Comprehensive Assessment Center, Rehabilitation Service, Social Welfare Institute of Macau, Macau, People's Republic of China.
Department of Neurology, University of Texas Health Science Center, San Antonio, TX.
Psychosomatics. 2018 May-Jun;59(3):277-282. doi: 10.1016/j.psym.2017.11.002. Epub 2017 Nov 14.
Depressed primary care patients may present with somatic symptoms first, complicating differential diagnosis. Clinicians have few instruments for assessing this comorbidity.
To evaluate the psychometrics of the translated Chinese Depression and Somatic Symptoms Scale (DSSS) in Americans.
A total of 491 nonclinical but symptomatic ethnically-diverse individuals completed the DSSS and Center for Epidemiologic Studies Depression Scale (CES-D).
Factor analysis yielded 2 distinct factors: depression and somatic symptoms. DSSS and subscales showed internal consistency, reliability, and convergent validity with CES-D and subscales.
These results support DSSS's trustworthiness for US populations. Using DSSS for patient assessment may assist diagnosis and inform interventions.
抑郁的初级保健患者可能首先表现出躯体症状，这使鉴别诊断变得复杂。临床医生几乎没有工具来评估这种合并症。
评估中文抑郁和躯体症状量表（DSSS）在美国人群中的心理计量学特性。
共有 491 名非临床但有症状的、种族多样化的个体完成了 DSSS 和流行病学研究中心抑郁量表（CES-D）。
因素分析得出了 2 个不同的因素：抑郁和躯体症状。DSSS 及其分量表与 CES-D 及其分量表具有内部一致性、可靠性和聚合效度。
这些结果支持 DSSS 在美国人群中的可信度。使用 DSSS 进行患者评估可能有助于诊断和干预措施的制定。
