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青少年时期多次评估的抑郁纵向模式:自我报告问卷和诊断访谈中的不同轨迹。

Longitudinal patterning of depression repeatedly assessed across time among youth: Different trajectories in self-report questionnaires and diagnostic interviews.

机构信息

Department of Psychology, University of Illinois at Urbana-Champaign.

Children's Hospital of Philadelphia.

出版信息

Psychol Assess. 2020 Sep;32(9):872-882. doi: 10.1037/pas0000915. Epub 2020 Jun 15.

Abstract

Developmental epidemiological work shows that rates of depression as assessed by diagnostic interviews increase from childhood through early adulthood. It could be assumed that the trajectory of depression as assessed by self-report questionnaire measures would be characterized by a similar pattern. We aimed to evaluate this assumption and more clearly establish the longitudinal trajectory of depression in youth, when repeatedly assessed over time with a self-report questionnaire and with a diagnostic interview. Participants were 679 youth ages 7-16 years at baseline ( = 11.8, = 2.4, 56% girls). They completed the Children's Depression Inventory (CDI) every 3 months for 3 years (13 time points) and were interviewed every 6 months using the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS) to ascertain onset of depression diagnosis. A series of growth curve models was fit to the CDI and K-SADS data. A piecewise model characterized growth in depression as assessed by the CDI, with an initial negative linear slope ( = -0.64) spanning the first 3 assessments, and a positive quadratic second slope ( = 0.015; linear component: = -0.22) spanning the remaining 10 assessments. Depression, as assessed by the K-SADS, grew continuously over time (a positive linear slope, = 0.23). Findings illustrate differences between longitudinal trajectories of depression when assessed repeatedly by self-report questionnaire and diagnostic interview. Implications for research designed to study longitudinal depression trajectories are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

发展流行病学研究表明,通过诊断访谈评估的抑郁发生率从儿童期到成年早期逐渐增加。可以假设,通过自我报告问卷测量评估的抑郁轨迹也会呈现出类似的模式。我们旨在评估这一假设,并更清楚地确定青少年抑郁的纵向轨迹,即在随时间多次使用自我报告问卷和诊断访谈进行评估时。参与者为 679 名 7-16 岁的青少年(基线时, = 11.8, = 2.4,56%为女孩)。他们在 3 年内每 3 个月完成一次儿童抑郁量表(CDI)评估(共 13 次),并每 6 个月使用儿童心境障碍和精神分裂症诊断性时间表(K-SADS)进行访谈以确定抑郁诊断的发病情况。对 CDI 和 K-SADS 数据进行了一系列增长曲线模型拟合。一个分段模型描述了 CDI 评估的抑郁增长情况,最初的线性斜率为负( = -0.64),跨越前 3 次评估,然后是正二次斜率( = 0.015;线性分量: = -0.22),跨越其余 10 次评估。通过 K-SADS 评估的抑郁随时间呈持续增长(线性斜率为正, = 0.23)。研究结果表明,通过自我报告问卷和诊断访谈反复评估的抑郁纵向轨迹存在差异。讨论了设计用于研究纵向抑郁轨迹的研究的意义。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。

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