Predicting future depression in adolescents using the Short Mood and Feelings Questionnaire: A two-nation study
Predicting future depression in adolescents using the Short Mood and Feelings Questionnaire: A two-nation study
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DOI：
10.1016/j.jad.2011.05.022
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发表时间：
2011-11-01
影响因子：
6.6
通讯作者：
Patton, George C.
中科院分区：
文献类型：
--
作者：
McKenzie, Dean P.;Toumbourou, John W.;Patton, George C.
背景：青春期是抑郁症发展的关键时期。通过检测特定的早期症状，预测抑郁症在青春期的发展可能有助于及时筛查和干预programmes.Methods的发展：我们管理的简短的情绪和感觉问卷（SMFQ）5769美国和澳大利亚的学生年龄在10至15岁，在两个时间点，相隔12个月。我们试图预测高水平的抑郁症症状在12个月的基线症状，使用基于抑郁症症状的质量和数量的统计方法。这些方法包括分类和回归树（CART）和逻辑回归。结果：采用四个SMFQ项目的分类树，如自我仇恨和被爱的感觉，在预测随后的抑郁症方面几乎与所有13个SMFQ项目一样好。局限性：抑郁症是使用自我报告工具测量的，而不是标准诊断访谈。结论：需要对其他青少年人群进行进一步验证：然而，结果表明，抑郁症的几种症状，特别是自我憎恨和不被爱的感觉，与基线后12个月自我报告的抑郁水平增加有关。虽然筛查抑郁症可能会有问题，但应考虑将上述症状纳入青少年筛查测试。(C)2011 Elsevier B.V.保留所有权利。
Background: Adolescence is a key life period for the development of depression. Predicting the development of depression in adolescence through detecting specific early symptoms may aid in the development of timely screening and intervention programmes.Methods: We administered the Short Mood and Feelings Questionnaire (SMFQ) to 5769 American and Australian students aged 10 to 15 years, at two time points, separated by 12 months. We attempted to predict high levels of depression symptoms at 12 months from symptoms at baseline, using statistical approaches based upon the quality, as well as the quantity, of depression symptoms present. These approaches included classification and regression trees (CART) and logistic regression.Results: A classification tree employing four SMFQ items, such as feelings of self-hatred and of being unloved, performed almost as well as all 13 SMFQ items at predicting subsequent depression symptomatology.Limitations: Depression was measured using a self-report instrument, rather than a criterion standard diagnostic interview.Conclusion: Further validation on other populations of adolescents is required: however the results suggest that several symptoms of depression, especially feelings of self-hatred, and being unloved, are associated with increased levels of self-reported depression at 12 months post baseline. Although screening for depression can be problematic, symptoms such as the ones above should be considered for inclusion in screening tests for adolescents. (C) 2011 Elsevier B.V. All rights reserved.