dc.contributor.author | Ballester, Laura | |
dc.contributor.author | Alayo, Itxaso | |
dc.contributor.author | Vilagut, Gemma | |
dc.contributor.author | Almenara, José | |
dc.contributor.author | Cebrià, Ana Isabel | |
dc.contributor.author | Echeburúa Odriozola, Enrique | |
dc.contributor.author | Gabilondo, Andrea | |
dc.contributor.author | Gili, Margalida | |
dc.contributor.author | Lagares, Carolina | |
dc.contributor.author | Piqueras, José Antonio | |
dc.contributor.author | Roca, Miquel | |
dc.contributor.author | Soto Sanz, Victoria | |
dc.contributor.author | Blasco, Maria Jesús | |
dc.contributor.author | Castellví, Pere | |
dc.contributor.author | Forero, Carlos G. | |
dc.contributor.author | Bruffaerts, Ronny | |
dc.contributor.author | Mortier, Philippe | |
dc.contributor.author | Auerbach, Randy P. | |
dc.contributor.author | Nock, Matthew K. | |
dc.contributor.author | Sampson, Nancy | |
dc.contributor.author | Kessler, Ronald C. | |
dc.contributor.author | Alonso, Jordi | |
dc.contributor.author | UNIVERSAL study group | |
dc.date.accessioned | 2020-08-07T10:45:44Z | |
dc.date.available | 2020-08-07T10:45:44Z | |
dc.date.issued | 2019-09-05 | |
dc.identifier.citation | Plos One 14(9) : (2019) // Article ID e0221529 | es_ES |
dc.identifier.issn | 1932-6203 | |
dc.identifier.uri | http://hdl.handle.net/10810/45919 | |
dc.description.abstract | Objective
To assess the accuracy of WMH-ICS online screening scales for evaluating four common mental disorders (Major Depressive Episode[MDE], Mania/Hypomania[M/H], Panic Disorder[PD], Generalized Anxiety Disorder[GAD]) and suicidal thoughts and behaviors[STB] used in the UNIVERSAL project.
Methods
Clinical diagnostic reappraisal was carried out on a subsample of the UNIVERSAL project, a longitudinal online survey of first year Spanish students (18-24 years old), part of the WHO World Mental Health-International College Student (WMH-ICS) initiative. Lifetime and 12month prevalence of MDE, M/H, PD, GAD and STB were assessed with the Composite International Diagnostic Interview-Screening Scales [CIDI-SC], the Self-Injurious Thoughts and Behaviors Interview [SITBI] and the Columbia-Suicide Severity Rating Scale [C-SSRS]. Trained clinical psychologists, blinded to responses in the initial survey, administered via telephone the Mini-International Neuropsychiatric Interview [MINI]. Measures of diagnostic accuracy and McNemar chi(2) test were calculated. Sensitivity analyses were conducted to maximize diagnostic capacity.
Results
A total of 287 students were included in the clinical reappraisal study. For 12-month and lifetime mood disorders, sensitivity/specificity were 67%/88.6% and 65%/73.3%, respectively. For 12-month and lifetime anxiety disorders, these were 76.8%/86.5% and 59.6%/71.1%, and for 12-month and lifetime STB, 75.9%/94.8% and 87.2%/86.3%. For 12-month and lifetime mood disorders, anxiety disorders and STB, positive predictive values were in the range of 18.1-55.1% and negative predictive values 90.2-99.0%; likelihood ratios positive were in the range of 2.1-14.6 and likelihood ratios negative 0.1-0.6. All outcomes showed adequate areas under the curve [AUCs] (AUC> 0.7), except M/H and PD (AUC = 0.6). Post hoc analyses to select optimal diagnostic thresholds led to improved concordance for all diagnoses (AUCs> 0.8).
Conclusion
The WMS-ICS survey showed reasonable concordance with the MINI telephone interviews performed by mental health professionals, when utilizing optimized cut-off scores. The current study provides initial evidence that the WMS-ICS survey might be useful for screening purposes. | es_ES |
dc.description.sponsorship | This project was supported by: Fondo de Investigacion Sanitaria, Instituto de Salud Carlos III FEDER (PI13/00343); Ministerio de Sanidad, Servicios Sociales e Igualdad, Plan Nacional Sobre Drogas PNSD (exp.2015I015); and from the DIUE of the Generalitat de Catalunya (2017SGR452). L. Ballester was supported by FPU grant (FPU15/05728); M. J. Blasco was supported by Rio Hortega grant (CM14/00125); P. Castellvi and P. Mortier were supported by a Sara Borrell grant (CD12/00440, and CD18/00049, resp.). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Public Library Science | es_ES |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-sa/3.0/es/ | * |
dc.subject | face-to-face | es_ES |
dc.subject | neuropsychiatric interview mini | es_ES |
dc.subject | psychiatric-disorder | es_ES |
dc.subject | diagnostic-tests | es_ES |
dc.subject | screening scales | es_ES |
dc.subject | global burden | es_ES |
dc.subject | 1st onset | es_ES |
dc.subject | dsm-iv | es_ES |
dc.subject | depression | es_ES |
dc.subject | validity | es_ES |
dc.title | Accuracy of online survey assessment of mental disorders and suicidal thoughts and behaviors in Spanish university students. Results of the WHO World Mental Health- International College Student initiative | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.relation.publisherversion | https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0221529 | es_ES |
dc.identifier.doi | 10.1371/journal.pone.0221529 | |
dc.departamentoes | Personalidad, evaluación y tratamiento psicológico | es_ES |
dc.departamentoeu | Nortasuna, balioespena eta psikologia tratamendua | es_ES |