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基于网络的日本版世界卫生组织复合国际诊断访谈(CIDI)对在职人群中重度抑郁症的一年重测信度。

One-year test-retest reliability of a Japanese web-based version of the WHO Composite International Diagnostic Interview (CIDI) for major depression in a working population.

作者信息

Shimoda Haruki, Inoue Akiomi, Tsuno Kanami, Kawakami Norito

机构信息

Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Department of Mental Health Policy and Evaluation, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo, Japan.

出版信息

Int J Methods Psychiatr Res. 2015 Sep;24(3):204-12. doi: 10.1002/mpr.1437. Epub 2014 Feb 18.

Abstract

The purpose of this study was to investigate the one-year test-retest reliability and the demographic correlates of a self-administered web-based depression section of the World Health Organization-Composite International Diagnostic Interview (WHO-CIDI) in a working population. Overall, 1060 out of all employees (N = 1279) from a manufacturing company in Japan responded to two web-based surveys of depression of the WHO-CIDI within a one-year interval in 2009 and 2010. The concordance between lifetime diagnoses of major depressive disorder on two occasions was calculated as percent agreement (%), Gwet's AC1 , and Yule's Q indicators were compared by gender, age, education, and marital status. For the total sample, percent agreement was 94%, AC1 was 0.93, and Yule's Q was 0.82. The concordance rate was low (0.15) among those who were diagnosed at either time or both times. The concordance differed significantly across education and marital status. While the agreement indicators were relatively high, consistent with previous reports based on face-to-face interviews conducted within a shorter interval, the low stability of positive cases may challenge the accuracy of lifetime diagnosis of major depressive disorder using a web version of the WHO-CIDI. Education and marital status might affect the test-retest reliability. Copyright © 2014 John Wiley & Sons, Ltd.

摘要

本研究旨在调查世界卫生组织综合国际诊断访谈(WHO-CIDI)中基于网络的自我管理抑郁部分在工作人群中的一年重测信度及其人口统计学相关因素。总体而言,2009年至2010年期间,日本一家制造公司的所有员工(N = 1279)中有1060人在一年间隔内对WHO-CIDI的两次基于网络的抑郁调查做出了回应。计算两次重大抑郁障碍终生诊断之间的一致性,以百分比一致性(%)表示,比较了按性别、年龄、教育程度和婚姻状况划分的Gwet's AC1和Yule's Q指标。对于总样本,百分比一致性为94%,AC1为0.93,Yule's Q为0.82。在任何一次或两次被诊断的人群中,一致性率较低(0.15)。一致性在教育程度和婚姻状况方面存在显著差异。虽然一致性指标相对较高,与之前基于较短间隔内面对面访谈的报告一致,但阳性病例的低稳定性可能会对使用WHO-CIDI网络版进行重大抑郁障碍终生诊断的准确性提出挑战。教育程度和婚姻状况可能会影响重测信度。版权所有© 2014 John Wiley & Sons, Ltd.

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