流行病学研究中心抑郁量表作为日本工人中重度抑郁症筛查工具的有效性。
Validity of the Center for Epidemiologic Studies Depression Scale as a screening instrument of major depressive disorder among Japanese workers.
作者信息
Wada Koji, Tanaka Katsutoshi, Theriault Gilles, Satoh Toshihiko, Mimura Masaru, Miyaoka Hitoshi, Aizawa Yoshiharu
机构信息
Department of Occupational Health, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan.
出版信息
Am J Ind Med. 2007 Jan;50(1):8-12. doi: 10.1002/ajim.20403.
BACKGROUND
The Center for Epidemiologic Studies Depression Scale (CES-D) is used at workplaces to screen depressive disorders. The aim of this study was to examine the validity of the CES-D for depression in a workplace.
METHODS
The CES-D was administered to 2,219 workers (84.2% men; age 21-68 years) at a manufacturing company in Japan. Concomitantly all workers had an interview with the Mini International Neuropsychiatric Interview (MINI) as a gold standard for diagnosing major depressive disorder (MDD). The validity was evaluated by a receiver operating characteristic (ROC) curve.
RESULTS
The area under the ROC curve of the CES-D was 0.96 [95% Confidence Interval (CI): 0.94-0.99]. The optimal cut-off score of MDD was 19 for screening.
CONCLUSIONS
The validity of CES-D is confirmed and it is a valid instrument for detecting MDD in working populations in Japan.
背景
流行病学研究中心抑郁量表（CES-D）用于工作场所筛查抑郁症。本研究旨在检验CES-D在工作场所对抑郁症的有效性。
方法
对日本一家制造公司的2219名工人（84.2%为男性；年龄21 - 68岁）进行CES-D测试。同时，所有工人都接受了迷你国际神经精神访谈（MINI），作为诊断重度抑郁症（MDD）的金标准。通过受试者工作特征（ROC）曲线评估有效性。
结果
CES-D的ROC曲线下面积为0.96 [95%置信区间（CI）：0.94 - 0.99]。筛查MDD的最佳截断分数为19。
结论
CES-D的有效性得到证实，它是检测日本工作人群中MDD的有效工具。
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