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[使用科瓦奇儿童抑郁量表对青春期抑郁情绪的症状与结构进行的研究]

[Study of symptoms and structure of depressive mood in puberty using Kovacs' Child Depression Inventory].

作者信息

Lobert W

机构信息

Kinderklinik Jussuf Ibrahim, Carl-Zeiss-Stiftung, Friedrich-Schiller-Universität Jena.

出版信息

Padiatr Grenzgeb. 1990;29(6):509-28.

PMID:2284112
Abstract

This study is based on the German Language version "GCDI" of the "CDI" according to Maria KOVACS used in investigations on random selection of normal school population between the 7th and 9th grades (n = 130). The pupils ages ranged between 13 and 15 years. A second group was also used, made up of children of approximately the same age (n = 145) from a clinic. Among this second group, 58 suffered from clinical depression. The comparison provided a clear separation between the depressive patients and the normal random participants--and the GCDI/CDI total value = 20 was decided to the optimal separation value. Comparisons with the Canadian group of school pupils (n = 850) agreed well with the above. Follow-up examinations on the randomly selection of normal school population resulted in the detection of a lasting condition of depressive mood for 7 per cent of the participants. It is apparent, that for the clarification for the structure of depressive mood not only are the simple total scores necessary--but also a factor analysis of the 27 items. Four factors were detected: 1) primarily affective disturbance, 2) motivation and cognition disturbances, 3) contact disturbances, 4) disturbances in school performances and behavior. Under consideration of the Fürntratt criterium, 25 of the 27 items in the GCDI could classified into the four factors and achieve a significant correlation. GCDI is useful for international comparative investigations. Clinical use is possible too.

摘要

本研究基于玛丽亚·科瓦奇(Maria KOVACS)使用的《儿童抑郁量表》(CDI)的德语版本“GCDI”,该量表用于对7至9年级师范学校正常人群的随机抽样调查(n = 130)。学生年龄在13至15岁之间。还使用了第二组,由来自一家诊所的年龄大致相同的儿童组成(n = 145)。在这第二组中,58人患有临床抑郁症。比较结果显示抑郁症患者与正常随机参与者之间有明显区分——并确定GCDI/CDI总分=20为最佳区分值。与加拿大学生组(n = 850)的比较结果与上述情况相符。对师范学校正常人群的随机抽样进行的随访检查发现,7%的参与者存在持续的抑郁情绪状态。显然,为了阐明抑郁情绪的结构,不仅需要简单的总分——还需要对27个项目进行因素分析。检测到四个因素:1)主要情感障碍,2)动机和认知障碍,3)人际交往障碍,4)学业表现和行为障碍。考虑到Fürntratt标准,GCDI中27个项目中的25个可以归类为这四个因素并具有显著相关性。GCDI对国际比较研究很有用。也可以用于临床。

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