An innovative 5-Step Patient Interview approach for integrating mental healthcare into primary care centre services:a validation study

作     者：Abdullah Dukhail AlKhathami Abdullah Dukhail AlKhathami

作者机构：Primary Mental Health Care ProgramSaudi Arabia Ministry of HealthRiyadhSaudi Arabia 

出 版 物：《General Psychiatry》 (综合精神医学（英文）)

年 卷 期：2022年第35卷第4期

页      面：249-256页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：Jillian Benson  consultant psychiatrist  Australia 

主　　题：centre interview integrating 

摘      要：Background Mental health problems are prevalent among patients seeking primary ***,traditional patient interviews often fail to identify and manage these ***,an improved patient interview process is needed to assess and treat mental health problems in primary care *** To assess the validity,reliability,sensitivity and specificity of a 5-Step Patient Interview approach for the screening,diagnosis and treatment of mental health *** and setting This study compared a 5-Step Patient Interview approach(AlKhathami approach)with expert psychiatric interviews based on the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders,fifth edition,the Patient Health Questionnaire-9(PHQ-9)and the Generalised Anxiety Disorder-7(GAD-7)questionnaire from 1 January 2020 to 30 April 2020 in family practice or primary healthcare *** A total of 760 participants from five Saudi Arabian regions were selected using a multiclustered random sample of every third patient aged≥18 years,drawn from the clinics’patient *** A total of 732 patients agreed to participate,with a response rate of 96.3%;396(54.1%)were women;the mean(Standard Deviation)age was 41.28(14.30)years(ranging from 18 to 84 years).Mental health problems were suspected in 40%of the *** 5-Step Patient Interview approach was shown to be comparable to an expert interview by a ***,it was more accurate than the PHQ-9 and GAD-7 self-administered questionnaires in screening for stress and classifying it as mild,moderate to severe or ***,the 5-Step Patient Interview approach improved physician-patient communication by encouraging the exploration of patients’*** The 5-Step Patient Interview approach is a valid,reliable tool that can aid the integration of mental healthcare into primary healthcare and family *** studies should evaluate the implementation outco