A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Asberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population
A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Asberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population
复制标题
DOI：
10.1111/sjop.12090
复制
发表时间：
2014-02-01
影响因子：
2.1
通讯作者：
Jorde, Rolf
中科院分区：
文献类型：
--
作者：
Kjaergaard, Marie;Wang, Catharina Elisabeth Arfwedson;Jorde, Rolf
本研究的目的是评估医院焦虑和抑郁量表(HADS)、Beck抑郁量表(BDI-II)和Montgomery and Angstrom sberg抑郁量表(MADRS)在筛查健康人群中的主要抑郁发作(MDE)的内部一致性和心理测量学特性。参与者回答了BDI-II和HADS问卷，并接受了MADR的访谈。采用结构化临床访谈诊断和统计手册(DSM)-IV轴I疾病-临床医生版(SCID-CV)诊断MDE。在357名参与者中，有20人(6%)被诊断为目前的MDE。包括HADS抑郁分量表在内的三个量表的受试者工作特征曲线(ROC)下面积(AUC)均较高(0.84~0.87)，各量表的内部一致性也较高(0.75~0.89)。BDI-II、MADRS 8、HADS总数9和HADS-D4的MDE最佳界值为12，其灵敏度为85%，特异度为78%。所有抑郁量表的诊断准确率都很低(Cohen‘s kappa=0.20-0.40)。关于健康人群中抑郁量表的特性的报道有限。我们发现BDI-II、HADS和MADRS作为MDE的筛查工具是可以接受的，从健康人群中选择样本，并推荐上述界值。
The objective of this study is to evaluate internal consistency and psychometric properties of the Hospital Anxiety and Depression Scale (HADS), the Beck Depression inventory-II (BDI-II) and the Montgomery and angstrom sberg Depression Rating Scale (MADRS) for screening for major depressive episode (MDE) in a selected sample from a healthy population. Participants answered the BDI-II and the HADS questionnaires and were interviewed with MADRS. The Structured Clinical Interview for Diagnostic and Statistical Manual of MentalDisorders (DSM)-IV Axis I Disorders-Clinician Version (SCID-CV) was used to diagnose MDE. Current MDE was diagnosed in 20 (6%) of the 357 participants. All three scales including the depression sub-scale for HADS had high area under the receiver operating characteristics curve (ROC) (AUC) (0.84-0.87), and internal consistency was also high for all scales (0.75-0.89). Optimal cut-off for MDE was 12 for BDI-II, MADRS 8, HADS total 9, and HADS-D4, which all resulted in sensitivities = 85% and specificities > 78%. Diagnostic accuracy was low on all depression scales (Cohen's kappa = 0.20-0.40). Reports of the properties of depression scales in a healthy population are limited. We found BDI-II, HADS and MADRS to be acceptable as screening instruments for MDE in a selected sample from healthy population with recommend cut-offs as mentioned above.