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急性心肌梗死幸存者抑郁筛查工具的性能特征:证据综述

Performance characteristics of depression screening instruments in survivors of acute myocardial infarction: review of the evidence.

作者信息

Thombs Brett D, Magyar-Russell Gina, Bass Eric B, Stewart Kerry J, Tsilidis Konstantinos K, Bush David E, Fauerbach James A, McCann Una D, Ziegelstein Roy C

机构信息

Johns Hopkins University Evidence-Based Practice Center, the Dept. of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Psychosomatics. 2007 May-Jun;48(3):185-94. doi: 10.1176/appi.psy.48.3.185.

DOI:10.1176/appi.psy.48.3.185
PMID:17478586
Abstract

Authors conducted a systematic review to assess performance characteristics of depression screening instruments after acute myocardial infarction (AMI). Among the seven studies identified, the Beck Depression Inventory (BDI) and the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) were used most frequently. Studies were generally of low quality, and no screening instrument performed notably better than others. Future research should compare the BDI and the HADS-D with instruments such as the Patient Health Questionnaire (PHQ-9 and PHQ-2) in post-AMI patients, should attend to important elements of the screening process, including when, where, and how often to screen patients, and should evaluate serial screening.

摘要

作者进行了一项系统评价,以评估急性心肌梗死(AMI)后抑郁筛查工具的性能特征。在纳入的七项研究中,贝克抑郁量表(BDI)和医院焦虑抑郁量表抑郁分量表(HADS-D)使用最为频繁。研究质量普遍较低,没有一种筛查工具的表现明显优于其他工具。未来的研究应在AMI后患者中,将BDI和HADS-D与患者健康问卷(PHQ-9和PHQ-2)等工具进行比较,应关注筛查过程的重要因素,包括何时、何地以及对患者进行筛查的频率,并应评估连续筛查。

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