The performance of the Japanese version of the K6 and K10 in the World Mental Health Survey Japan

International Journal of Methods in Psychiatric Research - Tập 17 Số 3 - Trang 152-158 - 2008
Toshi A. Furukawa1, Norito Kawakami2, Mari Saitoh3, Yutaka Ono4, Yoshibumi Nakane5, Yosikazu Nakamura6, Hisateru Tachimori7, Noboru Iwata8, Hidenori Uda9, Hideyuki Nakane10, Makoto Watanabe6, Yoichi Naganuma7, Yukihiro Hata11, Masayo Kobayashi6, Yuko Miyake7, Tadashi Takeshima7, Takehiko Kikkawa12
1Department of Psychiatry and Cognitive Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
2Department of Mental Health, University of Tokyo Graduate School of Medicine, Tokyo, Japan
3Department of Biostatistics/Epidemiology and Preventive Health Sciences, University of Tokyo Graduate School of Medicine, Tokyo, Japan
4Health Center, Keio University, Keio, Japan
5Division of Human Sociology, Nagasaki International University Graduate School, Nagasaki, Japan
6Department of Public Health, Jichi Medical School, Jichi, Japan
7National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan
8Department of Clinical Psychology, Hiroshima International University, Hiroshima, Japan
9Sensatsu Public Health Center, Kagoshima Prefecture, Kagoshima, Japan
10Division of Neuropsychiatry, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
11Oshima Hospital, Kagoshima Prefecture, Kagoshima, Japan
12Department of Human Well‐Being, Chubu Gakuin University, Seki City, Japan

Tóm tắt

AbstractTwo new screening scales for psychological distress, the K6 and K10, have been developed using the item response theory and shown to outperform existing screeners in English. We developed their Japanese versions using the standard backtranslaton method and included them in the World Mental Health Survey Japan (WMH‐J), which is a psychiatric epidemiologic study conducted in seven communities across Japan with 2436 participants. The WMH‐J used the WMH Survey Initiative version of the Composite International Diagnostic Interview (CIDI) to assess the 30‐day Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (DSM‐IV). Performance of the two screening scales in detecting DSM‐IV mood and anxiety disorders, as assessed by the areas under receiver operating characteristic curves (AUCs), was excellent, with values as high as 0.94 (95% confidence interval = 0.88 to 0.99) for K6 and 0.94 (0.88 to 0.995) for K10. Stratum‐specific likelihood ratios (SSLRs), which express screening test characteristics and can be used to produce individual‐level predicted probabilities of being a case from screening scale scores and pretest probabilities in other samples, were strikingly similar between the Japanese and the original versions. The Japanese versions of the K6 and K10 thus demonstrated screening performances essentially equivalent to those of the original English versions. Copyright © 2008 John Wiley & Sons, Ltd.

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