评估纤维肌痛患者的抑郁症。
Assessing depression in fibromyalgia patients.
作者信息
Burckhardt C S, O'Reilly C A, Wiens A N, Clark S R, Campbell S M, Bennett R M
出版信息
Arthritis Care Res. 1994 Mar;7(1):35-9. doi: 10.1002/art.1790070108.
PURPOSE
This study investigated the relationships among four methods of detecting depression in patients with fibromyalgia.
METHODS
Data were obtained from 100 women (mean age 43 years) who had been diagnosed with fibromyalgia. Instruments included a computerized Diagnostic Interview Schedule (C-DIS), Beck Depression Inventory (BDI), an adjusted "disease-free" BDI (BDI-A), and Minnesota Multiphasic Personality Inventory depression subscale (MMPI-D). Chance-corrected concordance, sensitivity, specificity, and accuracy among the four methods were calculated.
RESULTS
The C-DIS detected 22% and BDI-A 29% with current major depression. The BDI and MMPI-D yielded higher estimates of 55% of the 44%, respectively. Agreement on the diagnosis among the four methods was significantly greater than chance. When compared with the C-DIS, the BDI was the most sensitive instrument and the BDI-A most specific.
目的
本研究调查了四种检测纤维肌痛患者抑郁的方法之间的关系。
方法
数据来自100名被诊断为纤维肌痛的女性（平均年龄43岁）。所使用的工具包括计算机化诊断访谈量表（C-DIS）、贝克抑郁量表（BDI）、调整后的“无疾病”BDI（BDI-A）以及明尼苏达多相人格调查表抑郁分量表（MMPI-D）。计算了这四种方法之间的机遇校正一致性、敏感性、特异性和准确性。
结果
C-DIS检测出当前重度抑郁的比例为22%，BDI-A为29%。BDI和MMPI-D分别得出了更高的估计值，分别为44%中的55%。四种方法在诊断上的一致性显著高于机遇水平。与C-DIS相比，BDI是最敏感的工具，而BDI-A是最具特异性的。
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