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康奈尔量表在非痴呆患者中的应用。

Use of the Cornell scale in nondemented patients.

作者信息

Alexopoulos G S, Abrams R C, Young R C, Shamoian C A

机构信息

Department of Psychiatry, Cornell University Medical College, White Plains, New York 10605.

出版信息

J Am Geriatr Soc. 1988 Mar;36(3):230-6. doi: 10.1111/j.1532-5415.1988.tb01806.x.

DOI:10.1111/j.1532-5415.1988.tb01806.x
PMID:3339232
Abstract

The Cornell scale is a 19-item clinician-administered scale of depression that uses information from interviews with both patients and their caregivers. The Cornell scale has been validated in demented patients. In this study, the Cornell scale was psychometically tested in nondemented geriatric subjects by administering it to 15 depressed patients, 15 patients with other psychiatric diagnoses, and 15 normal control subjects. The Cornell scale had high interrater reliability (Cohen's kappa = 0.74), internal consistency (Kuder-Richardson's coefficient = 0.98), and sensitivity, and correlated significantly (Spearman's r = 0.81) with Research Diagnostic Criteria psychiatric diagnoses associated with various intensity of depression. To our knowledge, the Cornell scale is the only depression-rating instrument that has been validated in both demented and nondemented geriatric subjects.

摘要

康奈尔量表是一种由临床医生实施的包含19个条目的抑郁量表,它利用从患者及其照料者访谈中获取的信息。康奈尔量表已在痴呆患者中得到验证。在本研究中,通过对15名抑郁症患者、15名患有其他精神疾病诊断的患者以及15名正常对照受试者进行施测,对康奈尔量表在非痴呆老年受试者中进行了心理测量学测试。康奈尔量表具有较高的评分者间信度(科恩kappa系数 = 0.74)、内部一致性(库德-理查森系数 = 0.98)和敏感性,并且与研究诊断标准中与不同抑郁强度相关的精神疾病诊断显著相关(斯皮尔曼相关系数r = 0.81)。据我们所知,康奈尔量表是唯一一种在痴呆和非痴呆老年受试者中均得到验证的抑郁评定工具。

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