Screening for major depression disorders in adolescent medical outpatients with the Beck Depression Inventory for Primary Care

Screening for major depression disorders in adolescent medical outpatients with the Beck Depression Inventory for Primary Care
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DOI:
10.1016/s1054-139x(98)00135-9
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发表时间:
1999-06-01
影响因子:
7.6
通讯作者:
Beck, AT
Beck, AT
中科院分区:
医学2区
文献类型:
--
作者:
Winter, LB;Steer, RA;Beck, AT

文献摘要

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目的:了解Beck初级保健抑郁问卷(BDI-PC)在12-17岁青少年保健检查中的心理测量学特征,以及BDI-PC在筛查青少年重度抑郁障碍(MDD)中的有效性。方法:采用BDI-PC对接受儿童保健检查的男女各50名进行测试。结果:BDI-PC的内部一致性较高(Cronbachα=.88),与性别、种族、年龄或有内科疾病无关。BDI-PC对诊断患有和不患有MDD的青少年的敏感度和特异度均为91%。结论:BDI-PC是筛查接受常规体检的青少年临床抑郁的有效工具。(C)青少年医学学会,1999年。
Purpose: To ascertain the psychometric characteristics of the Beck Depression Inventory for Primary Care (BDI-PC) among adolescents (12-17 years old) scheduled for health maintenance examinations, and to determine the effectiveness of the BDI-PC in screening the adolescents for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, major depression disorders (MDD).Methods: The BDI-PC was administered to 50 male and 50 female adolescents who received pediatric health maintenance examinations. The diagnosis of MDD was established with the Mood Module from the Primary Care Evaluation of Mental Disorders.Results: The internal consistency of the BDI-PC was high (Cronbach alpha = .88), and it was not significantly associated with gender, ethnicity, age, or having a medical disorder. A cutoff score of greater than or equal to 4 had both 91% sensitivity and specificity rates for identifying adolescents with and without MDD.Conclusions: The BDI-PC is a useful instrument for screening for clinical depression in adolescents receiving routine medical examinations. (C) Society for Adolescent Medicine, 1999.