A comparative psychometric study of the Spanish versions with 6, 17, and 21 items of the Hamilton Depression Rating Scale
A comparative psychometric study of the Spanish versions with 6, 17, and 21 items of the Hamilton Depression Rating Scale
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DOI：
10.1157/13047695
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发表时间：
2003-05-17
期刊：
影响因子：
3.9
通讯作者：
Ibarra, N
中科院分区：
文献类型：
--
作者：
Bobes, J;Bulbena, A;Ibarra, N
背景和目的：以前西班牙对汉密尔顿抑郁量表(HDRS)的研究主要集中在17个条目的版本上，并在抑郁症住院患者系列中进行。本研究比较了西班牙文版HDRS与6、17和21个条目在门诊护理抑郁症患者中的心理测量特性。评价量表的区分效度、信度(内部一致性、重测和重测)和对变化的敏感度。结果：纳入15家精神科机构的168名患者。HORS6、17和21条目具有良好的区分效度(HDRS-临床总体印象：P<；0.0001)；内部一致性(Cronbach Alpha.：HDRS-6=0.6；HDRS-17和21大于或等于0.7)；重测信度(组内相关系数[ICC]：HDRS-6、17和21大于或等于0.9)；评分者之间的信度(ICC：HDRS-6、17和21大于或等于0.9)和对变化的敏感性(HDRS-6、17和21的效应大小大于或等于1.5)。结论：具有6、17和21个条目的HORS的西班牙语版本具有相似的心理测量学特征。HDRS-6可能在门诊和初级保健中有用。
BACKGROUND AND OBJECTIVE: Former Spanish studies on the Hamilton Depression Rating Scale (HDRS) have focused on the 17 items version and have been conducted in depressive in-patient series. This study compares the psychometric properties of the Spanish version of HDRS with 6, 17 and 21 items as assessed in depressive patients in ambulatory care.PATIENTS AND METHOD: A prospective, observational and multicenter study was conducted in clinically stable or unstable depressed patients. The discriminative validity, reliability (internal consistency, test-retest and inter-raters) and sensitivity to change were assessed.RESULTS: One hundred and sixty eight patients from 15 psychiatric facilities were included. The 6, 17 and 21 items versions of HORS showed appropriate discriminative validity (HDRS-Clinical Global Impression: p < 0.0001); internal consistency (Cronbach alpha.: HDRS-6 = 0.6; HDRS-17 and 21 greater than or equal to 0.7); test-retest reliability (intraclass correlation coefficient [ICC]: HDRS-6, 17 and 21 greater than or equal to 0.9); inter-raters reliability (ICC: HDRS-6, 17 and 21 greater than or equal to 0.9) and sensitivity to change (effect size greater than or equal to 1.5 for HDRS-6, 17 and 21).CONCLUSIONS: Spanish versions of HORS with 6, 17 and 21 items show similar psychometric properties. HDRS-6 could be useful in ambulatory and primary care.