Kalpakjian Claire Z, Bombardier Charles H, Schomer Katherine, Brown Pat A, Johnson Kurt L
Model SCI System, University of Michigan, Department of Physical Medicine and Rehabilitation, 300 N. Ingalls, Room NI 2A09, Ann Arbor, MI 48109, USA.
J Spinal Cord Med. 2009;32(1):6-24. doi: 10.1080/10790268.2009.11760748.
BACKGROUND/OBJECTIVE: Depression has been studied extensively among people with spinal cord injury (SCI). However, basic questions persist regarding the reliability and validity of depression measurement in the context of SCI. The objective of this study was to evaluate the state of knowledge of depression measurement in persons with SCI.
English-language peer-reviewed citations from MEDLINE, CINAHL, PsycINFO, ProQuest, Google Scholar, and Web of Science from 1980 to present. Two reviewers screened 377 abstracts on SCI and depression topics to identify 144 containing classifiable psychometric data. All 144 were reviewed by 6 reviewers. Twenty-four studies reporting psychometric data on 7 depression measures in SCI samples were identified, including 7 validity studies.
Reliability data were limited to internal consistency and were consistently good to excellent across 19 studies. Validity data were limited to concurrent validity, construct validity, and/or clinical utility in 10 studies. Measures were comparable with respect to internal consistency, factor structure, and clinical utility. Results are limited to peer-reviewed, English literature, and studies were not judged for quality.
Greater attention should be paid to the psychometric evaluation of established measures. Although existing evidence may not justify universal screening, we recommend depression screening in clinical practice when patients may be seen by nonpsychology personnel. There is insufficient evidence to recommend one screening measure over another. Therefore, selection of measures will depend on clinician preferences. Psychometric studies are needed to show test-retest reliability, criterion validity, and sensitivity to change to improve depression recognition and treatment.
背景/目的：脊髓损伤（SCI）患者的抑郁症已得到广泛研究。然而，在SCI背景下，抑郁症测量的可靠性和有效性仍存在一些基本问题。本研究的目的是评估SCI患者抑郁症测量的知识现状。
检索1980年至今MEDLINE、CINAHL、PsycINFO、ProQuest、谷歌学术和科学网中经同行评审的英文文献。两名评审员筛选了377篇关于SCI和抑郁症主题的摘要，以确定144篇包含可分类心理测量数据的文献。所有144篇文献由6名评审员进行评审。确定了24项报告SCI样本中7种抑郁症测量方法心理测量数据的研究，其中包括7项效度研究。
信度数据仅限于内部一致性，19项研究的结果始终良好至优秀。10项研究的效度数据仅限于同时效度、结构效度和/或临床效用。这些测量方法在内部一致性、因子结构和临床效用方面具有可比性。结果仅限于同行评审的英文文献，且未对研究质量进行评估。
应更加关注既定测量方法的心理测量评估。虽然现有证据可能无法证明普遍筛查的合理性，但我们建议在临床实践中，当患者可能由非心理专业人员诊治时进行抑郁症筛查。没有足够的证据推荐一种筛查方法优于另一种。因此，测量方法的选择将取决于临床医生的偏好。需要进行心理测量研究以显示重测信度、效标效度和对变化的敏感性，以改善抑郁症的识别和治疗。
