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门诊青少年中贝克抑郁量表的同时效度和心理测量特性

Concurrent validity and psychometric properties of the Beck Depression Inventory in outpatient adolescents.

作者信息

Ambrosini P J, Metz C, Bianchi M D, Rabinovich H, Undie A

机构信息

Medical College of Pennsylvania/Eastern Pennsylvania Psychiatric Institute, Philadelphia.

出版信息

J Am Acad Child Adolesc Psychiatry. 1991 Jan;30(1):51-7. doi: 10.1097/00004583-199101000-00008.

DOI:10.1097/00004583-199101000-00008
PMID:2005064
Abstract

The concurrent validity of the Beck Depression Inventory (BDI) was evaluated in 122 outpatient adolescents referred to a clinic for depression. Criterion validators were Kiddie-Schedule for Affective Disorders and Schizophrenia (K-SADS) generated diagnoses and a 17-item clinician-rated depression scale extracted from the K-SADS. Initial BDI scores of greater than 13 yielded sensitivity, specificity, and positive predictive powers of 86%, 82%, and 83%, respectively, in differentiating syndromal major depressive disorder (MDD) from nonaffective disordered patients. In repeated interviews in 2 weeks with a BDI score of greater than 13, these parameters were 89%, 88%, and 93%, respectively, in those meeting MDD criteria. The BDI correlated significantly with the 17-item depression score in depressed females but not depressed males because BDI scores were more than 30% higher in females. BDI internal consistency among all cases was 0.91 and was higher in depressed than nondepressed patients.

摘要

对122名被转介到一家抑郁症诊所的门诊青少年进行了贝克抑郁量表(BDI)的同时效度评估。标准验证指标是儿童情感障碍和精神分裂症评定量表(K-SADS)得出的诊断结果,以及从K-SADS中提取的一个由临床医生评定的17项抑郁量表。在区分综合征性重度抑郁症(MDD)与非情感障碍患者时,初始BDI得分大于13的敏感度、特异度和阳性预测值分别为86%、82%和83%。在两周内进行的重复访谈中,对于符合MDD标准的患者,若BDI得分大于13,这些参数分别为89%、88%和93%。BDI与抑郁女性的17项抑郁得分显著相关,但与抑郁男性不相关,因为女性的BDI得分高出30%以上。所有病例中BDI的内部一致性为0.91,抑郁患者中的一致性高于非抑郁患者。

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