• 1. Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, China;
  • 2. Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China;
  • 3. West China School of Medicine, Sichuan University, Chengdu 610041, China;
  • 4. Department of Nephrology, Chengdu Military General Hospital, Chengdu 610083, China;
LIYou-ping, Email: yzmylab@hotmail.com
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Objective s To evaluate the effectiveness, safety, applicability and economy of psychological assessment instruments including checklists, questionnaires and scales used in population exposed to earthquake. Methods We searched PubMed, EMbase, The Cochrane Library, CBM, CNKI, VIP, WanFang Data, and CiNii databases, as well as special websites about earthquake and disaster management from inception to July 30th, 2014 to collect studies related to psychological assessment of population exposed to earthquake in the first month after quake. A descriptive analysis was conducted to analyze the positive detection rate of psychological problems, rate of informed consent, and effective response rate in population exposed to earthquake, as well as the cost of psychological assessment. Results A total of 67 studies were included which involved 4 instruments including Symptom Checklist 90 (SCL-90), Self-Reporting Questionnaire-20 (SRQ-20), Chinese Psychosomatic Health Scale-134 (CPSHS-134) and 12-item General Health Questionnaire (GHQ-12). SCL-90 was the most commonly used scale. Forty-five studies reported the positive detection rate of psychological problems in population exposed to earthquake. The positive detection rates by using SCL-90, GHQ-12 and SRQ-20 were 8.6% to 77.8%, 65.6% to 89.9% and 65.6% to 89.9%, respectively. Informed consent was reported in 27 studies, and effective response rate was reported in 20 studies with the highest one 99.56% for CPSHS-134. No study reported the cost of psychological assessment. Conclusion SCL-90, RQ-20, CPSHS-134 and GHQ-12 are mainly used instruments for assessing psychological problems in population exposed to earthquake in the first month after quake. The reporting of important information related to effectiveness, safety, applicability and economy of psychological assessment instruments is insufficient and not standardized. A concise and authoritative psychological assessment instrument for population exposed to earthquake is warranted.

Citation: YUJia-jie, LIXiang-lian, LIYou-ping, ZHOUXu, YANGYan-chun, DUBing-li, YANTing-ting, LIUYu, CHENShi-dong, WANGLi-ya, LIANGZe-jun, RONGXiao, WUQian. A Health Technology Assessment for Population Psychological Assessment after Earthquakes: 2. the Effectiveness, Safety, Applicability and Economy of Assessment Instruments. Chinese Journal of Evidence-Based Medicine, 2016, 16(1): 102-110. doi: 10.7507/1672-2531.20160019 Copy

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