Agrell B, Dehlin O
Geriatric Clinic, Norra sjukhuset, University of Lund, Sweden.
Stroke. 1989 Sep;20(9):1190-4. doi: 10.1161/01.str.20.9.1190.
We compared three self-rating scales (the Geriatric Depression Scale, the Zung Scale, and the Center for Epidemiologic Studies Depression Scale) with three examiner-rating scales (the Hamilton Rating Scale, the Comprehensive Psychopathological Rating Scale-Depression, and the Cornell Scale), to see which was best for 40 elderly (mean age 80 years) stroke patients, 17 of whom were depressed according to clinical examination. External validity and concurrent validity were good for all except the Cornell Scale. Reliability (internal consistency) showed that some items were not significantly correlated, which might be explained by our selection of the patients. The Geriatric Depression Scale, the Zung Scale, and the Comprehensive Psychopathological Rating Scale-Depression had the highest sensitivity, and the Zung Scale had the highest positive predictive value (93%). With regard to internal consistency, sensitivity, and predictive value, the best self-rating scales were the Geriatric Depression and the Zung scales and the best examiner-rating scale was the Comprehensive Psychopathological Rating Scale-Depression.
我们将三种自评量表（老年抑郁量表、zung量表和流行病学研究中心抑郁量表）与三种检查者评定量表（汉密尔顿评定量表、综合精神病理学评定量表-抑郁分量表和康奈尔量表）进行了比较，以确定哪种量表最适用于40名老年（平均年龄80岁）中风患者，其中17名经临床检查诊断为抑郁。除康奈尔量表外，其他量表的外部效度和同时效度均良好。信度（内部一致性）显示，部分条目相关性不显著，这可能与我们对患者的选择有关。老年抑郁量表、zung量表和综合精神病理学评定量表-抑郁分量表的敏感性最高，zung量表的阳性预测值最高（93%）。在内部一致性、敏感性和预测值方面，最佳自评量表是老年抑郁量表和zung量表，最佳检查者评定量表是综合精神病理学评定量表-抑郁分量表。
