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16项抑郁症状快速检查表(QIDS)、临床医生评定版(QIDS-C)和自我报告版(QIDS-SR):对慢性重度抑郁症患者的心理测量学评估

The 16-Item Quick Inventory of Depressive Symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): a psychometric evaluation in patients with chronic major depression.

作者信息

Rush A John, Trivedi Madhukar H, Ibrahim Hicham M, Carmody Thomas J, Arnow Bruce, Klein Daniel N, Markowitz John C, Ninan Philip T, Kornstein Susan, Manber Rachel, Thase Michael E, Kocsis James H, Keller Martin B

机构信息

Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9086, USA.

出版信息

Biol Psychiatry. 2003 Sep 1;54(5):573-83. doi: 10.1016/s0006-3223(02)01866-8.

Abstract

The 16-item Quick Inventory of Depressive Symptomatology (QIDS), a new measure of depressive symptom severity derived from the 30-item Inventory of Depressive Symptomatology (IDS), is available in both self-report (QIDS-SR(16)) and clinician-rated (QIDS-C(16)) formats. This report evaluates and compares the psychometric properties of the QIDS-SR(16) in relation to the IDS-SR(30) and the 24-item Hamilton Rating Scale for Depression (HAM-D(24)) in 596 adult outpatients treated for chronic nonpsychotic, major depressive disorder. Internal consistency was high for the QIDS-SR(16) (Cronbach's alpha =.86), the IDS-SR(30) (Cronbach's alpha =.92), and the HAM-D(24) (Cronbach's alpha =.88). QIDS-SR(16) total scores were highly correlated with IDS-SR(30) (.96) and HAM-D(24) (.86) total scores. Item-total correlations revealed that several similar items were highly correlated with both QIDS-SR(16) and IDS-SR(30) total scores. Roughly 1.3 times the QIDS-SR(16) total score is predictive of the HAM-D(17) (17-item version of the HAM-D) total score. The QIDS-SR(16) was as sensitive to symptom change as the IDS-SR(30) and HAM-D(24), indicating high concurrent validity for all three scales. The QIDS-SR(16) has highly acceptable psychometric properties, which supports the usefulness of this brief rating of depressive symptom severity in both clinical and research settings.

摘要

16项抑郁症状快速量表(QIDS)是从30项抑郁症状量表(IDS)衍生而来的一种新的抑郁症状严重程度测量工具,有自评(QIDS-SR(16))和临床医生评定(QIDS-C(16))两种形式。本报告评估并比较了QIDS-SR(16)与IDS-SR(30)以及24项汉密尔顿抑郁量表(HAM-D(24))在596例因慢性非精神病性重度抑郁症接受治疗的成年门诊患者中的心理测量学特性。QIDS-SR(16)(克朗巴赫α系数=0.86)、IDS-SR(30)(克朗巴赫α系数=0.92)和HAM-D(24)(克朗巴赫α系数=0.88)的内部一致性较高。QIDS-SR(16)总分与IDS-SR(30)总分(0.96)和HAM-D(24)总分(0.86)高度相关。项目-总分相关性显示,几个相似项目与QIDS-SR(16)和IDS-SR(30)总分均高度相关。QIDS-SR(16)总分约1.3倍可预测HAM-D(17)(HAM-D的17项版本)总分。QIDS-SR(16)对症状变化的敏感性与IDS-SR(30)和HAM-D(24)相同,表明这三个量表具有较高的同时效度。QIDS-SR(16)具有高度可接受的心理测量学特性,这支持了这种简短的抑郁症状严重程度评定在临床和研究环境中的有用性。

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