青少年神经精神疾病抑郁评定量表（NDDI-E-Y）比神经科医生更敏感吗？一项质量改进项目。
Is the Neurological Disorders Depression Inventory-Epilepsy for Youth (NDDI-E-Y) more sensitive than a neurologist? A quality improvement project.
机构信息
Department of Neurology, University of Virginia, Charlottesville, VA, USA.
Department of Neurology, University of Virginia, Charlottesville, VA, USA.
出版信息
Epilepsy Behav. 2020 Mar;104(Pt A):106913. doi: 10.1016/j.yebeh.2020.106913. Epub 2020 Feb 6.
PURPOSE
Depression is one of the most prevalent psychiatric comorbidities in epilepsy. This quality improvement project compared a standardized rating scale, the Neurological Disorders Depression Inventory-Epilepsy for Youth (NDDI-E-Y), with physician opinion to see if it improved sensitivity to depressive symptoms.
RESULTS
A convenience sample of thirty adolescents with epilepsy ages 12-17 (mean [M] = 15.02, standard deviation [SD] = 1.81; 53% female) participated in the screening. Thirteen percent of the sample scored in the Elevated range on the NDDI-E-Y (exceeded cutoff). Seven percent of the sample were rated by the physician as definitely showing signs of depression. There were two false negatives when the NDDI-E-Y score exceeded the established cutoff, but physician rating was negative for depressive symptoms.
CONCLUSION
This pilot project shows that the NDDI-E-Y is a convenient clinical tool with the potential to improve sensitivity in the detection of depressive symptoms in adolescents with epilepsy.
目的
抑郁症是癫痫最常见的精神共病之一。本质量改进项目将标准化评定量表——青少年癫痫患者神经障碍抑郁量表（NDDI-E-Y）与医生意见进行比较，以观察其是否能提高对抑郁症状的敏感性。
结果
本研究便利选取了 30 名年龄在 12-17 岁（平均[M] = 15.02，标准差[SD] = 1.81；53%为女性）的青少年癫痫患者参与筛查。该样本中有 13%的人在 NDDI-E-Y 中得分处于升高范围（超过临界值）。7%的样本被医生评定为有明显抑郁症状。当 NDDI-E-Y 得分超过既定临界值时，出现了两例假阴性，但医生对抑郁症状的评定为阴性。
结论
本试点项目表明，NDDI-E-Y 是一种方便的临床工具，有可能提高对青少年癫痫患者抑郁症状的检测敏感性。
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