Meins W
Psychiatric Clinic, University of Hamburg, Germany.
Res Dev Disabil. 1993 Jul-Aug;14(4):299-312. doi: 10.1016/0891-4222(93)90024-e.
The applicability of the Children's Depression Inventory (CDI) in the informant-rating version to mentally retarded adults (> 19 years of age) of all degrees of severity is researched here for the first time. The sample (N = 798) consisted of residents in community-based group homes (56.9%) and residents of a variety of institutions (43.1%). On average, 23 of the 24 CDI items were to be assessed. Internal consistency, interrater reliability, and the item-total score correlations were adequate. The three factors derived from factor analysis were open to clear interpretation. The CDI score proved to be independent of age, sex, and degree of mental retardation. Persons with behavior problems, psychotropic drug treatment, non-Down syndrome status, as well as the residents of a psychiatric clinic, all returned a higher CDI score. Among those having a CDI score > or = 17 (n = 54), there were 57% with DSM-III-R depressive disorders. These results suggest that the CDI in an informant-rating version is suitable as a diagnostic and screening instrument for mentally retarded adults.
本文首次研究了儿童抑郁量表（CDI）的知情人评定版本在所有严重程度的成年智障者（年龄大于19岁）中的适用性。样本（N = 798）包括社区集体之家的居民（56.9%）和各类机构的居民（43.1%）。平均而言，24个CDI项目中的23个需要进行评估。内部一致性、评分者间信度以及项目与总分的相关性都较好。从因子分析得出的三个因子易于明确解释。CDI得分被证明与年龄､性别和智障程度无关。有行为问题的人､接受精神药物治疗的人､非唐氏综合征患者以及精神科诊所的居民，CDI得分都较高。在CDI得分≥17的人（n = 54）中，57%患有DSM-III-R抑郁障碍。这些结果表明，知情人评定版本的CDI适合作为成年智障者的诊断和筛查工具。
