Gilbody Simon, Richards David, Barkham Michael
Department of Health Sciences, University of York, York, UK.
Br J Gen Pract. 2007 Aug;57(541):650-2.
There is increased emphasis on routine assessment of depression in primary care. This report is the first UK validation of two self-completed measures: the Patient Health Questionnaire (PHQ-9) and the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Optimum cut-off points were established against a diagnostic gold standard in 93 patients. PHQ-9 sensitivity = 91.7% (95% confidence interval [CI] = 77.5 to 98.3%) and specificity 78.3% (95% CI = 65.8 to 87.9%). CORE-OM sensitivity = 91.7% (95% CI = 77.5 to 98.2%) and specificity = 76.7% (95% CI = 64.0 to 86.6%). Brief self-rated questionnaires are as good as clinician-administered instruments in detecting depression in UK primary care.
在初级保健中，对抑郁症进行常规评估的重视程度日益增加。本报告是英国首次对两种自我完成的测量方法进行验证：患者健康问卷（PHQ - 9）和常规评估临床结局 - 结局测量（CORE - OM）。针对93例患者的诊断金标准确定了最佳截断点。PHQ - 9的敏感性 = 91.7%（95%置信区间[CI] = 77.5至98.3%），特异性为78.3%（95%CI = 65.8至87.9%）。CORE - OM的敏感性 = 91.7%（95%CI = 77.5至98.2%），特异性 = 76.7%（95%CI = 64.0至86.6%）。在英国初级保健中，简短的自评问卷在检测抑郁症方面与临床医生使用的工具一样有效。
