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使用初级保健贝克抑郁量表对青少年门诊患者进行重度抑郁症筛查。

Screening for major depression disorders in adolescent medical outpatients with the Beck Depression Inventory for Primary Care.

作者信息

Winter L B, Steer R A, Jones-Hicks L, Beck A T

机构信息

Department of Pediatrics, School of Osteopathic Medicine, University of Medicine and Dentistry of New Jersey, Stratford, USA.

出版信息

J Adolesc Health. 1999 Jun;24(6):389-94. doi: 10.1016/s1054-139x(98)00135-9.

DOI:10.1016/s1054-139x(98)00135-9
PMID:10401966
Abstract

PURPOSE

To ascertain the psychometric characteristics of the Beck Depression Inventory for Primary Care (BDI-PC) among adolescents (12-17 years old) scheduled for health maintenance examinations, and to determine the effectiveness of the BDI-PC in screening the adolescents for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, major depression disorders (MDD).

METHODS

The BDI-PC was administered to 50 male and 50 female adolescents who received pediatric health maintenance examinations. The diagnosis of MDD was established with the Mood Module from the Primary Care Evaluation of Mental Disorders.

RESULTS

The internal consistency of the BDI-PC was high (Cronbach alpha = .88), and it was not significantly associated with gender, ethnicity, age, or having a medical disorder. A cutoff score of > or = 4 had both 91% sensitivity and specificity rates for identifying adolescents with and without MDD.

CONCLUSIONS

The BDI-PC is a useful instrument for screening for clinical depression in adolescents receiving routine medical examinations.

摘要

目的

确定贝克初级保健抑郁量表(BDI-PC)在计划进行健康维护检查的青少年(12至17岁)中的心理测量特征,并确定BDI-PC在筛查青少年是否患有《精神疾病诊断与统计手册》第四版中的重度抑郁症(MDD)方面的有效性。

方法

对50名接受儿科健康维护检查的男性青少年和50名女性青少年进行BDI-PC测试。使用精神疾病初级保健评估中的情绪模块来确定MDD的诊断。

结果

BDI-PC的内部一致性较高(克朗巴赫α系数 = 0.88),且与性别、种族、年龄或患有内科疾病无显著关联。≥4的临界值在识别患有和未患有MDD的青少年时,灵敏度和特异度均为91%。

结论

BDI-PC是筛查接受常规体检的青少年临床抑郁症的有用工具。

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