Psychometric analysis of the Self-Report Questionnaire (SRQ) as an indicator of depression and anxiety in users of health establishments in Lima

Mental disorders have a high prevalence among people who seek care in health facilities for physical ailments without being properly identified and treated. The Self Report Questionnaire (SRQ) has been designed to detect possible cases and is widely used in the primary care field. Objective: To esta...

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Detalhes bibliográficos
Autores: Robles-Arana, Yolanda, Padilla-Lay, Martín
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Perú
Recursos:Universidad Peruana Cayetano Heredia
Repositorio:Revistas - Universidad Peruana Cayetano Heredia
Idioma:español
OAI Identifier:oai:revistas.upch.edu.pe:article/4971
Acesso em linha:https://revistas.upch.edu.pe/index.php/RNP/article/view/4971
Access Level:acceso abierto
Palavra-chave:anxiety
depression
SRQ
ansiedad
depresión
Descrição
Resumo:Mental disorders have a high prevalence among people who seek care in health facilities for physical ailments without being properly identified and treated. The Self Report Questionnaire (SRQ) has been designed to detect possible cases and is widely used in the primary care field. Objective: To establish the predictive power of items of the SRQ-27 in the identification of depressive and anxiety disorders in users of health establishments in Lima. Method: The study utilized data of the sample of 10 885 people from the Epidemiological Study of Mental Health in health establishments of Metropolitan Lima 2015. The responses to the SRQ-27 and its relationship with the presence of anxiety and depression, established by the Mini Neuropsychiatric Interview, were analyzed using descriptive statistics, association tests, and AUC-ROC analysis of each item. Results: Two items referring to “feeling sad” and “crying” had the highest predictive power for the presence of depression (AUC ROC 0.766 and 0.719), whereas the item referring to “feeling nervous or tense” had the highest power for anxiety (AUC ROC 0.695). Nine other, common to both disorders, also showed to be effective (AUC ROC >0.60) in their identification. Conclusions:Three SRQ-27 items were identified as having the highest predictive power for the detection of depression and anxiety in general, while items with the highest predictive power are common for both conditions.