Levin B E, Llabre M M, Weiner W J
Department of Neurology, University of Miami, Florida.
J Neurol Neurosurg Psychiatry. 1988 Nov;51(11):1401-4. doi: 10.1136/jnnp.51.11.1401.
Although the Beck Depression Inventory (BDI) is one of the most frequently employed measures of depression in Parkinson's disease, the somatic items included in the scale raise questions about its ability to differentiate depression from manifestations of the disease. The internal consistency and validity of the BDI as a measure of depression in a sample of 119 Parkinson's disease patients and 76 controls were studied. Results from an item analysis suggested that depression in Parkinson's disease patients is not a somatic artifact. Internal consistency reliability within the Parkinson's disease group was high. The factorial validity of the BDI was confirmed in both Parkinson's disease and control subjects. The results also indicated that Parkinsonian symptoms of depression can be measured separately from symptoms of the disease. These data suggest that the BDI including the somatic items is a reliable and valid measure of depression in Parkinson's disease and control subjects.
尽管贝克抑郁量表(BDI)是帕金森病中最常用的抑郁测量工具之一,但该量表中的躯体项目引发了对其区分抑郁与疾病表现能力的质疑。对119名帕金森病患者和76名对照样本中BDI作为抑郁测量工具的内部一致性和有效性进行了研究。项目分析结果表明,帕金森病患者的抑郁并非躯体假象。帕金森病组内的内部一致性信度较高。BDI在帕金森病患者和对照受试者中均得到了因子效度的证实。结果还表明,帕金森病性抑郁症状可与疾病症状分开测量。这些数据表明,包含躯体项目的BDI是帕金森病患者和对照受试者中抑郁的可靠且有效的测量工具。