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美国印第安村庄人群样本中流行病学研究中心抑郁量表的效标效度

Criterion validity of the Center for Epidemiologic Studies Depression Scale in a population sample from an American Indian village.

作者信息

Somervell P D, Beals J, Kinzie J D, Boehnlein J, Leung P, Manson S M

机构信息

National Center for American Indian and Alaska Native Mental Health Research, Department of Psychiatry, University of Colorado Health Sciences Center, Denver 80262.

出版信息

Psychiatry Res. 1993 Jun;47(3):255-66. doi: 10.1016/0165-1781(93)90083-s.

DOI:10.1016/0165-1781(93)90083-s
PMID:8372163
Abstract

The criterion validity of the Center for Epidemiologic Studies Depression Scale (CES-D) is examined in 120 adult Northwest Coast American Indians. The criterion was a DSM-III-R diagnosis derived from the Lifetime version of the Schedule for Affective Disorders and Schizophrenia. Sensitivity for major depression was 100% (95% confidence limits 36%, 100%); specificity was 82.1% (75.1%; 89%). For a broad category of depressive disorders (n = 9), sensitivity was 77.8% and specificity was 84.7%. Cut points based on receiver operating characteristic analyses did not greatly improve the performance of the CES-D. The use of factor scores instead of total scores made little difference.

摘要

对120名西北海岸成年美国印第安人进行了流行病学研究中心抑郁量表(CES-D)的效标效度检验。效标是基于情感障碍和精神分裂症日程表终生版得出的DSM-III-R诊断。重度抑郁症的敏感度为100%(95%置信区间36%,100%);特异度为82.1%(75.1%;89%)。对于一大类抑郁症(n = 9),敏感度为77.8%,特异度为84.7%。基于受试者工作特征分析得出的切点并没有显著改善CES-D的表现。使用因子得分而非总分几乎没有差别。

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