SCREENING FOR ADOLESCENT DEPRESSION - A COMPARISON OF DEPRESSION SCALES
SCREENING FOR ADOLESCENT DEPRESSION - A COMPARISON OF DEPRESSION SCALES
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DOI：
10.1097/00004583-199101000-00009
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发表时间：
1991-01-01
影响因子：
13.3
通讯作者：
SEELEY, JR
中科院分区：
文献类型：
--
作者：
ROBERTS, RE;LEWINSOHN, PM;SEELEY, JR
两个抑郁量表，流行病学研究中心抑郁量表（CES-D）和贝克抑郁量表（BDI），以确定DSM-III-R的抑郁症和恶劣心境的情况下，在一个大的，社区样本的高中生的能力进行了调查。 受试者操作特征分析表明，不同的情况下，应使用的标准，男孩和女孩的CES-D和BDI。 内部一致性的可靠性和敏感性和特异性检测当前发作的抑郁症和心境恶劣是足够的，并与成人样本中发现的，但CES-D和BDI产生许多假阳性。 使用“串行”策略的多重筛选大大增加了CES-D和BDI的阳性预测能力，而使用“并行”策略对两种筛选器的功效影响很小。 结果表明，无论是BDI还是CES-D本身都不应该被用作流行病学或实验研究中的病例确定方法，尽管BDI作为筛选器的功能确实比CES-D好一些。
The ability of two depression scales, the Center for Epidemiologic Studies Depression Scale (CES-D) and the Beck Depression Inventory (BDI), to identify cases of DSM-III-R major depression and dysthymia was investigated in a large, community sample of high school students. Receiver operating characteristics analyses indicated that different caseness criteria should be used for boys and girls for both the CES-D and the BDI. Internal consistency-reliability and sensitivity and specificity for detecting current episodes of current depression and dysthymia were adequate and comparable to those found with adult samples, but both the CES-D and the BDI generated many false positives. Multiple screening using the "serial" strategy increased positive predictive power substantially for both the CES-D and the BDI, whereas using the "parallel" strategy had very little effect on the efficacy of the two screeners. The results indicate that neither the BDI nor the CES-D should be used by themselves as methods for case ascertainment in either epidemiological or experimental studies, although the BDI does function somewhat better than the CES-D as a screener.