DEPRESSIVE SYMPTOMS, MAJOR DEPRESSION, AND GENERALIZED ANXIETY - A COMPARISON OF SELF-REPORTS ON CES-D AND RESULTS FROM DIAGNOSTIC INTERVIEWS

DEPRESSIVE SYMPTOMS, MAJOR DEPRESSION, AND GENERALIZED ANXIETY - A COMPARISON OF SELF-REPORTS ON CES-D AND RESULTS FROM DIAGNOSTIC INTERVIEWS
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DOI:
10.1016/0165-1781(85)90079-4
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发表时间:
1985-01-01
影响因子:
11.3
通讯作者:
BRESLAU, N
BRESLAU, N
中科院分区:
医学2区
文献类型:
--
作者:
BRESLAU, N

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本研究通过比较流行病学研究中心抑郁量表(CES-D)与DSM-III [精神疾病诊断与统计手册-III]诊断的抑郁症和广泛性焦虑症,使用国家精神卫生研究所诊断访谈时间表(DIS)来评估CES-D的效度。收集了310名慢性残疾儿童母亲的样本数据。CES-D检测抑郁症的效用与其检测广泛性焦虑的效用大致相等。多因素分析显示,抑郁和广泛性焦虑与CES-D的唯一相关性相等,且两种疾病对CES-D有相加作用。该分析没有确定任何个体CES-D症状是特定于这两种疾病的。因此,研究结果并不支持CES-D专门测量抑郁症的观点。
This study evaluates the validity of the Center for Epidemiologic Studies Depression Scale (CES-D) by comparing it to DSM-III [Diagnostic and Statistical Manual of Mental Disorders-III] diagnoses of major depression and generalized anxiety, using the National Institute of Mental Health Diagnostic Interview Schedule (DIS). Data were gathered on a sample of 310 mothers of children with chronic disabilities. The utility of the CES-D for detecting major depression was approximately equal to its utility for detecting generalized anxiety. Multivariate analysis revealed that the unique association of CES-D with current depression was equal to its association with current generalized anxiety and the 2 disorders had additive effects on CES-D. The analysis did not identify any individual CES-D symptom as specific to either disorder. The findings, therefore, do not support the notion that the CES-D measures depression specifically.