years after the 1995 Great HanshinEarthquake. Applying the Clinician Administered PTSD Scale (CAPS) and theStructured Clinical Interview for DSM-III-R Major Depression Section (SCID) as goldstandards, the areas under the Receiver Operating Characteristic curves (ROC-AUC)and stratum-specific likelihood ratios (SSLR) as statistical indices were calculated.The ROC-AUC was 0.91 (95%CI: 0.83-0.99) for diagnosing PTSD, and 0.94 (0.88-1.01)for diagnosing depression. Three strata for PTSD and 2 strata for depression wereobtained, and SSLR for each stratum was 0.10 (95%CI: 0.02-0.45), 1.05 (0.37-3.00),9.64 (3.77-24.69) for PTSD, and 0.3 (0.1-1.0), 7.8 (3.2-18.7) for depression. The resultsshowed that this screening measure had good validity, especially for PTSD.

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