MEASURING DEPRESSIVE SYMPTOMS IN HEART FAILURE: VALIDITY AND RELIABILITY OF THE PATIENT HEALTH QUESTIONNAIRE-8
MEASURING DEPRESSIVE SYMPTOMS IN HEART FAILURE: VALIDITY AND RELIABILITY OF THE PATIENT HEALTH QUESTIONNAIRE-8
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DOI：
10.4037/ajcc2010931
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发表时间：
2011-03-01
影响因子：
2.7
通讯作者：
Sloan, Rebecca
中科院分区：
文献类型：
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作者：
Pressler, Susan J.;Subramanian, Usha;Sloan, Rebecca
背景 抑郁症状在心力衰竭患者中很常见，但很少有研究人员报告这些患者抑郁症状测量的有效性和可靠性。 目的 评估抑郁症状测量方法——患者健康问卷 8 (PHQ-8) 在 249 名慢性心力衰竭患者中的有效性和可靠性。 方法 作为更大规模研究的一部分，患者完成了 PHQ-8 和心力衰竭生活问卷。纽约心脏协会分级被评估为心力衰竭严重程度的衡量标准。通过验证性因子分析、Pearson 相关系数和方差分析评估 PHQ-8 的结构有效性。使用 Cronbach alpha 估计内部一致性可靠性。 结果 样本中 63% 为男性，平均年龄为 63 岁，67% 的人报告自己的种族为白人。支持 PHQ-8 的构建有效性。验证性因素分析模型反映了抑郁症状的情感和躯体维度，并与数据显示出良好的拟合度。 PHQ-8 的 chi(2) 值为 24.75，自由度为 18 (P=.13)，拟合优度指数为 0.98。 PHQ-8 与心力衰竭生活问卷的总分和子量表得分显着相关 (P
Background Depressive symptoms are common in patients with heart failure, but few investigators have reported the validity and reliability of measures of depressive symptoms among these patients.Objectives To evaluate the validity and reliability of a measure of depressive symptoms, the Patient Health Questionnaire-8 (PHQ-8), among 249 patients with chronic heart failure.Methods As part of a larger study, patients completed the PHQ-8 and the Living With Heart Failure Questionnaire. New York Heart Association class was assessed as a measure of the severity of heart failure. Construct validity of the PHQ-8 was evaluated by confirmatory factor analysis, Pearson correlation coefficients, and analysis of variance. Internal consistency reliability was estimated by using the Cronbach alpha.Results The sample was 63% men, with a mean age of 63 years, and 67% reported their race as white. Construct validity of the PHQ-8 was supported. The confirmatory factor analysis model reflected the emotional and somatic dimensions of depressive symptoms and displayed a good fit with the data. The chi(2) value of the PHQ-8 was 24.75 with 18 degrees of freedom (P=.13) and the goodness-of-fit index was 0.98. The PHQ-8 was significantly correlated with the total and subscale scores on the Living With Heart Failure Questionnaire (P