Beck A T, Guth D, Steer R A, Ball R
Beck Institute for Cognitive Therapy and Research, Bala Cynwyd, PA, USA.
Behav Res Ther. 1997 Aug;35(8):785-91. doi: 10.1016/s0005-7967(97)00025-9.
To ascertain how effective the Beck Depression Inventory for Primary Care (BDI-PC) was for differentiating medical inpatients who were and were not diagnosed with DSM-IV major depression disorders (MDD), this 7-item self-report instrument composed of cognitive and affective symptoms was administered to 50 medical inpatients along with the Depression subscale (HDS) from the Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1983, Acta Psychiatrica Scandinavica, 67, 361-370). The Mood Module from the Primary Care Evaluation of Mental Disorders (Spitzer et al., 1995, Prime-MD instruction manual updated for DSM-IV) was used to diagnose MDD. The internal consistency of the BDI-PC was high (alpha = 0.86), and it was moderately correlated with the HDS (r = 0.62, P < 0.001). The BDI-PC was not significantly correlated with sex, age, ethnicity, or type of medical diagnosis. A BDI-PC cut-off score of 4 and above yielded the maximum clinical efficiency with both 82% sensitivity and specificity rates. The clinical utility of the BDI-PC for identifying medical inpatients who should be evaluated for MDD is discussed.
为确定初级保健贝克抑郁量表（BDI-PC）在区分已确诊和未确诊为DSM-IV重度抑郁症（MDD）的内科住院患者方面的有效性，对50名内科住院患者使用了这份由认知和情感症状组成的7项自评工具，同时还使用了医院焦虑抑郁量表（齐格蒙德和斯奈思，1983年，《斯堪的纳维亚精神病学学报》，67卷，361 - 370页）中的抑郁分量表（HDS）。采用精神障碍初级保健评估中的情绪模块（斯皮策等人，1995年，为DSM-IV更新的Prime-MD使用手册）来诊断MDD。BDI-PC的内部一致性较高（α = 0.86），与HDS呈中度相关（r = 0.62，P < 0.001）。BDI-PC与性别、年龄、种族或医学诊断类型均无显著相关性。BDI-PC的临界值为4及以上时，临床效率最高，敏感度和特异度均为82%。本文讨论了BDI-PC在识别应接受MDD评估的内科住院患者方面的临床实用性。
