Screening for depression in patients with hepatitis C using the Beck Depression Inventory-II: do somatic symptoms compromise validity?
Screening for depression in patients with hepatitis C using the Beck Depression Inventory-II: do somatic symptoms compromise validity?
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DOI：
10.1016/j.genhosppsych.2011.04.005
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发表时间：
2011-07-01
影响因子：
7
通讯作者：
Hauser, Peter
中科院分区：
文献类型：
--
作者：
Patterson, Alexander L.;Morasco, Benjamin J.;Hauser, Peter
目的：评价贝克抑郁量表(BDI-II)在测量丙型肝炎患者抑郁情绪时的效度。方法：对某大型退伍军人事务医疗中心收治的671例丙型肝炎患者进行因素分析。数据随机分成两组：前半部分进行探索性因素分析，后半部分采用验证性因素分析进行模型验证。结果：97.0%的受试者为男性，平均年龄为52.8岁，16.1%的受试者被诊断为肝硬变，62.9%的受试者目前有严重抑郁障碍的诊断，42.3%的受试者在BDI-II上有明显的抑郁症状。双因素模型非常适合这些数据；这些因素被标记为认知、情感和躯体。患者在躯体因子上的得分显著高于认知情感因子(P
Objective: The objective of the study was to evaluate the validity of the Beck Depression Inventory-II (BDI-II) when used to measure depression in patients with hepatitis C virus (HCV).Method: Factor analysis was utilized to validate the BDI-II in a sample of 671 patients with HCV recruited from a large Veterans Affairs medical center. The data were split randomly: the first half was subjected to exploratory factor analysis, and confirmatory factor analysis was used with the second half to confirm the model. Diagnostic data were retrieved from the electronic medical records.Results: Subjects were 97.0% male, average age was 52.8 years, 16.1% had a cirrhosis diagnosis, 62.9% had a current major depressive disorder diagnosis, and 42.3% endorsed significant depressive symptoms on the BDI-II. A two-factor model was an excellent fit for the data; the factors were labeled Cognitive Affective and Somatic. Patients scored significantly higher on the Somatic factor than on the Cognitive Affective factor (P