Faculty of Medicine, Department of Neurosciences, Research Group Psychiatry and University Psychiatric Center, KU Leuven, Leuven, Belgium.
Medical Centre Sint Jozef, Munsterbilzen, Belgium.
Eur Psychiatry. 2020 Sep 23;63(1):e91. doi: 10.1192/j.eurpsy.2020.87.
Standard depression rating scales like the Hamilton Depression Rating Scale and the Montgomery-Åsberg Depression Rating Scale were developed more than 40 years ago. They are mandatory in clinical trials but are for a variety of reasons seldom used in clinical practice. Moreover, most clinicians are less familiar with more recent trends or with some dilemmas in assessment tools for major depression.
Narrative review.
Asssessment tools can be observer-rating or self-rating scales, disease-specific or non-disease-specific scales, subjective scales or objective lab assessments, standard questionnaires or experience sampling methods. An overarching question is to what degree current assessment methods really address the individual patient's needs and treatment expectations.
The present paper aims to offer a framework for understanding the current trends in assessment tools that can orientate and guide the clinician.
标准的抑郁评定量表，如汉密尔顿抑郁评定量表和蒙哥马利-Åsberg 抑郁评定量表，是在 40 多年前开发的。它们在临床试验中是强制性的，但由于各种原因，在临床实践中很少使用。此外，大多数临床医生对最近的趋势或对主要抑郁症评估工具的一些困境不太熟悉。
叙述性评论。
评估工具可以是观察者评分或自我评分量表，疾病特异性或非疾病特异性量表，主观量表或客观实验室评估，标准问卷或经验采样方法。一个首要问题是，当前的评估方法在多大程度上真正满足了个体患者的需求和治疗期望。
本文旨在提供一个理解当前评估工具趋势的框架，为临床医生提供指导。
