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性别特异性二元抑郁筛查版本(GIDS-15)的进一步验证研究及干预效果调查

Further Validation Study of the Gender-Specific Binary Depression Screening Version (GIDS-15) and Investigation of Intervention Effects.

作者信息

Pellowski Jan S, Wiessner Christian, Buntrock Claudia, Christiansen Hanna

机构信息

Philipps University Marburg, Department of Psychology, 35032 Marburg, Germany.

Institute for Sex Research, Sexual Medicine and Forensic Psychiatry, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.

出版信息

Behav Sci (Basel). 2025 Sep 14;15(9):1253. doi: 10.3390/bs15091253.

Abstract

Men and women differ in the manifestation of depression. At the same time, there is a lack of gender-sensitive depression questionnaires in Germany. This study investigated the Gender-specific binary depression screening version (GIDS-15) in a further validation step. In a two-armed, pragmatic single-blind randomised controlled clinical trial, we first investigated the psychometric properties and the sensitivity to change in the GIDS-15 in a sample with subclinical depression ( = 203). In addition, we then analysed sex differences between the intervention and waiting control group over time. We were able to demonstrate adequate to acceptable internal consistency as well as convergent construct validity of the GIDS-15. Additionally, we were able to demonstrate the sensitivity to change in the GIDS-15. Using a linear mixed model, we calculated a three-way interaction between intervention group, sex, and time ( = 0.017). We found an increase in the intervention effect for men over time. Conclusions: The GIDS-15 proves to be a solid and practical screening tool for the gender-sensitive assessment of depression in Germany. It can be used for progression and intervention diagnostics, although the intervention effect that was found can only be interpreted to a limited extent due to significant sample size differences between men and women. Limitations of our study and practical implications are discussed.

摘要

男性和女性在抑郁症表现上存在差异。与此同时,德国缺乏对性别敏感的抑郁症调查问卷。本研究在进一步验证步骤中对性别特异性二元抑郁筛查版本(GIDS - 15)进行了调查。在一项双臂、务实的单盲随机对照临床试验中,我们首先在亚临床抑郁症样本( = 203)中研究了GIDS - 15的心理测量特性和对变化的敏感性。此外,我们随后分析了干预组和等待对照组随时间的性别差异。我们能够证明GIDS - 15具有足够到可接受的内部一致性以及收敛性结构效度。此外,我们能够证明GIDS - 15对变化的敏感性。使用线性混合模型,我们计算了干预组、性别和时间之间的三向交互作用( = 0.017)。我们发现男性的干预效果随时间增加。结论:GIDS - 15被证明是德国用于对性别敏感的抑郁症评估的可靠且实用的筛查工具。它可用于进展和干预诊断,尽管由于男性和女性之间存在显著的样本量差异,所发现的干预效果只能在有限程度上进行解释。我们讨论了研究的局限性和实际意义。

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