Piersma H L
Pine Rest Christian Hospital, Grand Rapids, MI 49508.
J Pers Assess. 1991 Jun;56(3):478-86. doi: 10.1207/s15327752jpa5603_9.
This study examined the diagnostic efficiency of the Millon Clinical Multiaxial Inventory-II (MCMI-II) Major Depression (CC) and Dysthymia (D) scales for the differential prediction of unipolar depressive disorders. The MCMI-II was administered to 109 inpatients at a large private psychiatric hospital in the Midwest. All patients had a primary Axis I diagnosis of a depressive disorder, given at discharge by the attending psychiatrists. When CC scores were compared to clinician diagnoses, results indicated that the sensitivity of the CC scale was improved over what had previously been reported for studies involving the MCMI-I CC scale. However, overall, the D scale functioned slightly better as a predictor of major depression than did the CC scale. One likely factor in explaining this finding is that the CC scale contains very few items assessing vegetative/somatic symptomatology, which are the critical factors in distinguishing major depression from other unipolar depressive disorders.
本研究考察了米隆临床多轴问卷第二版（MCMI-II）的重度抑郁（CC）量表和恶劣心境（D）量表对单相抑郁障碍进行鉴别预测的诊断效能。对中西部一家大型私立精神病院的109名住院患者施测了MCMI-II。所有患者均由主治精神科医生在出院时做出了主要的轴I抑郁障碍诊断。将CC量表得分与临床医生的诊断进行比较时，结果表明，CC量表的敏感性比之前涉及MCMI-I CC量表的研究所报告的有所提高。然而，总体而言，D量表作为重度抑郁的预测指标，其功能略优于CC量表。解释这一发现的一个可能因素是，CC量表中评估植物神经/躯体症状的条目非常少，而这些症状是区分重度抑郁与其他单相抑郁障碍的关键因素。
