Use of self-administered instruments to assess psychiatric disorders in older people: validity of the General Health Questionnaire, the Center for Epidemiologic Studies Depression Scale and the self-completion version of the revised Clinical Interview Schedule.
Use of self-administered instruments to assess psychiatric disorders in older people: validity of the General Health Questionnaire, the Center for Epidemiologic Studies Depression Scale and the self-completion version of the revised Clinical Interview Schedule.
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DOI：
10.1017/s0033291713000342
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发表时间：
2013-12
影响因子：
6.9
通讯作者：
Kivimäki M
中科院分区：
文献类型：
--
作者：
Head J;Stansfeld SA;Ebmeier KP;Geddes JR;Allan CL;Lewis G;Kivimäki M
使用访谈者管理的仪器来诊断抑郁症不仅费用昂贵，而且在大型流行病学调查中往往不切实际。本研究的目的是通过访谈者使用的工具来评估老年人抑郁症和其他精神疾病的三种自我完成测量的有效性。从 Whitehall II 研究参与者中随机抽取按性别、年龄和社会地位分层的样本。该样本还纳入了抑郁的 Whitehall II 参与者。通过访谈者管理的结构化修订临床访谈计划 (CIS-R) 对 277 名年龄在 58-80 岁的参与者进行了抑郁症和其他精神障碍的评估。除了一般健康问卷 (GHQ) 和流行病学研究中心抑郁量表 (CES-D) 之外，参与者还完成了 CIS-R 的计算机自填版本。 CIS-R 的面试官管理 (4.43) 和自我完成 (4.35) 版本的平均总分相似 [95% 置信区间 (CI) 差异为 -0.31 至 0.16]。差异与性别、年龄、社会地位或是否患有慢性身体疾病无关。自我完成 CIS-R 对于任何精神障碍的敏感性/特异性为 74%/98%，对于抑郁发作的敏感性/特异性为 75%/98%。 GHQ 的相应数字为 86%/87% 和 78%/83%，CES-D 的相应数字为 77%/89% 和 89%/86%。 CIS-R 的自我完成计算机化版本是可行的，并且作为 60 岁以上人群的任何精神障碍和抑郁症的衡量标准具有良好的有效性。 GHQ 和 CES-D 分别作为任何精神障碍和抑郁症的测量也具有良好的标准有效性。
Diagnosis of depressive disorder using interviewer-administered instruments is expensive and frequently impractical in large epidemiological surveys. The aim of this study was to assess the validity of three self-completion measures of depressive disorder and other psychiatric disorders in older people against an interviewer-administered instrument. A random sample stratified by sex, age and social position was selected from the Whitehall II study participants. This sample was supplemented by inclusion of depressed Whitehall II participants. Depressive disorder and other mental disorders were assessed by the interviewer-administered structured revised Clinical Interview Schedule (CIS-R) in 277 participants aged 58–80 years. Participants also completed a computerized self-completion version of the CIS-R in addition to the General Health Questionnaire (GHQ) and the Center for Epidemiologic Studies Depression Scale (CES-D). The mean total score was similar for the interviewer-administered (4.43) and self-completion (4.35) versions of the CIS-R [95% confidence interval (CI) for difference −0.31 to 0.16]. Differences were not related to sex, age, social position or presence of chronic physical illness. Sensitivity/specificity of self-completion CIS-R was 74%/98% for any mental disorder and 75%/98% for depressive episode. The corresponding figures were 86%/87% and 78%/83% for GHQ and 77%/89% and 89%/86% for CES-D. The self-completion computerized version of the CIS-R is feasible and has good validity as a measure of any mental disorder and depression in people aged ⩾ 60 years. GHQ and CES-D also have good criterion validity as measures of any mental disorder and depressive disorder respectively.