1. 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
- Author
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Ballester, Laura, Alayo, Itxaso, Vilagut, Gemma, Almenara, Jose, Isabel Cebria, Ana, Echeburua, Enrique, Gabilondo, Andrea, Gili, Margalida, Lagares, Carolina, Antonio Piqueras, Jose, Roca, Miquel, Soto-Sanz, Victoria, Jesus Blasco, Maria, Castellvi, Pere, Forero, Carlos G., Bruffaerts, Ronny, Mortier, Philippe, Auerbach, Randy P., Nock, Matthew K., Sampson, Nancy, Kessler, Ronald C., Alonso, Jordi, UNIVERSAL Study Grp, and Biomedicina, Biotecnología y Salud Pública
- Subjects
Male ,Diagnóstico clínico ,Social Sciences ,Mental disorders ,Anxiety ,Global Health ,neuropsychiatric interview mini ,0302 clinical medicine ,Surveys and Questionnaires ,evaluación de riesgos ,Psychology ,Estudiants universitaris -- Salut mental ,estudios de cohortes ,Suicidal ideation ,Salut mental ,psychiatric-disorder ,Depression ,adulto ,adulto joven ,Suicide ,Mental illness ,Physical Sciences ,Medicine ,Science & Technology - Other Topics ,Estudiants universitaris -- Conducta suïcida ,Generalized anxiety disorder ,Universities ,Science ,cribado sistemático ,education ,universidades ,Neuropsychiatric Disorders ,diagnostic-tests ,World Health Organization ,Risk Assessment ,03 medical and health sciences ,Humans ,Students ,1st onset ,Mass screening ,Survey Research ,Science & Technology ,Mood Disorders ,Biology and Life Sciences ,medicine.disease ,Diagnòstic clínic ,030227 psychiatry ,Mood disorders ,Depressió ,Mathematics ,validity ,Emotions ,humanos ,College students -- Mental health ,adolescente ,Surveys ,Cohort Studies ,sistemas en línea ,screening scales ,Depresión ,Medicine and Health Sciences ,Mass Screening ,ideación suicida ,030212 general & internal medicine ,Major depressive episode ,Multidisciplinary ,Applied Mathematics ,Simulation and Modeling ,face-to-face ,Clinical diagnosis ,Diagnostic and Statistical Manual of Mental Disorders ,Multidisciplinary Sciences ,Behavioral disorders ,Research Design ,Trastornos mentales ,Female ,Mental health ,medicine.symptom ,Algorithms ,Research Article ,Clinical psychology ,Adult ,Adolescent ,Models, Psychological ,Research and Analysis Methods ,Neuroses ,Online Systems ,Suicidal Ideation ,Salud mental ,Young Adult ,algoritmos ,Mental Health and Psychiatry ,College students -- Suicidal behavior ,medicine ,business.industry ,Panic disorder ,global burden ,dsm-iv ,Diagnostic medicine ,Hypomania ,Trastorns mentals ,estudiantes ,business ,Malalties mentals ,Anxiety disorders - 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., 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 byRio 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.
- Published
- 2019