Rhew Isaac C, Monahan Kathryn C, Oesterle Sabrina, Hawkins J David
Department of Psychiatry and Behavioral Sciences, University of Washington.
Department of Psychology, University of Pittsburgh.
J Community Psychol. 2016 Apr;44(3):391-398. doi: 10.1002/jcop.21766. Epub 2016 Mar 9.
For community-level approaches to preventing depression, measures of depression that are brief as well as valid are needed, particularly given competing demands in surveys for assessment of other outcomes including substance use, delinquency, and their associated risk factors. This study examined the validity of a four-item adolescent depression measure, the Communities That Care Brief Depression Scale (CTC-BDS). Data were from a survey of adolescents (N = 3,939) participating in the Community Youth Development Study (CYDS), a community-randomized trial involving 24 U.S. towns. The Patient Health Questionnaire nine-item (PHQ-9) was the criterion standard used to define major depressive disorder (MDD). Sensitivity and specificity of the CTC-BDS were both > .8 at a cutpoint of 6 and the area under the receiver operating characteristic curve was .91. Its strong psychometric properties and brevity make the CTC-BDS a useful measure for communities to monitor levels of youth depression.
对于社区层面预防抑郁症的方法，需要有简短且有效的抑郁症测量方法，特别是考虑到在调查中还需要评估包括物质使用、犯罪行为及其相关风险因素等其他结果，存在相互竞争的需求。本研究检验了一个四项青少年抑郁症测量工具——社区关怀简短抑郁量表（CTC-BDS）的有效性。数据来自对参与社区青年发展研究（CYDS）的青少年（N = 3939）的一项调查，CYDS是一项涉及美国24个城镇的社区随机试验。患者健康问卷九项版（PHQ-9）是用于定义重度抑郁症（MDD）的标准参照。在切点为6时，CTC-BDS的敏感性和特异性均大于0.8，受试者工作特征曲线下面积为0.91。其强大的心理测量特性和简短性使得CTC-BDS成为社区监测青少年抑郁水平的有用工具。
