Zimmerman Mark, Posternak Michael A, Chelminski Iwona
Bayside Medical Center, 235 Plain St., Providence, RI 02905, USA.
Am J Psychiatry. 2004 Oct;161(10):1911-3. doi: 10.1176/ajp.161.10.1911.
Some have suggested that standardized rating scales be used in clinical practice to monitor the course of treatment; however, the time demands of clinical practice make it difficult to use such measures. This study derived a cutoff on a self-report depression questionnaire corresponding to the most widely used definition of remission (a score < or =7 on the 17-item Hamilton Depression Rating Scale).
Two hundred sixty-seven depressed outpatients were rated on the Hamilton depression scale and completed the Clinically Useful Depression Outcome Scale (CUDOS). The authors used receiver operating curve analysis to examine the ability of the CUDOS to identify remission on the Hamilton depression scale.
A high level of agreement was found between the self-report and Hamilton depression scale assessments of remission.
Self-report questionnaires represent a practical option for thoroughly and objectively evaluating the course of treatment and determining remission in depressed patients.
一些人建议在临床实践中使用标准化评定量表来监测治疗进程；然而，临床实践的时间要求使得使用此类测量方法变得困难。本研究得出了一份自评抑郁问卷的临界值，该临界值对应于最广泛使用的缓解定义（17项汉密尔顿抑郁量表评分≤7分）。
对267名门诊抑郁症患者进行汉密尔顿抑郁量表评分，并完成临床有用的抑郁结局量表（CUDOS）。作者使用受试者工作特征曲线分析来检验CUDOS识别汉密尔顿抑郁量表上缓解情况的能力。
在自评与汉密尔顿抑郁量表对缓解情况的评估之间发现了高度一致性。
自评问卷是全面、客观地评估抑郁症患者治疗进程并确定缓解情况的一种实用选择。
