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

引用

General Psychiatry 2022年第4期35卷 249-256页

作者： Abdullah Dukhail AlKhathami Primary Mental Health Care Program Saudi Arabia Ministry of HealthRiyadhSaudi Arabia

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

关键词： centre interview integrating

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