PHQ-2-C、CES-D和BDI-Ⅱ-C在筛查青少年抑郁障碍中的应用研究

Study of PHQ-2-C, CES-D and BDI- II -C in application of screening of adolescents with depressive disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

赣南医学院第一附属医院 ;
赣南医学院心理学系 ;
赣州市第三人民医院 ;

摘要
【摘要】目的:对病人健康问卷2条目中文版(PHQ-2-C)、20个条目流调用抑郁量表(CES-D)和贝克抑郁量表第2版中文版(BDI-Ⅱ-C)在筛查青少年抑郁障碍中的应用效果进行研究。方法:分别以3个量表对用整群抽样方法选取的青少年进行抑郁障碍筛查,评价各量表的信度并以SCID为金标准评价效度。结果:PHQ-2-C、CES-D和BDI-Ⅱ-C量表的Cronbach’s α系数分别为0.75、0.93和0.84,均>0.6;Pearson’s r系数分别为0.86、0.87和0.79,P均<0.05。量表的灵敏度依次为CES-D(95%)>BDI-Ⅱ-C(93%)>PHQ-2-C(89%),特异度依次为BDI-Ⅱ-C(97%)>CES-D(93%)>PHQ-2-C(88%)。结论:3个量表的均具有高度的可靠性和稳定性,PHQ-2-C的灵敏度和特异度稍低,适合作为初期抑郁障碍筛查;CES-D和BDI-Ⅱ-C的灵敏度和特异度相似,适合作为初筛后的进一步筛查。
Abstract
[Abstracts]Objective: To study the application effects of two articles Chinese Version (PHQ-2-C)of the patient health questionnaire, 20 items flow call of Depression Scale (CES-D) and second edition Chinese Version (BDI- II -C) of Beck depression scale in the screening of adolescent with depressive disorders. Methods:Adolescents were selected by the cluster sampling method with 3 scales with screening of depressive disorders, the reliability of each scale was evaluated and SCID was the validity of the gold standard . Results: Cronbach’s α coefficients of PHQ-2-C、CES-D and BDI-Ⅱ-C scale were respectively 0.75、0.93 and 0.84,all>0.6;Pearson’s r coefficients were respectively 0.86、0.87 and 0.79,P <0.05. The sensitivity of the scale in turn was CES-D(95%)>BDI-Ⅱ-C(93%)>PHQ-2-C(89%),and specificity in turn was BDI-Ⅱ-C(97%)>CES-D(93%)>PHQ-2-C(88%). Conclusion: The 3 scales have a high degree of reliability and stability, the sensitivity and specificity of PHQ-2-C are slightly lower, suitable for the early screening for depression, and the sensitivity and specificity of CES-D are similar to those of BDI- II -C and it is suitable for further screening after the first screening.
关键词
【关键词】青少年抑郁障碍,筛查,量表,信度,效度
KeyWord
【key words】: Adolescents with depressive disorder; Screening; Scale; Reliability ; Validity
基金项目
页码 23-25
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廖娟娟*,郑亚楠 ,黄亮明,魏泽红. PHQ-2-C、CES-D和BDI-Ⅱ-C在筛查青少年抑郁障碍中的应用研究 [J]. 国际精神病学杂志. 2017; 44; (1). 23 - 25.

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