Hodgins D C, Dufour M, Armstrong S
Addiction Centre, Foothills Medical Centre, 1403 29 Street NW, Calgary, Alberta, Canada T2N 2T9.
J Subst Abuse. 2000;11(4):369-78. doi: 10.1016/s0899-3289(00)00033-x.
This study examined the reliability and validity of the Inventory to Diagnose Depression (IDD) in alcohol-dependent men and women. The IDD is a self-report instrument that provides a continuous score reflecting depression severity and a DSM-IV major depression diagnosis (MDD).
Participants (N = 57) were administered the IDD, Beck Depression Inventory (BDI), and the mood module of the Structured Clinical Interview for the DSM (SCID).
Internal reliability and item-total correlations were generally good and the IDD severity score correlated highly with the BDI. The diagnostic performance of the IDD using the DSM-IV scoring algorithm was good overall but excellent for currently abstinent participants and fair for participants who had recently consumed alcohol. The IDD cut-off score for identifying cases of depression appears stringent compared to the BDI and SCID.
The present investigation provides some support for the use of the IDD with abstinent alcoholic outpatient samples when a self-report diagnostic instrument is desirable. For a current drinker, a positive IDD does not distinguish between an alcohol-induced depression and MDD.
本研究检验了酒精依赖男性和女性中用于诊断抑郁症的量表（IDD）的信度和效度。IDD是一种自我报告工具，可提供反映抑郁严重程度的连续评分以及DSM-IV重度抑郁症诊断（MDD）。
对57名参与者施测了IDD、贝克抑郁量表（BDI）以及DSM结构化临床访谈（SCID）的情绪模块。
内部信度和项目与总分的相关性总体良好，且IDD严重程度评分与BDI高度相关。使用DSM-IV评分算法时，IDD的诊断性能总体良好，但对目前已戒酒的参与者诊断性能极佳，对近期饮酒的参与者诊断性能一般。与BDI和SCID相比，IDD用于识别抑郁症病例的临界值分数似乎较为严格。
当需要一种自我报告诊断工具时，本调查为在已戒酒的酒精依赖门诊样本中使用IDD提供了一些支持。对于当前饮酒者而言，IDD呈阳性无法区分酒精所致抑郁症和MDD。
