Eight Decades of Measurement in Depression
Eight Decades of Measurement in Depression
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DOI：
10.1207/s15366359mea0403_1
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发表时间：
2006-01-01
影响因子：
1
通讯作者：
Welch, Andrew
中科院分区：
文献类型：
--
作者：
Santor, Darcy;Gregus, Michelle;Welch, Andrew
自1918年以来，已有280多种抑郁严重程度的测量方法被开发和出版。这些措施在内容、答复形式和目标上各不相同。本文探讨了（a）在过去80年中开发的量表的特点，（B）在10年的时间内，不同的量表实际上被用于基础科学和治疗结果研究的频率。作者的项目分析结果显示，各项指标之间存在相当大的差异，但随着时间的推移，项目内容几乎没有一致的差异，除了如何评估焦虑、自杀和兴趣丧失。不到一半的已发表量表专门评估了社交退缩，多达20%的措施没有直接评估“抑郁”或“悲伤”。毫无价值的评估与抑郁情绪一样彻底，比抑郁症的所有其他核心症状更彻底。频率分析的结果表明，尽管大量的规模开发到目前为止，相对较少的规模实际使用。基础科学研究中用于评估抑郁严重程度的指标远多于抑郁症治疗研究。治疗研究主要依赖于6项抑郁症指标，其中大多数是20年前开发的，并不代表最近开发的抑郁症严重程度指标的更大范围。抑郁症的评估进展的影响进行了讨论。
Since 1918, more than 280 measures of depressive severity have been developed and published. These measures differ in content, response format, and objectives. This article examines (a) the characteristics of scales developed in the past 80 years, and (b) the frequency with which different scales have actually been used in basic science and treatment outcome studies over a 10-year period of time. Results of the authors' item analysis showed considerable variability across measures, but few consistent differences in item content emerged over time, other than in how anxiousness, suicidality, and loss of interest were assessed. Less than half of published scales assessed social withdrawal specifically, and as many as 20% of measures did not assess either "depression" or "sadness" directly. Worthlessness was assessed as thoroughly as depressed mood and more thoroughly than all other core symptoms of depression. Results of frequency analysis showed that despite the large number of scales developed to date, relatively few scales are actually used. Far more measures are used to assess depressive severity in basic science studies than in treatment studies of depression. Treatment studies have relied primarily on 6 measures of depression, the majority of which were developed 20 years ago and which are not representative of the larger body of recently developed measures of depressive severity measures. Implications for progress in the assessment of depression are discussed.