通过症状评分对抑郁症严重程度进行分级：这是对抑郁症进行亚分类的有效方法吗？

Grading depression severity by symptom scores: is it a valid method for subclassifying depressive disorders?

作者信息

Kitamura T, Nakagawa Y, Machizawa S

机构信息

National Institute of Mental Health, Ichikawa, Japan.

出版信息

Compr Psychiatry. 1993 Jul-Aug;34(4):280-3. doi: 10.1016/0010-440x(93)90011-r.

DOI:10.1016/0010-440x(93)90011-r

PMID:8348808

Abstract

Recent diagnostic criteria such as the DSM-III-R and the 10th Revision of the International Classification of Diseases (ICD-10) have proposed that depression should be subcategorized according to severity. Among 75 inpatients with Research Diagnostic Criteria (RDC) major depressive disorder, the total number of criterion B items (N = 8) used as the measure of severity was validated against the global assessment scale (GAS) score for the worst week of the episode; the correlation between the two was r = -.232. This suggests that even if the total number of identified diagnostic items reflects a different aspect of severity, there should be caution about its use unless validated by further study.

摘要

近期的诊断标准，如《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）和《国际疾病分类》第十版（ICD-10），提议应根据严重程度对抑郁症进行细分。在75例符合研究诊断标准（RDC）的重度抑郁症住院患者中，将用作严重程度衡量指标的B类标准项目总数（N = 8）与该发作最严重一周的总体评估量表（GAS）评分进行了验证；两者之间的相关性为r = -0.232。这表明，即使已识别的诊断项目总数反映了严重程度的不同方面，但除非经过进一步研究验证，否则在使用时仍应谨慎。