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Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative.

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Title: Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative.
Authors: Kessler, Ronald C., Green, Jennifer Greif, Gruber, Michael J., Sampson, Nancy A., Bromet, Evelyn, Cuitan, Marius, Furukawa, Toshi A., Gureje, Oye, Hinkov, Hristo, Chi-Yi Hu, Lara, Carmen, Sing Lee, Mneimneh, Zeina, Myer, Landon, Oakley-Browne, Mark, Posada-Villa, Jose, Sagar, Rajesh, Viana, Maria Carmen, Zaslavsky, Alan M.
Source: International Journal of Methods in Psychiatric Research. 2010 Supplement 1, Vol. 19, p4-22. 19p. 6 Charts.
Subjects: Psychiatric diagnosis, Psychiatric disability evaluation, Behavior Disorders Identification Scale, Analysis of variance, Logistic regression analysis
Abstract: Data are reported on the background and performance of the K6 screening scale for serious mental illness (SMI) in the World Health Organization (WHO) World Mental Health (WMH) surveys. The K6 is a six-item scale developed to provide a brief valid screen for Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) SMI based on the criteria in the US ADAMHA Reorganization Act. Although methodological studies have documented good K6 validity in a number of countries, optimal scoring rules have never been proposed. Such rules are presented here based on analysis of K6 data in nationally or regionally representative WMH surveys in 14 countries (combined N = 41,770 respondents). Twelve-month prevalence of DSM-IV SMI was assessed with the fully-structured WHO Composite International Diagnostic Interview. Nested logistic regression analysis was used to generate estimates of the predicted probability of SMI for each respondent from K6 scores, taking into consideration the possibility of variable concordance as a function of respondent age, gender, education, and country. Concordance, assessed by calculating the area under the receiver operating characteristic curve, was generally substantial (median 0.83; range 0.76–0.89; inter-quartile range 0.81–0.85). Based on this result, optimal scaling rules are presented for use by investigators working with the K6 scale in the countries studied. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Methods in Psychiatric Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Screening for serious mental illness in the general population with the K6 screening scale: results from the WHO World Mental Health (WMH) survey initiative.
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  Data: <searchLink fieldCode="AR" term="%22Kessler%2C+Ronald+C%2E%22">Kessler, Ronald C.</searchLink><br /><searchLink fieldCode="AR" term="%22Green%2C+Jennifer+Greif%22">Green, Jennifer Greif</searchLink><br /><searchLink fieldCode="AR" term="%22Gruber%2C+Michael+J%2E%22">Gruber, Michael J.</searchLink><br /><searchLink fieldCode="AR" term="%22Sampson%2C+Nancy+A%2E%22">Sampson, Nancy A.</searchLink><br /><searchLink fieldCode="AR" term="%22Bromet%2C+Evelyn%22">Bromet, Evelyn</searchLink><br /><searchLink fieldCode="AR" term="%22Cuitan%2C+Marius%22">Cuitan, Marius</searchLink><br /><searchLink fieldCode="AR" term="%22Furukawa%2C+Toshi+A%2E%22">Furukawa, Toshi A.</searchLink><br /><searchLink fieldCode="AR" term="%22Gureje%2C+Oye%22">Gureje, Oye</searchLink><br /><searchLink fieldCode="AR" term="%22Hinkov%2C+Hristo%22">Hinkov, Hristo</searchLink><br /><searchLink fieldCode="AR" term="%22Chi-Yi+Hu%22">Chi-Yi Hu</searchLink><br /><searchLink fieldCode="AR" term="%22Lara%2C+Carmen%22">Lara, Carmen</searchLink><br /><searchLink fieldCode="AR" term="%22Sing+Lee%22">Sing Lee</searchLink><br /><searchLink fieldCode="AR" term="%22Mneimneh%2C+Zeina%22">Mneimneh, Zeina</searchLink><br /><searchLink fieldCode="AR" term="%22Myer%2C+Landon%22">Myer, Landon</searchLink><br /><searchLink fieldCode="AR" term="%22Oakley-Browne%2C+Mark%22">Oakley-Browne, Mark</searchLink><br /><searchLink fieldCode="AR" term="%22Posada-Villa%2C+Jose%22">Posada-Villa, Jose</searchLink><br /><searchLink fieldCode="AR" term="%22Sagar%2C+Rajesh%22">Sagar, Rajesh</searchLink><br /><searchLink fieldCode="AR" term="%22Viana%2C+Maria+Carmen%22">Viana, Maria Carmen</searchLink><br /><searchLink fieldCode="AR" term="%22Zaslavsky%2C+Alan+M%2E%22">Zaslavsky, Alan M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Methods+in+Psychiatric+Research%22">International Journal of Methods in Psychiatric Research</searchLink>. 2010 Supplement 1, Vol. 19, p4-22. 19p. 6 Charts.
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  Data: Data are reported on the background and performance of the K6 screening scale for serious mental illness (SMI) in the World Health Organization (WHO) World Mental Health (WMH) surveys. The K6 is a six-item scale developed to provide a brief valid screen for Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) SMI based on the criteria in the US ADAMHA Reorganization Act. Although methodological studies have documented good K6 validity in a number of countries, optimal scoring rules have never been proposed. Such rules are presented here based on analysis of K6 data in nationally or regionally representative WMH surveys in 14 countries (combined N = 41,770 respondents). Twelve-month prevalence of DSM-IV SMI was assessed with the fully-structured WHO Composite International Diagnostic Interview. Nested logistic regression analysis was used to generate estimates of the predicted probability of SMI for each respondent from K6 scores, taking into consideration the possibility of variable concordance as a function of respondent age, gender, education, and country. Concordance, assessed by calculating the area under the receiver operating characteristic curve, was generally substantial (median 0.83; range 0.76–0.89; inter-quartile range 0.81–0.85). Based on this result, optimal scaling rules are presented for use by investigators working with the K6 scale in the countries studied. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Methods in Psychiatric Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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