The Beck Depression Inventory and General Health Questionnaire as measures of depression in the general population: A validation study using the Composite International Diagnostic Interview as the gold standard
The Beck Depression Inventory and General Health Questionnaire as measures of depression in the general population: A validation study using the Composite International Diagnostic Interview as the gold standard
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DOI：
10.1016/j.psychres.2011.09.008
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发表时间：
2012-05-15
影响因子：
11.3
通讯作者：
Pirkola, Sami
中科院分区：
文献类型：
--
作者：
Aalto, Anna-Mari;Elovainio, Marko;Pirkola, Sami
贝克抑郁量表(BDI)和一般健康问卷(GHQ)在人群研究中通常被用作抑郁症的衡量标准。我们在人群样本中检验了四种抑郁症状量表的有效性，即GHQ-12，BM的21项和13项版本，以及为这项研究开发的新的6项BDI版本。“健康2000”调查共有5561名参与者(30-79岁)完成了四个量表，并接受了综合国际诊断访谈(CIDI)的评估。并以此作为验证标准。我们通过对BDI-21的探索性因素分析，选择了BDI-6的条目。包括BDI-6在内的量表的准确性令人满意(过去2周内抑郁症的C-统计量为0.88-0.92，过去12个月内为0.80-0.83)，男性(0.92-0.96和0.85-0.87)略好于女性(0.86-0.88和0.78-0.79)。在所有量表中得分较高的人与更严重的抑郁和更新的抑郁发作有关。这项研究表明，不同版本的BDI和GHQ-12在检测普通人群中的抑郁障碍方面是有用的。即使是BDI的6个条目版本也显示出可接受的标准效度，尽管需要在独立的数据集中重复以确认其有效性。(C)2012爱思唯尔爱尔兰有限公司。保留所有权利。
The Beck Depression Inventory (BDI) and the General Health Questionnaire (GHQ) are commonly used in population studies as measures of depression. We examined in a population sample the validity of four scales for depressive symptoms, the GHQ-12, the 21- and 13-item versions of the BM and a new 6-item version of the BDI developed for this study. A total of 5561 participants in the "Health 2000" survey (30-79 years) completed the four scales and were assessed with the Composite International Diagnostic Interview (CIDI). which was used as the validation criterion. We selected items for the BDI-6 through an exploratory factor analysis for the BDI-21. The accuracy of the scales, including the BDI-6, was satisfactory (c-statistics 0.88-0.92 for depression within the past 2 weeks and 0.80-0.83 within the past 12 months) and slightly better for men (0.92-0.96 and 0.85-0.87) than for women (0.86-0.88 and 0.78-0.79). Higher scores in all the scales were associated with more severe depression and more recent depressive episodes. This study suggests that various versions of the BDI and the GHQ-12 are useful in detecting depressive disorders in the general population. Even the 6-item version of the BDI showed acceptable criterion validity, although replication in an independent dataset is needed to confirm its validity. (C) 2012 Elsevier Ireland Ltd. All rights reserved.