Arruda J E, Stern R A, Legendre S A
Department of Psychiatry, Brown University School of Medicine, Providence, Rhode Island, USA.
Convuls Ther. 1996 Dec;12(4):207-12.
Reliable, valid, and brief measures of mood state are essential to the evaluation of electroconvulsive therapy (ECT) efficacy. However, existing measures of mood state may be inappropriate for patients with transient cognitive impairment. Stern and colleagues have recently developed a set of Visual Analog Mood Scales (VAMS) for use in neurologically impaired patients. These brief scales (including measures of sad, confused, afraid, happy, tired, angry, and energetic states) are easily administered and have documented reliability and validity in neurologically impaired patients and in healthy adult and geriatric samples. In the present study, we assessed the validity and sensitivity of the VAMS to detect ECT-related mood change. Twenty-five inpatients who were diagnosed with major depressive episode and referred for ECT were administered the VAMS and the Hamilton Depression Rating Scale (HDRS) both pre- and post-ECT. Results indicate that the VAMS are as sensitive to the therapeutic effects of ECT as is the more lengthy and verbally demanding HDRS. In addition, the VAMS were highly correlated with the clinician's Clinical Global Improvement rating and the patient's self-report using a modified Center for Epidemiological Studies-Depression scale. The VAMS are brief, reliable scales that are sensitive to the treatment effects of ECT and that are appropriate for patients with transient cognitive impairment.
可靠、有效且简洁的情绪状态测量方法对于评估电休克疗法（ECT）的疗效至关重要。然而，现有的情绪状态测量方法可能不适用于有短暂认知障碍的患者。斯特恩及其同事最近开发了一套视觉模拟情绪量表（VAMS），用于神经功能受损的患者。这些简短的量表（包括悲伤、困惑、恐惧、快乐、疲惫、愤怒和精力充沛状态的测量）易于实施，并且在神经功能受损患者以及健康成人和老年样本中都有可靠性和有效性的记录。在本研究中，我们评估了VAMS检测ECT相关情绪变化的有效性和敏感性。对25名被诊断为重度抑郁发作并转诊接受ECT的住院患者在ECT治疗前和治疗后都进行了VAMS和汉密尔顿抑郁评定量表（HDRS）的测试。结果表明，VAMS对ECT治疗效果的敏感性与更长且对语言要求更高的HDRS相当。此外，VAMS与临床医生的临床总体改善评定以及患者使用改良的流行病学研究中心抑郁量表的自我报告高度相关。VAMS是简短、可靠的量表，对ECT的治疗效果敏感，并且适用于有短暂认知障碍的患者。
