THE OLDER ADULT HEALTH AND MOOD QUESTIONNAIRE A MEASURE OF GERIATRIC DEPRESSIVE DISORDER
THE OLDER ADULT HEALTH AND MOOD QUESTIONNAIRE A MEASURE OF GERIATRIC DEPRESSIVE DISORDER
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DOI：
10.1177/089198879500800304
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发表时间：
1995-07-01
影响因子：
2.6
通讯作者：
ADAMS, BM
中科院分区：
文献类型：
--
作者：
KEMP, BJ;ADAMS, BM
抑郁症是老年人的常见问题，需要临床医生进行一致和可靠的筛查。这种筛查应基于最新的标准，以促进诊断和疾病分类的一致性。本研究提出了一种新的筛选工具，老年抑郁症的基础上DSM-III-R标准和已知的差异，在显示抑郁症发生在老年人。老年人健康和情绪问卷（OAHMQ）是一个22个项目的问卷，具有良好的心理测量学特性和高效度。它的验证包括与受过老年训练的精神病学家和心理学家的诊断评估进行比较，以及因素分析。使用“正常”、“临床显著抑郁症状”和“可能的重性抑郁症”三部分划分，它对重性抑郁症的敏感性为0.80，特异性为0.87，对任何抑郁症的敏感性和特异性分别为0.92和0.87。情感症状与抑郁症的其他症状的单独评分（即，生理、认知或行为）可用于诊断和研究目的。
Depressive disorders are a common problem in late life, requiring consistent and reliable screening by clinicians. Such screening should be based upon the most recent criteria available to facilitate diagnostic and nosologic agreement. This study presents a new screening instrument for geriatric depressive disorders based upon DSM-III-R criteria and the known differences in the display of depression that occur among older persons. The Older Adult Health and Mood Questionnaire (OAHMQ) is a 22-item questionnaire with sound psychometric properties and high validity. Its validation included comparisons with diagnostic assessments by geriatrically-trained psychiatrists and psychologists, and factor analysis. Using a three-part division of ''normal,'' ''clinically significant depressive symptoms,'' and ''probable major depression,'' its sensitivity is.80 and its specificity is.87 for major depression, and.92 and.87, respectively, for any depressive disorder. Separate scoring of affective symptoms versus other symptoms of depression (i.e., physiologic, cognitive, or behavioral) can be useful for diagnostic and research purposes.