比较台湾抑郁问卷和贝克抑郁量表在慢性疼痛患者中筛查抑郁症的应用。
Comparing the use of the Taiwanese Depression Questionnaire and Beck Depression Inventory for screening depression in patients with chronic pain.
作者信息
Lee Yu, Lin Pao-Yen, Hsu Su-Ting, Cing-Chi Yu, Yang Lin-Cheng, Wen Jung-Kwang
机构信息
Department of Psychiatry, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
出版信息
Chang Gung Med J. 2008 Jul-Aug;31(4):369-77.
BACKGROUND
Studies have shown that the validity of self-reported depression questionnaires may be influenced by somatic symptoms such as chronic pain. The purpose of this study was to compare the validity of two self-reported questionnaires, the Taiwanese Depression Questionnaire (TDQ) and the Beck Depression Inventory (BDI), for screening depression in patients with chronic pain.
METHODS
One hundred patients with chronic pain were enrolled and assessed using the TDQ, BDI, McGill Pain Questionnaire, and Structured Clinical Interview for DSM-III-R. Seventy-three of them were diagnosed with depressive disorders. Conventional validity indices of the TDQ and BDI were examined and compared.
RESULTS
Both the TDQ and BDI had satisfactory sensitivity, specificity, positive predictive value, and negative predictive value. Our results showed a trend that the validity of the TDQ was better than that of the BDI, and the validity of the cognitive/affective components of the TDQ was significantly better than that of the BDI.
CONCLUSION
Our results suggest that the TDQ is superior to the BDI in detecting depression in patients with chronic pain in Taiwan.
背景
研究表明，自我报告的抑郁问卷的有效性可能会受到慢性疼痛等躯体症状的影响。本研究的目的是比较两种自我报告问卷——台湾抑郁问卷（TDQ）和贝克抑郁量表（BDI）——在筛查慢性疼痛患者抑郁情况时的有效性。
方法
招募了100名慢性疼痛患者，使用TDQ、BDI、麦吉尔疼痛问卷和DSM-III-R结构化临床访谈对其进行评估。其中73人被诊断为抑郁障碍。对TDQ和BDI的传统效度指标进行了检查和比较。
结果
TDQ和BDI均具有令人满意的敏感性、特异性、阳性预测值和阴性预测值。我们的结果显示出一种趋势，即TDQ的有效性优于BDI，且TDQ认知/情感成分的有效性显著优于BDI。
结论
我们的结果表明，在台湾慢性疼痛患者的抑郁检测中，TDQ优于BDI。
Zotero 插件