特定阶层似然比分析在日本社区居住人群抑郁症筛查中的应用。
Application of a stratum-specific likelihood ratio analysis in a screen for depression among a community-dwelling population in Japan.
作者信息
Sugawara Norio, Kaneda Ayako, Takahashi Ippei, Nakaji Shigeyuki, Yasui-Furukori Norio
机构信息
Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Kodaira, Tokyo.
Department of Neuropsychiatry, Hirosaki University School of Medicine, Hirosaki.
出版信息
Neuropsychiatr Dis Treat. 2017 Sep 12;13:2369-2374. doi: 10.2147/NDT.S142517. eCollection 2017.
BACKGROUND
Efficient screening for depression is important in community mental health. In this study, we applied a stratum-specific likelihood ratio (SSLR) analysis, which is independent of the prevalence of the target disease, to screen for depression among community-dwelling individuals.
METHOD
The Center for Epidemiologic Studies Depression Scale (CES-D) and the Mini International Neuropsychiatric Interview (MINI) were administered to 789 individuals (19-87 years of age) who participated in the Iwaki Health Promotion Project 2011. Major depressive disorder (MDD) was assessed using the MINI.
RESULTS
For MDD, the SSLRs were 0.13 (95% CI 0.04-0.40), 3.68 (95% CI 1.37-9.89), and 24.77 (95% CI 14.97-40.98) for CES-D scores of 0-16, 17-20, and above 21, respectively.
CONCLUSION
The validity of the CES-D is confirmed, and SSLR analysis is recommended for its practical value for the detection of individuals with the risk of MDD in the Japanese community.
背景
在社区心理健康中，高效筛查抑郁症很重要。在本研究中，我们应用了一种与目标疾病患病率无关的分层特异性似然比（SSLR）分析，以筛查社区居住个体中的抑郁症。
方法
对参与2011年磐城健康促进项目的789名个体（19 - 87岁）进行了流行病学研究中心抑郁量表（CES - D）和迷你国际神经精神访谈（MINI）。使用MINI评估重度抑郁症（MDD）。
结果
对于MDD，CES - D得分0 - 16、17 - 20和高于21时，SSLR分别为0.13（95%置信区间0.04 - 0.40）、3.68（95%置信区间1.37 - 9.89）和24.77（95%置信区间14.97 - 40.98）。
结论
CES - D的有效性得到证实，鉴于其在日本社区检测有MDD风险个体方面的实用价值，推荐使用SSLR分析。
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