印度南部韦洛尔地区老年人的抑郁症：使用两个问题的筛查方法。
Depression in the elderly in Vellore, South India: the use of a two-question screen.
作者信息
Biswas S S, Gupta R, Vanjare H A, Bose S, Patel J A, Selvarajan S, Aaron J, Nitya E, Iyer D S, Jacob N S M, John K R, Jacob K S
机构信息
Department of Community Health, Christian Medical College, Vellore, India.
出版信息
Int Psychogeriatr. 2009 Apr;21(2):369-71. doi: 10.1017/S1041610208008259. Epub 2009 Jan 13.
BACKGROUND
Depression in the elderly is a common and disabling condition. The aim of the study was to evaluate the sensitivity and specificity of a two-question screen to identify depression and common mental disorders in the elderly.
METHOD
Residents of a ward in the town of Vellore were identified by a door-to-door survey from which 204 subjects aged over 60 years were selected for the study by systematic random sampling. They were screened using the two-question screen. The Revised Clinical Interview Schedule (CIS-R) was employed to confirm the diagnosis.
RESULTS
The prevalence of depression and common mental disorder, using the CIS-R standard, was found to be 31.5%. The two-question screen has a sensitivity of 93.8% and specificity of 48.2%.
CONCLUSIONS
The high sensitivity of the two-question screen makes it a useful screening method which can be employed by health workers in the field.
背景
老年人抑郁症是一种常见且致残的病症。本研究的目的是评估一个两问题筛查工具在识别老年人抑郁症和常见精神障碍方面的敏感性和特异性。
方法
通过挨家挨户调查确定了韦洛尔镇一个病房的居民，通过系统随机抽样从其中选取了204名60岁以上的受试者进行研究。他们使用两问题筛查工具进行筛查。采用修订后的临床访谈问卷（CIS-R）来确诊。
结果
根据CIS-R标准，抑郁症和常见精神障碍的患病率为31.5%。两问题筛查工具的敏感性为93.8%，特异性为48.2%。
结论
两问题筛查工具的高敏感性使其成为一种有用的筛查方法，可供现场卫生工作者使用。
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