Chen Ching-Yen, Liu Chia-Yih, Liang Hsin-Yi
Department of Psychiatry, Chang Gung Memorial Hospital, School of Medicine, Chang Gung University, Linko, Taiwan.
Psychiatry Res. 2009 Mar 31;166(1):69-75. doi: 10.1016/j.psychres.2007.11.023. Epub 2009 Feb 7.
This cross-sectional study is an evaluation of the extent to which proxy assessment may appropriately substitute for or add to self-assessment regarding somatic complaints, physical activities of daily living, and instrumental activities of daily living in elderly patients diagnosed with depression according to DSM-IV criteria. A total of 102 patient-caregiver dyads met the study's inclusion criteria. The intraclass correlation coefficients (ICCs) between proxies and patients were all significant for the number of somatic complaints, physical activities of daily living. Proxy-patient responses were consistent for most subtypes of geriatric depression, with the exception of instrumental activities of daily life in patients with recurrent major depressive disorder. Proxy reports assessing somatic complaints and physical and instrumental activities of daily living may therefore be a valid supplement to retrospective self-reports in the management of clinical depression in the elderly.
这项横断面研究旨在评估在根据《精神疾病诊断与统计手册》第四版（DSM-IV）标准诊断为抑郁症的老年患者中，代理评估在多大程度上可以适当地替代自我评估或补充自我评估，内容涉及躯体主诉、日常生活中的身体活动以及日常生活中的工具性活动。共有102对患者-照顾者符合该研究的纳入标准。代理与患者之间的组内相关系数（ICC）在躯体主诉数量、日常生活中的身体活动方面均具有显著性。除了复发性重度抑郁症患者的日常生活工具性活动外，代理与患者的回答在大多数老年抑郁症亚型中是一致的。因此，在老年临床抑郁症的管理中，评估躯体主诉以及身体和日常生活工具性活动的代理报告可能是回顾性自我报告的有效补充。
