“不”即“不”——使用单项问题而非医院焦虑和抑郁量表（HADS-D）衡量抑郁。
'A no means no'--measuring depression using a single-item question versus Hospital Anxiety and Depression Scale (HADS-D).
机构信息
Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences, The Sahlgrenska Academy; Department of Psychology, The Sahlgrenska Academy, Gothenburg.
Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences, The Sahlgrenska Academy.
出版信息
Ann Oncol. 2010 Sep;21(9):1905-1909. doi: 10.1093/annonc/mdq058. Epub 2010 Mar 15.
BACKGROUND
Depression often develops undetected; to make treatment possible, a single-item screening question may be useful.
PATIENTS AND METHODS
We attempted to compare the accuracy of the single-item question 'Are you depressed?' with the seven-item Depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) among 1192 Swedish testicular cancer survivors.
RESULTS
We obtained information from 974 men (82%). Fifty-nine men (6%) answered 'Yes' to the question 'Are you depressed?' while 118 (12%) answered 'I don't know' and 794 (82%) answered 'No'. Among the 794 men who answered 'No' to the question 'Are you depressed?', 790 (99.5%) were not considered as depressed according to HADS-D 11+. Of those answering 'Yes', 34% (20/59) were identified as depressed according to the same cut-off. Sensitivity of 'Yes' compared with HADS-D > or =11 was 61%, rising to 88% when 'Yes' and 'I don't know' were combined.
CONCLUSION
In a population of men with a prevalence of depression similar to that of the normal population, almost none of those responding 'No' to the written question 'Are you depressed?' were depressed according to HADS-D > or =11. Adding the category 'I don't know' increases sensitivity in detecting depression.
背景
抑郁症常常未被察觉；为了进行治疗，一个单项的筛选问题可能会有所帮助。
患者与方法
我们试图比较单项问题“你是否抑郁？”与医院焦虑抑郁量表（HADS-D）的七项抑郁子量表在 1192 名瑞典睾丸癌幸存者中的准确性。
结果
我们从 974 名男性（82%）中获得了信息。59 名男性（6%）回答“是”单项问题“你是否抑郁？”，而 118 名（12%）回答“不知道”，794 名（82%）回答“否”。在 794 名回答“否”单项问题“你是否抑郁？”的男性中，根据 HADS-D11+，有 790 名（99.5%）不被认为抑郁。在回答“是”的男性中，有 34%（20/59）根据同一标准被确定为抑郁。与 HADS-D≥11 相比，“是”的敏感性为 61%，当将“是”和“不知道”合并时，敏感性上升至 88%。
结论
在一个抑郁患病率与普通人群相似的男性人群中，几乎没有回答单项问题“你是否抑郁？”为“否”的人根据 HADS-D≥11 被确定为抑郁。增加“不知道”这一类别可提高检测抑郁的敏感性。
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