Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
J Psychosom Res. 2010 Jun;68(6):581-9. doi: 10.1016/j.jpsychores.2009.05.003. Epub 2009 Jul 10.
This article is one of the series of review articles aiming to present a convenient guideline for practicing clinicians in their selection of scales for clinical and research purposes. This article focuses on assessment scales for mood (depression, mania).
After reviewing the basic principles of clinical psychometrics, we present a selective review of representative scales measuring depressed or manic mood.
We reviewed and reported on reliability, validity, interpretability, and feasibility of the following rating scales: Patient Health Questionnaire-9 (PHQ-9), K6, Beck Depression Inventory II (BDI-II), and Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) as self-report scales for depressed mood; Hamilton Rating Scale for Depression (HAM-D) and Montgomery-Asberg Depression Rating Scale (MADRS) as clinician-administered measure for depression; and Young Mania Rating Scale (YMRS) as a clinician-administered instrument for mania.
Although the rating scales for mood represent a well-trodden terrain, this brief review of the most frequently used scales in the literature revealed there is still some room for improvement and for further research, especially with regard to their clinical interpretability.
本文是一系列综述文章之一,旨在为临床医生在临床和研究目的中选择量表提供便利指南。本文重点介绍用于评估情绪(抑郁、躁狂)的量表。
在回顾临床心理计量学基本原理之后,我们对用于评估抑郁或躁狂情绪的有代表性的量表进行了选择性回顾。
我们对以下自评量表的信度、效度、可解释性和可行性进行了综述和报告:用于评估抑郁情绪的患者健康问卷-9 项(PHQ-9)、K6、贝克抑郁量表第二版(BDI-II)和抑郁症状自评快速报告(QIDS-SR);用于评估抑郁的汉密尔顿抑郁评定量表(HAM-D)和蒙哥马利-阿斯伯格抑郁评定量表(MADRS);以及用于评估躁狂的杨氏躁狂评定量表(YMRS)。
尽管情绪量表已经得到了广泛的应用,但对文献中最常用量表的简要回顾表明,它们在临床可解释性方面仍有一些改进和进一步研究的空间。