Robbins D R, Alessi N E, Colfer M V, Yanchyshyn G W
Psychiatry Res. 1985 Feb;14(2):123-9. doi: 10.1016/0165-1781(85)90056-3.
The relationship of clinicians' ratings of depression in adolescents to self-rating is important to clinical research. The Hamilton Rating Scale for Depression (HRSD) and the Carroll Self-Rating Scale (CSRS) were compared in a study of 81 psychiatrically hospitalized adolescents. The correlation of CSRS and HRSD total scores in adolescents with melancholic major depression was 0.46, lower than the correlation reported in adults (0.80). Higher correlations were seen in females and in nonmelancholic and nondepressed subgroups. While the comparison of the two rating methods suggests some characteristics of depressed adolescents' presentation of their illness, it does not appear that the self-rating instrument can be used as an alternative to clinicians' ratings.
临床医生对青少年抑郁症的评分与自评之间的关系对临床研究很重要。在一项对81名因精神疾病住院的青少年的研究中，对汉密尔顿抑郁评定量表（HRSD）和卡罗尔自评量表（CSRS）进行了比较。患有忧郁性重度抑郁症的青少年中，CSRS和HRSD总分的相关性为0.46，低于在成年人中报告的相关性（0.80）。在女性以及非忧郁性和非抑郁亚组中观察到更高的相关性。虽然两种评分方法的比较揭示了抑郁青少年呈现其病情的一些特征，但自评工具似乎不能替代临床医生的评分。
