Yanchyshyn G W, Robbins D R
Can J Psychiatry. 1983 Nov;28(7):522-6. doi: 10.1177/070674378302800703.
This pilot study addressed two questions. The first was whether the combination of an observer scale (Hamilton Rating Scale) and a self-rating scale (Carroll Self-Rating Scale, modelled after the Hamilton) can make a valid distinction between the frequency and severity of depressive symptomatology in adolescents not referred for treatment, and psychiatric inpatients. The second was whether Major Depressive Disorder (MDD) could be recognized and diagnosed in "non-patient" adolescents using this interview and rating scale approach. The median Hamilton and Carroll scores of the school students differed significantly from those of the inpatients, though the scores alone did not correspond with the presence or absence of MDD. Only 1 of the 26 (3.8%) tenth grade students interviewed appeared to have MDD, compared with 9 of 33 (27%) adolescent inpatients studied previously with the same methodology. The strength and limitations of this interview and assessment approach are discussed.
这项试点研究探讨了两个问题。第一个问题是，观察者量表（汉密尔顿评定量表）和自评量表（仿照汉密尔顿量表制定的卡罗尔自评量表）相结合，能否有效区分未接受治疗的青少年和精神科住院患者抑郁症状的频率和严重程度。第二个问题是，使用这种访谈和评定量表方法，能否在“非患者”青少年中识别和诊断出重度抑郁症（MDD）。尽管仅凭分数并不能表明是否患有MDD，但在校学生的汉密尔顿和卡罗尔分数中位数与住院患者的分数中位数有显著差异。在接受访谈的26名十年级学生中，只有1名（3.8%）似乎患有MDD，而此前采用相同方法研究的33名青少年住院患者中有9名（27%）患有MDD。本文还讨论了这种访谈和评估方法的优点和局限性。
