Kesehatan mental telah menjadi isu penting dalam masyarakat. Hasil penelitian World Health Organization menemukan sekitar 25% dari seluruh penduduk dalam masa hidupnya mengalami gangguan jiwa. Riset Kesehatan Dasar menyebutkan bahwa sekitar 25%-36% pasien yang datang ke sarana kesehatan umum menderita masalah kesehatan yang berlatar belakang kesehatan mental. Sementara itu saat ini, para petugas kesehatan belum dilengkapi alat skrining untuk meningkatkan sensitivitas untuk menangkap dan menangani gangguan kesehatan mental tersebut. Penelitian ini melakukan adaptasi dan validasi klinis General Health Questionnaire-12 sebagai instrumen skrining Gangguan Kecemasan Menyeluruh di 25 puskesmas di Sleman dengan jumlah partisipan sebanyak 243 pasien. Penelitian ini menggunakan GHQ-12 sebagai alat ukur utama dan wawancara klinis dengan panduan Structural Clinical Interview Diagnosis (SCID) sebagai validator atau baku emas. Teknik analisis data menggunakan analisis ROC dan likelihood ratio untuk membandingkan hasil antara GHQ-12 dan SCID. Hasil penelitian ini menyebutkan bahwa GHQ-12 terbukti efektif sebagai alat skrining Gangguan Kecemasan Menyeluruh di Puskesmas.

Mental health is a very important health care issue. The study from World Health Organization (WHO) found that mental disorder was suffered by approximately 25% of the population. Mental and behavioral disorders were also found in patients in primary health care services such as sub-district health center (Puskesmas), one of the public health services in Indonesia. Approximately 20-36% from the patients who went to the public health services were suffering from mental health problems. Several studies have shown that the physicians in public health services were difficult to diagnose those disorders. The aim from this research was to adapt and validate the General Health Questionaire-12 (GHQ – 12), a screening instrument to measure anxiety in sub-district health center as a primary health care. General Health Questionaire-12 (GHQ- 12) was used as the primary measurement instrument and the Structural Clinical Interview Diagnosis (SCID) as a diagnosis golden standard. The participants were 243 respondents in 25 sub-district health centers in Sleman and Yogyakarta. Likelihood ratio was used to compare the results between the GHQ and the SCID. The study stated that GHQ-12 appeared to be useful instrument to identify mental health problems, especially patient with generalized anxiety disorder.

Kata Kunci : alat skrining, General Health Questionnaire, Structural Clinical Interview Diagnosis, Gangguan Kecemasan Menyeluruh.