Comparison of self-report and structured clinical interview in the identification of depression
Comparison of self-report and structured clinical interview in the identification of depression
复制标题
DOI：
10.1016/j.comppsych.2013.12.019
复制
发表时间：
2014-05-01
影响因子：
7.3
通讯作者：
Williams, Lana J.
中科院分区：
文献类型：
--
作者：
Stuart, Amanda L.;Pasco, Julie A.;Williams, Lana J.
背景：寻求二元反应来评估抑郁症的自我报告方法是获得精神病史的一种既经济又省时的方法，然而这种方法的可靠性在很大程度上尚不清楚。这项研究的目的是比较和评估两种方法在以人群为基础的研究中识别既往抑郁症病史的有效性。方法：这项研究检查了参与吉隆骨质疏松症研究的891名男性和1086名女性的数据。结果：使用SCID-I/NP，146名男性(16.4%)和285名女性(26.2%)符合终生抑郁的标准。在这些参与者中，61.0%(n=263)的人自我报告有抑郁史。自我报告抑郁与SCID-I/NP抑郁模块的一致性水平相当高；61%的敏感度、89.5%的特异度和总体一致性水平(Kappa)为0.5。限制：结果可能不能推广到其他自我报告工具或适用于临床样本。结论：SCID-I/NP仍然是识别抑郁症的金标准；然而，考虑到在我们目前的研究中，自我报告问卷与SCID-I/NP之间的中等程度的一致性，我们得出结论，简单的自我报告方法可以用来识别具有一定程度的信心的抑郁症。(C)2014 Elsevier Inc.保留所有权利。
Background: A self-report method seeking a binary response for assessing depression is a cost-effective and time-efficient way to obtain a psychiatric history, yet the reliability of this method is largely unknown. The aim of the study was to compare and assess the validity of two methods for identifying a past history of depression in a population-based study.Methods: This study examined data collected from 891 men and 1086 women participating in the Geelong Osteoporosis Study. Self-reports of depression were compared with results obtained using the Structured Clinical Interview for DSM-IV-TR Research Version, Non-patient edition (SCID-I/NP).Results: Using the SCID-I/NP, 146 (16.4%) men and 285 (26.2%) women met criteria for a lifetime depression. Of those participants, 61.0% (n = 263) self-reported a history of depression. The level of agreement between self-reporting depression and the SCID-I/NP depression module was reasonably high; 61% sensitivity, 89.5% specificity and the overall level of agreement (kappa) was 0.5.Limitations: Results may not be generalizable to other self-report instruments or be suitable for use in clinical samples.Conclusion: The SCID-I/NP remains the gold standard for identifying depression; however, given the moderate level of agreement between the self-report questionnaire and SCID-I/NP in our current study, we conclude that simple self-report methods can be used to identify depression with some degree of confidence. (C) 2014 Elsevier Inc. All rights reserved.