School of Population Health, University of Queensland, Level 4, Public Health Building, Herston Road, Herston, QLD 4006, Australia.
Soc Psychiatry Psychiatr Epidemiol. 2011 Dec;46(12):1313-24. doi: 10.1007/s00127-010-0303-2. Epub 2010 Oct 26.
The Achenbach problem behaviour scales (CBCL/YSR) are widely used. The DSM-oriented anxiety and depression scales have been created to improve concordance between Achenbach's internalising scales and DSM-IV depression and anxiety. To date no study has examined the concurrent utility of the young adult (YASR) internalising scales, either the empirical or newly developed DSM-oriented depressive or anxiety scales.
A sample of 2,551 young adults, aged 18-23 years, from an Australian cohort study. The association between the empirical and DSM-oriented anxiety and depression scales were individually assessed against DSM-IV depression and anxiety diagnoses derived from structured interview. Odds ratios, ROC analyses and diagnostic efficiency tests (sensitivity, specificity, positive and negative predictive values) were used to report findings.
YASR empirical internalising scale predicted DSM-IV mood disorders (depression OR = 6.9, 95% CI 5.0-9.5; anxiety OR = 5.1, 95% CI 3.8-6.7) in the previous 12 months. DSM-oriented depressive or anxiety scales did not appear to improve the concordance with DSM-IV diagnosed depression or anxiety. The internalising scales were much more effective at identifying those with comorbid depression and anxiety, with ORs between 10.1 and 21.7 depending on the internalising scale used.
DSM-oriented scales perform no better than the standard internalising in identifying young adults with DSM-IV mood or anxiety disorder.
Achenbach 问题行为量表（CBCL/YSR）被广泛应用。为了提高 Achenbach 内部量表与 DSM-IV 抑郁和焦虑之间的一致性，已经创建了以 DSM 为导向的焦虑和抑郁量表。迄今为止，尚无研究同时检验青少年（YASR）内部量表的实用性，包括实证或新开发的以 DSM 为导向的抑郁或焦虑量表。
一项来自澳大利亚队列研究的 2551 名年龄在 18-23 岁的年轻成年人样本。个体评估实证和以 DSM 为导向的焦虑和抑郁量表与从结构化访谈中得出的 DSM-IV 抑郁和焦虑诊断之间的相关性。使用优势比（OR）、ROC 分析和诊断效率测试（敏感性、特异性、阳性和阴性预测值）来报告发现。
YASR 实证内部量表预测了过去 12 个月内 DSM-IV 心境障碍（抑郁 OR=6.9，95%CI 5.0-9.5；焦虑 OR=5.1，95%CI 3.8-6.7）。以 DSM 为导向的抑郁或焦虑量表似乎并未提高与 DSM-IV 诊断的抑郁或焦虑的一致性。内部量表在识别共患抑郁和焦虑的个体方面更有效，使用的内部量表不同，OR 值在 10.1 到 21.7 之间。
以 DSM 为导向的量表在识别患有 DSM-IV 心境或焦虑障碍的年轻人方面并不优于标准内部量表。
