Hooijer C, Zitman F G, Griez E, van Tilburg W, Willemse A, Dinkgreve M A
Department of Psychiatry, Free University of Amsterdam, The Netherlands.
J Affect Disord. 1991 May-Jun;22(1-2):21-9. doi: 10.1016/0165-0327(91)90079-8.
The co-existence of different versions of the Hamilton Depression Rating Scale (HDRS) may introduce a source of error in depression research. In a training procedure, based on 16 videotapes, over 900 scores were used to investigate differences between two prominent versions. The HDRS published by Bech et al. in 1986 produced significantly lower total scores than the original HDRS presented by Hamilton in 1960. Previous experience of the raters, both in psychiatry and in the use of the scale, increased the scores in a nonsignificant way. During the training raters' scores increased significantly. These effects were small, one point each in the total scores, but they were consistent throughout our material. In depression research, training procedures and the exact version of the scales used should be specified.
不同版本的汉密尔顿抑郁评定量表（HDRS）并存可能会在抑郁症研究中引入误差来源。在一个基于16段录像带的培训过程中，使用了900多个评分来研究两个主要版本之间的差异。1986年Bech等人发表的HDRS总分显著低于1960年汉密尔顿提出的原始HDRS。评估者之前在精神病学和量表使用方面的经验使评分有不显著的提高。在培训期间，评估者的评分显著提高。这些影响很小，总分各提高1分，但在我们所有的材料中都是一致的。在抑郁症研究中，应明确培训程序和所使用量表的确切版本。
