Rush A J, Gullion C M, Basco M R, Jarrett R B, Trivedi M H
Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas 75235-9101, USA.
Psychol Med. 1996 May;26(3):477-86. doi: 10.1017/s0033291700035558.
The psychometric properties of the 28- and 30-item versions of the Inventory of Depressive Symptomatology, Clinician-Rated (IDS-C) and Self-Report (IDS-SR) are reported in a total of 434 (28-item) and 337 (30-item) adult out-patients with current major depressive disorder and 118 adult euthymic subjects (15 remitted depressed and 103 normal controls). Cronbach's alpha ranged from 0.92 to 0.94 for the total sample and from 0.76 to 0.82 for those with current depression. Item total correlations, as well as several tests of concurrent and discriminant validity are reported. Factor analysis revealed three dimensions (cognitive/mood, anxiety/arousal and vegetative) for each scale. Analysis of sensitivity to change in symptom severity in an open-label trial of fluoxetine (N = 58) showed that the IDS-C and IDS-SR were highly related to the 17-item Hamilton Rating Scale for Depression. Given the more complete item coverage, satisfactory psychometric properties, and high correlations with the above standard ratings, the 30-item IDS-C and IDS-SR can be used to evaluate depressive symptom severity. The availability of similar item content for clinician-rated and self-reported versions allows more direct evaluations of these two perspectives.
报告了临床医生评定版(IDS-C)和自我报告版(IDS-SR)的抑郁症状量表28项和30项版本的心理测量特性,研究对象共有434名(28项版本)和337名(30项版本)患有当前重度抑郁症的成年门诊患者,以及118名成年心境正常受试者(15名缓解期抑郁症患者和103名正常对照)。总样本的克朗巴哈系数在0.92至0.94之间,当前患有抑郁症的受试者的克朗巴哈系数在0.76至0.82之间。报告了项目与总分的相关性以及几项同时效度和区分效度检验。因子分析揭示了每个量表的三个维度(认知/情绪、焦虑/唤醒和躯体症状)。在一项氟西汀开放标签试验(N = 58)中对症状严重程度变化的敏感性分析表明,IDS-C和IDS-SR与17项汉密尔顿抑郁评定量表高度相关。鉴于30项IDS-C和IDS-SR具有更完整的项目覆盖范围、令人满意的心理测量特性以及与上述标准评定的高度相关性,可用于评估抑郁症状的严重程度。临床医生评定版和自我报告版具有相似的项目内容,这使得能够更直接地评估这两种视角。