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养老院老年人最小数据集抑郁评定量表(MDSDRS)的效度和信度

Validity and reliability of the Minimum Data Set Depression Rating Scale (MDSDRS) for older adults in nursing homes.

作者信息

Anderson Rachel L, Buckwalter Kathleen C, Buchanan Robert J, Maas Meridean L, Imhof Sara L

机构信息

College of Public Health, University of Iowa, 200 Hawkins Drive, E202 GH, Iowa City, IA 52242, USA.

出版信息

Age Ageing. 2003 Jul;32(4):435-8. doi: 10.1093/ageing/32.4.435.

Abstract

OBJECTIVE

this research examined the psychometric properties of the Minimum Data Set Depression Rating Scale for use among older adults living in nursing homes.

METHODS

interviews with 145 older adults in three nursing homes were conducted to complete the Hamilton Depression Rating Scale and the Geriatric Depression Scale. Information relevant to completing the Minimum Data Set Depression Rating Scale was gathered from the Minimum Data Set.

RESULTS

the Minimum Data Set Depression Rating Scale did not perform well when validated against the Hamilton Depression Rating Scale and the Geriatric Depression Scale. Minimum Data Set Depression Rating Scale cut-off levels of > or =2 and > or =3 were associated with relatively low total score correlations and sensitivity rates, but acceptable specificity.

CONCLUSIONS

findings suggest that the Minimum Data Set Depression Rating Scale may be of limited clinical value to identify depression among older adults living in nursing homes.

摘要

目的

本研究检验了用于养老院老年人的最小数据集抑郁评定量表的心理测量特性。

方法

对三家养老院的145名老年人进行访谈,以完成汉密尔顿抑郁评定量表和老年抑郁量表。从最小数据集中收集与完成最小数据集抑郁评定量表相关的信息。

结果

在与汉密尔顿抑郁评定量表和老年抑郁量表进行验证时,最小数据集抑郁评定量表表现不佳。最小数据集抑郁评定量表≥2和≥3的截断水平与相对较低的总分相关性和敏感度相关,但特异性尚可。

结论

研究结果表明,最小数据集抑郁评定量表在识别养老院老年人抑郁方面的临床价值可能有限。

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