Department of Psychology, University of Illinois at Urbana-Champaign, 603 East Daniel Street, Champaign, IL 61820, USA.
Psychol Assess. 2010 Sep;22(3):702-10. doi: 10.1037/a0019915.
The present study examined the utility of the anhedonic depression scale from the Mood and Anxiety Symptoms Questionnaire (MASQ-AD scale) as a way to screen for depressive disorders. Using receiver-operating characteristic analysis, we examined the sensitivity and specificity of the full 22-item MASQ-AD scale, as well as the 8- and 14-item subscales, in relation to both current and lifetime Diagnostic and Statistical Manual of Mental Disorders (4th ed.) depressive disorder diagnoses in two nonpatient samples. As a means of comparison, the sensitivity and specificity of a measure of a relevant personality dimension, Neuroticism, was also examined. Results from both samples support the clinical utility of the MASQ-AD scale as a means of screening for depressive disorders. Findings were strongest for the MASQ-AD 8-item subscale and when predicting current depression status. Furthermore, the MASQ-AD 8-item subscale outperformed the Neuroticism measure under certain conditions. The overall usefulness of the MASQ-AD scale as a screening device is discussed, as are possible cutoff scores for use in research.
本研究考察了心境与焦虑症状问卷(MASQ-AD 量表)中的快感缺失抑郁量表作为一种筛查抑郁障碍的方法的效用。我们使用受试者工作特征分析,针对当前和终生的《精神障碍诊断与统计手册》(第 4 版)抑郁障碍诊断,检验了完整的 22 项 MASQ-AD 量表、8 项和 14 项分量表的敏感性和特异性。作为比较,还检验了与相关人格维度(神经质)的一种测量方法的敏感性和特异性。两个非患者样本的结果均支持 MASQ-AD 量表作为筛查抑郁障碍的一种手段的临床效用。在预测当前抑郁状态时,MASQ-AD 8 项分量表的结果最强。此外,在某些情况下,MASQ-AD 8 项分量表的表现优于神经质测量。讨论了 MASQ-AD 量表作为筛查工具的整体有效性,以及在研究中使用的可能截断分数。