Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/15042
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
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ISSN: 1932-6203
WOS ID: 000532084200014
Scopus EID: 2-s2.0-85071736333
PMID: 31487306
Embase PUI: L2002802052
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Ballester, Laura; Alayo, Itxaso; Vilagut, Gemma; Almenara, Jose; Isabel Cebria, Ana; Echeburua, Enrique; Gabilondo, Andrea; Gili, Margalida



Publication date
2019-09-05Document type
research articleCitation
Ballester L, Alayo I, Vilagut G, Almenara J, Cebria AI, Echeburua E, et al. 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. 2019 Sep 05;14(9):e0221529.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.
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https://dx.doi.org/10.1371/journal.pone.0221529MeSH
Mental DisordersYoung Adult
Adult
Risk Assessment
Humans
Adolescent
Suicidal Ideation
Algorithms
Mass Screening
Models, Psychological
Online Systems
World Health Organization
Global Health
Male
Female
Cohort Studies
Universities
Students
Diagnostic and Statistical Manual of Mental Disorders
Surveys and Questionnaires
DeCS
UniversidadesEstudios de Cohortes
Estudiantes
Ideación Suicida
Salud Global
Femenino
Organización Mundial de la Salud
Modelos Psicológicos
Sistemas en Línea
Adolescente
Masculino
Humanos
Algoritmos
Tamizaje Masivo
Adulto Joven
Medición de Riesgo
Trastornos Mentales
Encuestas y Cuestionarios
Adulto
Manual Diagnóstico y Estadístico de los Trastornos Mentales