Department of Medical Psychology, Hospital Gelderse Vallei, Ede, The Netherlands.
Department of Health Psychology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Diabet Med. 2018 Dec;35(12):1678-1685. doi: 10.1111/dme.13779. Epub 2018 Sep 21.
To investigate the acceptability of two questionnaires, the five item WHO Well-being Index (WHO-5) and the Beck Depression Inventory II (BDI-II), which differ in length and focus, by comparing three screening groups: (1) WHO-5, (2) BDI-II and (3) WHO-5 and BDI-II.
A total of 699 individuals with diabetes were approached to participate in the study, of whom 95 completed the WHO-5, 254 completed the BDI-II and 350 completed both the WHO-5 and the BDI-II questionnaires. Five facets of acceptability were compared, including objective aspects (response rate and completion level) and subjective aspects (appreciation, agreeableness and accuracy of the screening questionnaire). Data were analysed using logistic regression analysis and (multivariate) analysis of covariance.
The overall response rate was 65% (453 out of 699). No differences between the three groups were found with respect to the response rate (WHO-5: 66%; BDI-II: 63%; WHO-5 and BDI-II: 66%; P ≥ 0.19) and completion level (WHO-5: 99.5%; BDI-II: 97.8%; WHO-5 and BDI-II: 98.7%; P=0.45). The three groups did differ significantly in their scores on two of the three subjective indicators (P<0.03), i.e. appreciation (P=0.002) and agreeableness (P=0.035), with those completing only the WHO-5 reporting greater appreciation and agreeableness.
A brief well-being questionnaire, such as the WHO-5, results in greater appreciation of mood screening and appreciation of completing the questionnaire, but this does not result in a better response rate and higher questionnaire completion. Given these results, either or both questionnaires can be used to screen for depressive symptoms in people with diabetes in clinical practice.
通过比较三个筛查组（1）WHO-5，（2）BDI-II 和（3）WHO-5 和 BDI-II，来研究两种问卷（长度和重点不同的五项目世界卫生组织幸福感指数（WHO-5）和贝克抑郁量表 II（BDI-II）的可接受性。
共有 699 名糖尿病患者被邀请参加这项研究，其中 95 名完成了 WHO-5，254 名完成了 BDI-II，350 名完成了 WHO-5 和 BDI-II 问卷。比较了可接受性的五个方面，包括客观方面（应答率和完成水平）和主观方面（对筛查问卷的欣赏、同意和准确性）。使用逻辑回归分析和（多变量）协方差分析进行数据分析。
总体应答率为 65%（453 名/699 名）。三组之间在应答率（WHO-5：66%；BDI-II：63%；WHO-5 和 BDI-II：66%；P≥0.19）和完成水平（WHO-5：99.5%；BDI-II：97.8%；WHO-5 和 BDI-II：98.7%；P=0.45）方面没有差异。在三个主观指标中的两个上，三组之间存在显著差异（P<0.03），即欣赏（P=0.002）和同意（P=0.035），仅完成 WHO-5 的人报告了更高的欣赏和同意。
简短的幸福感问卷，如 WHO-5，会导致对情绪筛查的欣赏度增加，对完成问卷的欣赏度增加，但这并不会导致更高的应答率和更高的问卷完成率。考虑到这些结果，无论是使用 WHO-5 还是 BDI-II 都可以在临床实践中筛查糖尿病患者的抑郁症状。
