VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS

Somatoform disorder is one of the high prevalent mental health problems and one that is common among patients of Primary Care, including Pusat Kesehatan Masyarakat (Puskesmas). However, there is no valid, reliable, sensitive, and specific screening instrument available in Primary Care to detect soma...

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Main Authors: , Salma, , Rahmat Hidayat, M.Sc., Ph.D.
Format: Thesis
Published: [Yogyakarta] : Universitas Gadjah Mada 2013
Subjects:
ETD
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author , Salma
, Rahmat Hidayat, M.Sc., Ph.D.
author_facet , Salma
, Rahmat Hidayat, M.Sc., Ph.D.
author_sort , Salma
collection UGM
description Somatoform disorder is one of the high prevalent mental health problems and one that is common among patients of Primary Care, including Pusat Kesehatan Masyarakat (Puskesmas). However, there is no valid, reliable, sensitive, and specific screening instrument available in Primary Care to detect somatoform disorder in Indonesia. This study aimed to examine clinical validity of GHQ-12 through Structured Clinical Interview for DSM IV Disorder-Axis I (SCID-I) as a gold standard and consider GHQ-12 as screening instrument of somatoform disorder in Primary Care setting. Data of 250 patients from 11 Primary Care institutions in Sleman and Kota Yogyakarta District were collected as sample. Of the 215 complete data of patients, there were 57 (26.51%) patients diagnosed by Somatoform Disorders (SDs).The Alpha Cronbach Reliability coefficient were satisfactory according to bimodal, Likert, and c-GHQ scoring methods (0.863, 0.893, and 0.854 respectively). Principal Component Analysis (PCA) yielded two components of GHQ-12, namely �psychological distress� and �social dysfunction�. Receiver Operating Curve (ROC) analysis applied and revealed Area Under the Curve (AUC) between 65.1-66.6% for three different scoring method. The optimum cut-off score was >5 using Likert scoring method with a sensitivity of 73.7% and a specificity of 54.4%. LR+ and LR- were 1.62 and 0.48 respectively. The result of this study shows that GHQ-12 can be used with caution as screening instrument of SDs in Primary Care. Further implementation is discussed.
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spelling oai:generic.eprints.org:1262632016-03-04T08:43:30Z https://repository.ugm.ac.id/126263/ VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS , Salma , Rahmat Hidayat, M.Sc., Ph.D. ETD Somatoform disorder is one of the high prevalent mental health problems and one that is common among patients of Primary Care, including Pusat Kesehatan Masyarakat (Puskesmas). However, there is no valid, reliable, sensitive, and specific screening instrument available in Primary Care to detect somatoform disorder in Indonesia. This study aimed to examine clinical validity of GHQ-12 through Structured Clinical Interview for DSM IV Disorder-Axis I (SCID-I) as a gold standard and consider GHQ-12 as screening instrument of somatoform disorder in Primary Care setting. Data of 250 patients from 11 Primary Care institutions in Sleman and Kota Yogyakarta District were collected as sample. Of the 215 complete data of patients, there were 57 (26.51%) patients diagnosed by Somatoform Disorders (SDs).The Alpha Cronbach Reliability coefficient were satisfactory according to bimodal, Likert, and c-GHQ scoring methods (0.863, 0.893, and 0.854 respectively). Principal Component Analysis (PCA) yielded two components of GHQ-12, namely �psychological distress� and �social dysfunction�. Receiver Operating Curve (ROC) analysis applied and revealed Area Under the Curve (AUC) between 65.1-66.6% for three different scoring method. The optimum cut-off score was >5 using Likert scoring method with a sensitivity of 73.7% and a specificity of 54.4%. LR+ and LR- were 1.62 and 0.48 respectively. The result of this study shows that GHQ-12 can be used with caution as screening instrument of SDs in Primary Care. Further implementation is discussed. [Yogyakarta] : Universitas Gadjah Mada 2013 Thesis NonPeerReviewed , Salma and , Rahmat Hidayat, M.Sc., Ph.D. (2013) VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS. UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=66472
spellingShingle ETD
, Salma
, Rahmat Hidayat, M.Sc., Ph.D.
VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS
title VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS
title_full VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS
title_fullStr VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS
title_full_unstemmed VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS
title_short VALIDASI KLINIK GENERAL HEALTH QUESTIONNAIRE-12 SEBAGAI INSTRUMEN SKRINING GANGGUAN SOMATOFORM DI PUSKESMAS
title_sort validasi klinik general health questionnaire 12 sebagai instrumen skrining gangguan somatoform di puskesmas
topic ETD
work_keys_str_mv AT salma validasiklinikgeneralhealthquestionnaire12sebagaiinstrumenskrininggangguansomatoformdipuskesmas
AT rahmathidayatmscphd validasiklinikgeneralhealthquestionnaire12sebagaiinstrumenskrininggangguansomatoformdipuskesmas