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半结构化精神病性抑郁症评估量表(PDAS)访谈的验证。

Validation of the semi-structured Psychotic Depression Assessment Scale (PDAS) interview.

机构信息

1Department of Psychiatry,Trakya University Hospital,Edirne,Turkey.

2Psychosis Research Unit,Department of Clinical Medicine,Aarhus University,Risskov,Denmark.

出版信息

Acta Neuropsychiatr. 2018 Jun;30(3):175-180. doi: 10.1017/neu.2017.15. Epub 2017 May 24.

DOI:10.1017/neu.2017.15
PMID:28535843
Abstract

OBJECTIVE

Recently, a semi-structured interview dedicated to aid rating on the Psychotic Depression Assessment Scale (PDAS) was developed. Here, we aimed to validate PDAS ratings collected via this semi-structured interview.

METHODS

A total of 50 patients with psychotic depression - 34 with unipolar psychotic depression and 16 with bipolar psychotic depression - were recruited for the study. The following aspects of validity were investigated: clinical validity, psychometric validity (scalability), and responsiveness.

RESULTS

The PDAS ratings were clinically valid (Spearman's coefficient of correlation between PDAS total scores and Clinical Global Impressions scale - severity of illness ratings=0.66, p<0.001), scalable (Loevinger's coefficient of heterogeneity at endpoint=0.45), and responsive (no participants met the criterion for remission on the PDAS (total score <8) at baseline - at endpoint 74% (95% CI: 60-85) of the participants met this criterion).

CONCLUSIONS

The semi-structured PDAS interview provides valid ratings of the severity of psychotic depression.

摘要

目的

最近,开发了一种专门用于辅助精神病性抑郁症评估量表(PDAS)评分的半结构式访谈。在此,我们旨在验证通过这种半结构式访谈收集的 PDAS 评分。

方法

共招募了 50 名患有精神病性抑郁症的患者 - 34 名单相精神病性抑郁症患者和 16 名双相精神病性抑郁症患者 - 用于研究。考察了以下方面的有效性:临床有效性、心理测量有效性(可扩展性)和反应性。

结果

PDAS 评分具有临床有效性(PDAS 总分与临床总体印象量表 - 疾病严重程度评分之间的斯皮尔曼相关系数=0.66,p<0.001),可扩展性(终点时 Loevinger 的异质性系数=0.45),并且具有反应性(没有参与者在基线时符合 PDAS(总分<8)的缓解标准 - 在终点时,74%(95%CI:60-85)的参与者符合此标准)。

结论

半结构式 PDAS 访谈可对精神病性抑郁症的严重程度进行有效评分。

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