RT journal article
T1 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
A1 Ballester, Laura
A1 Alayo, Itxaso
A1 Vilagut, Gemma
A1 Almenara Barrios, José
A1 Cebrià, Ana Isabel
A1 Echeburu´a, Enrique
A1 Gabilondo, Andrea
A1 Gili, Margalinda
A1 Lagares Franco, Carolina María
A1 Piqueras, José Antonio
A1 Roca, Miquel
A1 Soto-Sanz, Victoria
A1 Blasco, María Jesús
A1 Castellví, Pere
A1 Forero, Carlos G.
A1 Bruffaerts1, Ronny
A1 Mortier, Philippe
A1 Auerbach, Randy P.
A1 Nock, Matthew K.
A1 Sampson, Nancy
A1 Kessler, Ronald C.
A1 Alonso1, Jordi
A2 BiomedicinaBiotecnología y Salud Pública
AB ObjectiveTo 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.MethodsClinical 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.ResultsA 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).ConclusionThe 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.
PB PUBLIC LIBRARY SCIENCE
SN 1932-6203
YR 2019
FD 2019
LK http://hdl.handle.net/10498/23123
UL http://hdl.handle.net/10498/23123
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 21-sep-2026