双相障碍患者的 6 项自评汉密尔顿抑郁量表（HAM-D）作为抑郁筛查工具是否有效？
Is the 6-item, self-report HAM-D an effective depression screening measure with bipolar disorder?
机构信息
School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Department of Public Health and Multidisciplinary Research Center on Aging, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
出版信息
Perspect Psychiatr Care. 2020 Oct;56(4):900-904. doi: 10.1111/ppc.12509. Epub 2020 Apr 7.
PURPOSE
Brief and effective screening measures are required to detect clinical depression in bipolar disorder (BD) patients. The purpose of this study was to demonstrate the clinical utility of a six-item, self-report Hamilton Depression Rating Scale (HAMD-6).
DESIGN AND METHOD
Sixty BD outpatients completed questionnaires including the HAMD-6 before regular psychiatric appointments.
FINDINGS
A 7+ HAMD-6 cut-off score correctly identified six of eight depressed patients, indicating 75% sensitivity and 84% specificity.
PRACTICE IMPLICATIONS
The results of this study suggest the HAMD-6 is an effective depression screening measure with BD patients living in the community. This brief self-report scale can be used in clinical settings to quickly identify those requiring more thorough clinical attention.
目的
需要简短有效的筛选措施来检测双相情感障碍（BD）患者的临床抑郁症。本研究的目的是证明六分量表的汉密尔顿抑郁评定量表（HAMD-6）的临床实用性。
设计和方法
60 名 BD 门诊患者在定期精神科就诊前完成了包括 HAMD-6 在内的问卷。
结果
HAMD-6 的 7+分截断值正确识别了 8 名抑郁患者中的 6 名，表明敏感性为 75%，特异性为 84%。
实践意义
本研究结果表明，HAMD-6 是一种有效的社区居住的 BD 患者抑郁筛查措施。这种简短的自我报告量表可用于临床环境，快速识别那些需要更全面临床关注的患者。
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