使用最小数据集2.0情绪障碍项目作为养老院居民抑郁症的自我报告筛查工具。
Using the minimum data set 2.0 mood disturbance items as a self-report screening instrument for depression in nursing home residents.
作者信息
Ruckdeschel Katy, Thompson Richard, Datto Catherine J, Streim Joel E, Katz Ira R
机构信息
University of Pennsylvania, Department of Psychiatry and Philadelphia VA Medical Center, Philadelphia, PA, USA.
出版信息
Am J Geriatr Psychiatry. 2004 Jan-Feb;12(1):43-9.
OBJECTIVE
Seeking to enhance nursing home residents' involvement in their care, the authors examined whether the Minimum Data Set, Version 2.0 (MDS) Mood Disturbance items could be administered by self-report. They compared the MDS to the Geriatric Depression Scale (GDS) in terms of its association with depression diagnosis.
METHODS
Subjects (N=204) were nursing home residents who were interviewed with a psychiatric diagnostic instrument, the GDS, and a self-report version of the MDS mood disturbance items.
RESULTS
Analyses of variance and receiver operating characteristics analyses demonstrated that MDS items distinguished subjects with any versus no depression about as well as did the GDS. This pattern held within cognitive, gender, and ethnicity subgroups.
CONCLUSION
The MDS Mood Disturbance items can be reliably and validly administered via self-report to persons scoring at least 12 on the Mini-Mental State Exam.
目的
为提高疗养院居民对自身护理的参与度，作者研究了《最低数据集》第2.0版（MDS）情绪障碍项目是否可通过自我报告进行管理。他们在与抑郁症诊断的关联方面，将MDS与老年抑郁量表（GDS）进行了比较。
方法
研究对象（N = 204）为疗养院居民，他们接受了精神病诊断工具GDS以及MDS情绪障碍项目的自我报告版本的访谈。
结果
方差分析和受试者工作特征分析表明，MDS项目在区分有抑郁症与无抑郁症的受试者方面与GDS表现相当。这种模式在认知、性别和种族亚组中均成立。
结论
对于在简易精神状态检查中得分至少为12分的人，MDS情绪障碍项目可通过自我报告进行可靠且有效的管理。
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