Reliability And Validity Test Of Neuro-11 Scale Used In General Hospitals

Objective: Mental disorders with physical discomfort as the main manifestation are often ignored by patients and physicians.Patients with this disorder are often referred to general hospitals for their prominent physical symptoms.Due to the neglect of mental disorders by non-psychiatrist physicians in general hospitals or the overly cautious diagnosis of mental disorders,patients cannot receive appropriate diagnosis or treatment,suffering from physical and mental pain for a long time.In addition,repeated visits also lead to the overuse of medical resources.Psychiatric-related scales are accessible tools for psychiatric screening,commonly used in general hospitals.This study will test the reliability and validity of the Neuro-11 scale developed for the diagnosis and treatment of physical discomfort-related disorders,aiming to find an effective assessment tool for physical discomfort-related disorders in general hospitals.Methods: We collected outpatient and inpatient patients in Shenzhen People’s Hospital with physical discomfort from November 2020 to December 2021,and all subjects were instructed to complete the assessment of Neuro-11 scale,the MOS 36-item Short From Health Survey(SF-36),Health Huestionnaire Somatic Symptom Scale(PHQ-15),Hamilton Anxiety Scale(HAMA),and Hamilton Depression Rating Scale(HAMD)by professional scale assessors.Subsequently,a structured interview and interpretation of relevant clinical examinations were performed by a diagnostically qualified physician to determine whether patients had physical discomfort disorder as the gold standard.The general demographic information,scores of each scale and disease diagnosis of all patients were collected.Statistical analysis of relevant data was performed using SPSS and AMOS software.Non-parametric rank sum test was used to analyze the differences in scale scores of different populations.The reliability,calibration and correlation with other homogeneity scales of Neuro-11 were tested and conclusions were drawn.Results: The Neuro-11 scale has good reliability and validity,and has a significant correlation with homogeneous scales which are internationally commonly used and recognized.The Cronbach’s Alpha coefficient of the Neuro-11 scale was 0.723,the split-half reliability was 0.694,the testretest reliability was significantly correlated,indicating good results.The total score of the Neuro-11 scale was significantly correlated with the related homogeneity scale’s score,and each dimension was also significantly correlated with the dimension score of the homogeneity scale.Drawing the ROC curve according to the gold standard,the area under the ROC curve of the Neuro-11 scale was 0.669,which was higher than that of PHQ-15,HAMA,and HAMD;the Youden index was calculated based on specificity and sensitivity,and the scale threshold was set at 10 points.Conclusion:(1)The Neuro-11 scale has good reliability and validity,and has a significant correlation with the international authoritative homogeneity scale;The scale combines the three dimensions of physical symptoms,emotional symptoms and negative events,and is highly suitable for the patients of general hospitals,who have a high degree of acceptance of the scale.(2)The Neuro-11 scale has good diagnostic efficacy for patients with somatic symptom disorder and its effectiveness is higher than that of HAMA and HAMD.When the scale score is greater than or equal to 10 points,it can indicate that the patient has the possibility of somatic symptom disorder.(3)The critical value of the neuro-11 scale was 10 points.(4)The neuro-11 scale showed better reliability and validity when the 11 th item was not scored.