常用抑郁量表筛查我国青少年抑郁的效度和划界分

发布时间：2018-03-05 08:43

本文选题：流调用抑郁量表　切入点：贝克抑郁量表第版中文版　出处：《中国临床心理学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的:检验常用抑郁量表即流调用抑郁量表(CES-D)和贝克抑郁量表第2版中文版(BDI-II-C)筛查我国青少年抑郁的效度和划界分。方法:5565名中学生(年龄:14.17±1.66)完成CES-D和BDI-II-C测试,其中634人[即CES-D总分≥20分(n=322)和20分(n=312)]进一步完成了学龄期儿童情感障碍和精神分裂症问卷(K-SADS)诊断访谈。对完成访谈的青少年以美国精神障碍诊断与统计手册第4版(DSM-IV)为标准做出抑郁障碍诊断,以此为效标,计算并比较CES-D和BDI-II-C在各自常规和最优划界分下筛查青少年抑郁症和所有抑郁障碍的效度。结果:1CES-D以总分≥29和≥24分为最优划界分,分别筛查青少年抑郁症和所有抑郁障碍的敏感度为94%-97%,特异度为74%-79%,阳性预测值为21%-30%,接受者操作特征(ROC)曲线下面积(AUC)为0.88-0.91;BDI-II-C以总分≥28和≥15分为最优划界分,分别筛查青少年抑郁症和所有抑郁障碍的敏感度为91%-95%,特异度为80%-83%,阳性预测值为23%-35%,AUC为0.88-0.91。2CES-D在常规划界分下筛查青少年抑郁症(≥24分)和所有抑郁障碍(≥20分)的特异度(55%-70%)和阳性预测值(16%-20%)均小于最优划界分;BDI-II-C在常规划界分下筛查青少年抑郁症(≥29分)和所有抑郁障碍(≥14分)结果与最优划界分相似,除筛查所有抑郁障碍的敏感度(99%)优于最优划界分(95%);3CES-D筛查抑郁症和所有抑郁障碍的特异度均小于BDI-II-C。结论:两常用抑郁量表筛查我国青少年抑郁具有较好的效标效度,建议CES-D选用最优划界分,BDI-II-C选用常规划界分。
[Abstract]:Objective: to test the commonly used depression scale: Center for Epidemiologic Studies Depression Scale (CES-D) and Beck Depression Scale (BDI-II-C) version second version of Chinese screening in China adolescent depression. Methods: the validity and delimitation of 5565 middle school students (age: 14.17 + 1.66) CES-D and BDI-II-C test, in which 634 people [CES-D the total score more than 20 points (n=322) and 20 (n=312)] further completed the school-age children's affective disorders and schizophrenia questionnaire (K-SADS). To complete the diagnostic interview interview teenagers to the diagnostic and Statistical Manual of mental disorders Fourth Edition (DSM-IV) make a depression diagnosis as the standard, as a criterion, calculation and the comparison of CES-D and BDI-II-C in their own routine screening and optimal cut-off scores of adolescent depression and depression all validity. Results: 1CES-D with a total of more than 29 and more than 24 points for the optimal cut-off scores, respectively, screening of adolescent depression disorder and depression all sensitive Sensitivity 94%-97%, specificity 74%-79%, the positive predictive value of 21%-30%, receiver operating characteristic (ROC) area under the curve (AUC) for 0.88-0.91; BDI-II-C with a total of more than 28 and more than 15 points for the optimal cut-off scores, respectively, screening of adolescent depression and depressive disorder all sensitivity of 91%-95%, the specificity of 80%-83%. The positive predictive value for 23%-35%, AUC for 0.88-0.91.2CES-D in the regular division under the screening of adolescent depression (more than 24) and all depression (more than 20). The specificity and positive predictive value (55%-70%) (16%-20%) were less than optimal demarcation points; BDI-II-C in the regular division under the screening of adolescent depression (more than 29 points) and all depression (14 minute) and the optimal cut-off scores of similar results, except for screening all depression sensitivity (99%) is better than the optimal cut-off scores (95%); 3CES-D depression and depression screening all specificity were less than BDI-II-C. conclusion Two the effective standard validity of depression was screened by the common depression scale, and the best demarcation score was selected for CES-D, and the routine demarcation score was selected by BDI-II-C.

【作者单位】：湖南师范大学心理学系;湖南师范大学认知与人类行为湖南省重点实验室;中南大学湘雅二医院医学心理研究所;
【基金】：国家社会科学基金教育学一般课题-预防青少年抑郁的“认知疫苗”:注意偏向矫正训练作用及认知机制(BBA130016)资助
【分类号】：R749.4

【相似文献】