Weiss R D, Griffin M L, Mirin S M
Alcohol and Drug Abuse Treatment Program, McLean Hospital, Belmont, MA 02178.
Psychiatry Res. 1989 Jun;28(3):335-43. doi: 10.1016/0165-1781(89)90214-x.
This study compared the sensitivity and specificity of three rating scales in detecting major depression in 149 hospitalized cocaine abusers. Patients were administered the Beck Depression Inventory (BDI), the Hamilton Rating Scale for Depression, and the Symptom Checklist-90 at admission and at 2 weeks and 4 weeks of hospitalization. The admission BDI score offered the best combination of sensitivity and specificity. However, the low specificity of all the scales and the low prevalence rate of major depression in this population made the positive predictive power of the instruments weak. The results support some limited use of the BDI as an initial screening instrument in cocaine abusers.
本研究比较了三种评定量表在检测149名住院可卡因滥用者中重度抑郁症时的敏感性和特异性。患者在入院时、住院2周和4周时分别接受贝克抑郁量表（BDI）、汉密尔顿抑郁评定量表和症状自评量表90的测评。入院时的BDI评分在敏感性和特异性方面提供了最佳组合。然而，所有量表的低特异性以及该人群中重度抑郁症的低患病率使得这些工具的阳性预测能力较弱。结果支持BDI在可卡因滥用者中作为初始筛查工具的有限使用。
