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.
<h4>Objective</h4>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 UNIVER...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2019-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0221529 |
| _version_ | 1819142386119344128 |
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| author | Laura Ballester Itxaso Alayo Gemma Vilagut José Almenara Ana Isabel Cebrià Enrique Echeburúa Andrea Gabilondo Margalida Gili Carolina Lagares José Antonio Piqueras Miquel Roca Victoria Soto-Sanz Maria Jesús Blasco Pere Castellví Carlos G Forero Ronny Bruffaerts Philippe Mortier Randy P Auerbach Matthew K Nock Nancy Sampson Ronald C Kessler Jordi Alonso UNIVERSAL study group |
| author_facet | Laura Ballester Itxaso Alayo Gemma Vilagut José Almenara Ana Isabel Cebrià Enrique Echeburúa Andrea Gabilondo Margalida Gili Carolina Lagares José Antonio Piqueras Miquel Roca Victoria Soto-Sanz Maria Jesús Blasco Pere Castellví Carlos G Forero Ronny Bruffaerts Philippe Mortier Randy P Auerbach Matthew K Nock Nancy Sampson Ronald C Kessler Jordi Alonso UNIVERSAL study group |
| author_sort | Laura Ballester |
| collection | DOAJ |
| description | <h4>Objective</h4>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.<h4>Methods</h4>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 12-month 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 χ2 test were calculated. Sensitivity analyses were conducted to maximize diagnostic capacity.<h4>Results</h4>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).<h4>Conclusion</h4>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. |
| first_indexed | 2024-12-22T12:09:31Z |
| format | Article |
| id | doaj.art-8ae4b9cfe4474c9ba5fb44fed8077287 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-22T12:09:31Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-8ae4b9cfe4474c9ba5fb44fed80772872022-12-21T18:26:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01149e022152910.1371/journal.pone.0221529Accuracy 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.Laura BallesterItxaso AlayoGemma VilagutJosé AlmenaraAna Isabel CebriàEnrique EcheburúaAndrea GabilondoMargalida GiliCarolina LagaresJosé Antonio PiquerasMiquel RocaVictoria Soto-SanzMaria Jesús BlascoPere CastellvíCarlos G ForeroRonny BruffaertsPhilippe MortierRandy P AuerbachMatthew K NockNancy SampsonRonald C KesslerJordi AlonsoUNIVERSAL study group<h4>Objective</h4>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.<h4>Methods</h4>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 12-month 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 χ2 test were calculated. Sensitivity analyses were conducted to maximize diagnostic capacity.<h4>Results</h4>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).<h4>Conclusion</h4>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.https://doi.org/10.1371/journal.pone.0221529 |
| spellingShingle | Laura Ballester Itxaso Alayo Gemma Vilagut José Almenara Ana Isabel Cebrià Enrique Echeburúa Andrea Gabilondo Margalida Gili Carolina Lagares José Antonio Piqueras Miquel Roca Victoria Soto-Sanz Maria Jesús Blasco Pere Castellví Carlos G Forero Ronny Bruffaerts Philippe Mortier Randy P Auerbach Matthew K Nock Nancy Sampson Ronald C Kessler Jordi Alonso UNIVERSAL study group 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. PLoS ONE |
| 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. |
| title_full | 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. |
| title_fullStr | 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. |
| title_full_unstemmed | 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. |
| title_short | 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. |
| title_sort | 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 |
| url | https://doi.org/10.1371/journal.pone.0221529 |
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