Cross-cultural equivalence in depression assessment: Japan-Europe-North American study
Cross-cultural equivalence in depression assessment: Japan-Europe-North American study
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DOI：
10.1111/j.1600-0447.2005.00587.x
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发表时间：
2005-10-01
影响因子：
6.7
通讯作者：
Miura, S
中科院分区：
文献类型：
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作者：
Furukawa, TA;Streiner, DL;Miura, S
目的：汉密尔顿抑郁量表（HRSD）在全球范围内的使用预示着抑郁症症状可以在不同国家以相同的方式进行测量，但尚未有实证研究检验这个问题。因此，我们检查了 HRSD 因素结构的跨文化一致性。方法：对日本、欧洲和北美 5185 名被诊断患有重度抑郁症的个体寻找 17 项 HRSD 数据。通过三种文化的同步成分分析 (SCA) 获得候选因子结构。然后将它们提交给多组验证性因素分析 (CFA)。 结果：根据 SCA，发现 3、4 或 5 因素解决方案可以最佳且充分地总结所有三个群体的变量。当提交给 CFA 时，五因素解决方案是最合适且最简约的：它们是“快感缺失/迟钝”、“内疚/激动”、“身体症状”、“失眠”和“食欲”。结论：日本、欧洲和美国重度抑郁症患者HRSD存在共同的潜在因素。结论：日本、欧洲和美国重度抑郁症患者HRSD存在共同的潜在因素。
Objective: Worldwide use of the Hamilton Rating Scale for Depression (HRSD) presupposes that depression symptomatology can be measured the same way across countries but no empirical study has yet examined this issue. We therefore examined cross-cultural consistency of factor structure of HRSD.Method: A 17-item HRSD data were sought for 5185 individuals diagnosed with major depression in Japan, Europe and North America. Candidate factor structures were obtained with simultaneous component analysis (SCA) across the three cultures. They were then submitted to multiple-group confirmatory factor analysis (CFA).Results: According to SCA, 3-, 4- or 5-factor solutions were found to optimally and adequately summarize the variables for all the three populations. When submitted to CFA, the 5-factor solution was the best fitting and the most parsimonious: they were 'anhedonia/retardation,' 'guilt/agitation,' 'bodily symptoms,' 'insomnia' and 'appetite.' Conclusion: Common underlying factors exist for HRSD among Japanese, European and American patients with major depression.Conclusion: Common underlying factors exist for HRSD among Japanese, European and American patients with major depression.