Ciaramella A, Poli P
Florence University School of Psychology, Florence, Italy.
Psychooncology. 2001 Mar-Apr;10(2):156-65. doi: 10.1002/pon.505.
One hundred consecutive cancer patients were assessed using two structured methods for assessing major depressive disorder-Structured Clinical Interview for DSM III-R (SCID) and Endicott criteria-and using a depression rating scale-Hamilton Depression Rating Scale (HAMD). Forty-nine percent of patients were depressed using SCID (DSM III-R criteria), whereas 29% of patients were depressed using Endicott criteria. Twenty-eight percent of patients were depressed using both criteria. Age and sex did not have any influence on the assessment of major depression. Both the structured interview and the rating scale were able to identify suicide ideation. Depressed patients were not shown to have more lifetime depression than non-depressed patients using both structured methods. Patients who were depressed using both assessments of depression had more metastasis and pain than non-depressed patients.
采用两种评估重度抑郁症的结构化方法——《精神疾病诊断与统计手册第三版修订版》结构化临床访谈（SCID）和恩迪科特标准，以及一种抑郁评定量表——汉密尔顿抑郁评定量表（HAMD），对连续100例癌症患者进行评估。根据SCID（DSM III - R标准），49%的患者患有抑郁症；而根据恩迪科特标准，29%的患者患有抑郁症。28%的患者根据两种标准均被判定为抑郁。年龄和性别对重度抑郁症的评估没有任何影响。结构化访谈和评定量表均能识别自杀意念。使用两种结构化方法时，抑郁患者并未表现出比非抑郁患者有更多的终生抑郁发作情况。在两种抑郁评估中均为抑郁的患者比非抑郁患者有更多转移灶和疼痛。
