Dierker L C, Albano A M, Clarke G N, Heimberg R G, Kendall P C, Merikangas K R, Lewinsohn P M, Offord D R, Kessler R, Kupfer D J
Wesleyan University, Department of Psychology, Middletown, CT 06459, USA.
J Am Acad Child Adolesc Psychiatry. 2001 Aug;40(8):929-36. doi: 10.1097/00004583-200108000-00015.
To examine the level of diagnostic and discriminative accuracy of three dimensional rating scales for detecting anxiety and depressive disorders in a school-based survey of 9th grade youths.
Classroom screening instruments, the Center for Epidemiologic Studies-Depression Scale (CES-D), the Revised Children's Manifest Anxiety Scale (RCMAS), and the Multidimensional Anxiety Scale for Children (MASC) were administered to 632 youths from three sites in 1998. On the basis of rating scale results, samples of high-scoring and non-high-scoring youths were invited to participate in a diagnostic interview conducted within 2 months of the screening sessions.
MASC scores were most strongly associated with individual anxiety disorders, particularly among females, whereas the CES-D composite score was associated with a diagnosis of major depression, after controlling for comorbid disorders. The RCMAS was least successful in discriminating anxiety and depression. When receiver operator characteristic curves were examined, diagnostic accuracy was moderate.
The ability of the MASC and CES-D to discriminate within and between categorically defined diagnostic groups has important implications for the accurate identification of youths in need of services.
在一项针对九年级青少年的学校调查中，检验三维评定量表检测焦虑症和抑郁症的诊断准确性及鉴别准确性水平。
1998年，对来自三个地点的632名青少年施行了课堂筛查工具，即流行病学研究中心抑郁量表（CES-D）、修订版儿童显性焦虑量表（RCMAS）和儿童多维焦虑量表（MASC）。根据评定量表结果，邀请高分和非高分青少年样本在筛查 session 后2个月内参加诊断访谈。
在控制共病障碍后，MASC得分与个体焦虑症关联最为紧密，尤其是在女性中，而CES-D综合得分与重度抑郁症诊断相关。RCMAS在鉴别焦虑和抑郁方面最不成功。检查受试者工作特征曲线时，诊断准确性为中等。
MASC和CES-D在明确界定的诊断组内及组间进行鉴别的能力，对于准确识别需要服务的青少年具有重要意义。
