Burnam M A, Wells K B, Leake B, Landsverk J
RAND Corporation, Santa Monica, CA 90406-2138.
Med Care. 1988 Aug;26(8):775-89. doi: 10.1097/00005650-198808000-00004.
A very short (8-item), self-report measure was developed to screen for depressive disorders (major depression and dysthymia). The screener departs from traditional depressive symptom scales in that 1) individual items are differentially weighted and 2) two of the eight items concern diagnostically-relevant durations of depressed mood. Analyses of data from a general population and from primary care and mental health patients showed that the screener had high sensitivity and good positive predictive value for detecting depressive disorder, especially for recent disorders and those that met full DSM-III criteria. The high predictive utility of the screener, in combination with its brevity, suggests that it may be a useful tool for screening for depression in health care settings.
我们开发了一种非常简短（8项）的自我报告测量方法，用于筛查抑郁症（重度抑郁症和心境恶劣障碍）。该筛查工具与传统的抑郁症状量表不同，体现在以下两点：1）各个项目的权重不同；2）八个项目中的两个涉及与诊断相关的抑郁情绪持续时间。对来自普通人群、初级保健患者和心理健康患者的数据进行分析后发现，该筛查工具在检测抑郁症方面具有较高的敏感性和良好的阳性预测价值，尤其是对于近期发作的抑郁症以及符合完整DSM-III标准的抑郁症。该筛查工具的高预测效用，再加上其简短性，表明它可能是医疗保健环境中筛查抑郁症的有用工具。
