中文版哥德堡男性抑郁量表在男性健康门诊的有效性和临床应用。
Validity and clinical utilization of the Chinese version of the Gotland Male Depression Scale at a men's health polyclinic.
机构信息
Men's Health Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan ; Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan ; School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Men's Health Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan ; School of Medicine, Chang Gung University, Taoyuan, Taiwan ; Department of Urology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.
出版信息
Neuropsychiatr Dis Treat. 2014 Sep 10;10:1707-14. doi: 10.2147/NDT.S67617. eCollection 2014.
INTRODUCTION
Symptoms of depression in males, such as aggression and irritability, are different from those in females. However, there are no adequate scales for detecting possible diagnoses in the Chinese population. The aim of this study was to assess whether the Chinese version of the Gotland Male Depression Scale (CV-GMDS) could identify male depression as effectively as the English version.
MATERIALS AND METHODS
A total of 231 male outpatients were sampled from a men's health polyclinic. We used questionnaires to evaluate the characteristics and mood status of participants, including the CV-GMDS, the Chinese version of the Beck Depressive Inventory II (CV-BDI-II), and the Chinese version of the Aging Males' Symptoms (CV-AMS) scale. Cronbach's α-coefficient and Levene's test were used to investigate internal consistency and homogeneity, respectively. External validity was evaluated using Spearman's correlation coefficient. A factor analysis was conducted to evaluate the conceptual structure of the CV-GMDS, and a regression analysis was used to determine the relationship of the CV-AMS scale with the CV-GMDS and CV-BDI-II.
RESULTS
The mean age of the 231 participants was 46.1 years (standard deviation 11.0). Of the participants, 36.8% (n=85) were found to have depression according to the CV-GMDS and 34.6% (n=80) according to the CV-BDI-II. The internal consistency of the CV-GMDS was demonstrated by a Cronbach's α of 0.933, and the test of homogeneity revealed a P-value of 0.762. The external validity for the CV-GDMS and CV-BDI-II was demonstrated by an intercorrelation of 0.835. The third and fourth items of the GMDS differed from the others, and the CV-GMDS showed a better relationship (R (2)=0.616) with the CV-AMS scale than the CV-BDI-II did.
CONCLUSION
The CV-GMDS is a satisfactory and suitable psychometric questionnaire for detecting depression among a Chinese-speaking middle-aged or older male population. The results of this study could be used as a basis for investigating specific male depression and aging symptoms.
介绍
男性的抑郁症状，如攻击性和易怒，与女性不同。然而，在中国人群中，没有足够的量表来检测可能的诊断。本研究旨在评估中文版哥德堡男性抑郁量表（CV-GMDS）是否能像英文版一样有效地识别男性抑郁。
材料和方法
从男性健康门诊抽取 231 名男性门诊患者。我们使用问卷评估参与者的特征和情绪状态，包括 CV-GMDS、中文版贝克抑郁量表 II（CV-BDI-II）和中文版男性衰老症状（CV-AMS）量表。采用 Cronbach's α 系数和 Levene 检验分别考察内部一致性和同质性。采用 Spearman 相关系数评价外部效度。采用因子分析评价 CV-GMDS 的概念结构，采用回归分析评价 CV-AMS 量表与 CV-GMDS 和 CV-BDI-II 的关系。
结果
231 名参与者的平均年龄为 46.1 岁（标准差 11.0）。根据 CV-GMDS，36.8%（n=85）的参与者被诊断为抑郁，根据 CV-BDI-II，34.6%（n=80）的参与者被诊断为抑郁。CV-GMDS 的内部一致性由 Cronbach's α 为 0.933 证明，同质性检验显示 P 值为 0.762。CV-GDMS 和 CV-BDI-II 的外部效度由相关性 0.835 证明。GMDS 的第三和第四个项目与其他项目不同，CV-GMDS 与 CV-AMS 量表的关系更好（R 2=0.616），而 CV-BDI-II 则不然。
结论
CV-GMDS 是一种满意且适合检测以中文为母语的中年或老年男性人群中抑郁的心理测量问卷。本研究的结果可作为调查特定男性抑郁和衰老症状的基础。
Zotero 插件