根据重度残疾诊断评估-II（DASH-II）评估的抑郁症特征。

Characteristics of depression as assessed by the Diagnostic Assessment for the Severely Handicapped-II (DASH-II).

作者信息

Matson J L, Rush K S, Hamilton M, Anderson S J, Bamburg J W, Baglio C S, Williams D, Kirkpatrick-Sanchez S

机构信息

Department of Psychology, Louisiana State University, Baton Rouge 70803, USA.

出版信息

Res Dev Disabil. 1999 Jul-Aug;20(4):305-13. doi: 10.1016/s0891-4222(99)00012-8.

DOI:10.1016/s0891-4222(99)00012-8

PMID:10425658

Abstract

Fifty-seven individuals with severe and profound mental retardation (18 with a DSM-IV diagnosis of depression, 19 with a Diagnostic Statistical Manual, 4th edition diagnosis of autism, and 20 who meet no criteria for an emotional disorder) were studied. The validity of the Diagnostic Assessment for the Severely Handicapped II depression subscale was evaluated to determine its value in categorizing individuals in these two groups. Suggestions were made for diagnosing depression in persons with severe and profound mental retardation. In a second study the above individuals were compared on symptomology to assess comorbidity with related symptoms. These "core," peripheral, or associated features of depression were identified. Implications of the findings for describing and defining depression in these persons are discussed.

摘要

对57名重度和极重度智力障碍者进行了研究（其中18人根据《精神疾病诊断与统计手册》第四版[DSM-IV]被诊断为抑郁症，19人被诊断为自闭症，20人不符合情感障碍的诊断标准）。对《重度残障者诊断评估II》抑郁分量表的效度进行了评估，以确定其在对这两组人群进行分类时的价值。针对重度和极重度智力障碍者的抑郁症诊断提出了建议。在第二项研究中，对上述个体的症状进行了比较，以评估与相关症状的共病情况。确定了这些抑郁症的“核心”、外周或相关特征。讨论了这些研究结果对描述和定义这些人群抑郁症的意义。