Discrepancies between self and observer ratings of depression - The relationship to demographic, clinical and personality variables
Discrepancies between self and observer ratings of depression - The relationship to demographic, clinical and personality variables
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DOI：
10.1016/s0165-0327(99)00156-1
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发表时间：
2000-10-01
影响因子：
6.6
通讯作者：
Cox, BJ
中科院分区：
文献类型：
--
作者：
Enns, MW;Larsen, DK;Cox, BJ
背景：观察者评定的汉密尔顿抑郁量表（HamD）和自我报告的贝克抑郁量表（BDI）是最常用的抑郁评定量表，两者都具有良好的信度和效度。然而，许多抑郁症受试者在这两种评估方法上的得分存在差异。本研究评估了人口统计、临床和个性因素解释 BDI 和 HamD 评级之间观察到的差异的能力。方法：研究组由 94 名经 SCID 诊断且当前患有重度抑郁症的门诊患者组成。受试者接受了 21 项 HamD 评分，并完成了 BDI 和 NEO-五因素量表。结果：相对于 HamD 观察者评分，年龄较小、受教育程度较高和抑郁亚型（非典型、非忧郁型）可预测 BDI 得分较高。此外，相对于 HamD，高神经质、低外向性和低宜人性与 BDI 上抑郁症状的认可程度较高相关。一般来说，与抑郁症的躯体症状相比，这些预测变量更能解释自我和观察者对抑郁症心理症状的评分之间的差异。局限性：该研究并未确定神经质和外向性的哪些方面导致了观察到的 BDI/HamD 差异。结论：使用 BDI 和 HamD 麦芽酒获得的抑郁评级经常不一致，并且许多患者特征有力地预测了这两种评级方法之间的差异。多模式评估在抑郁症研究中的价值得到了重新肯定。 (C) 2000 Elsevier Science B.V. 保留所有权利。
Background: The observer-rated Hamilton depression scale (HamD) and the self-report Beck Depression Inventory (BDI) are among the most commonly used rating scales for depression, and both have well demonstrated reliability and validity. However, many depressed subjects have discrepant scores on these two assessment methods. The present study evaluated the ability of demographic, clinical and personality factors to account for the discrepancies observed between BDI and HamD ratings. Method: The: study group consisted of 94 SCID-diagnosed outpatients with a current major depressive disorder. Subjects were rated with the 21-item HamD and completed the BDI and the NEO-Five Factor Inventory. Results: Younger age, higher educational attainment, and depressive subtype (atypical, non-melancholic) were predictive of higher BDI scores relative to HamD observer ratings. In addition, high neuroticism, low extraversion and low agreeableness were associated with higher endorsement of depressive symptoms on the BDI relative to the HamD. In general, these predictive variables showed a greater ability to explain discrepancies between self and observer ratings of psychological symptoms of depression compared to somatic symptoms of depression. Limitations: The study does not determine which aspects of neuroticism and extraversion contribute to the observed BDI/HamD discrepancies. Conclusions: Depression ratings obtained with the BDI and HamD ale frequently discordant and a number of patient characteristics robustly predict the discrepancy between these two rating methods. The value of multi-modal assessment in the conduct of research on depressive disorders is re-affirmed. (C) 2000 Elsevier Science B.V. All rights reserved.