Screening for depression in the older adult - Criterion validity of the 10-item Center for Epidemiological Studies Depression Scale
Screening for depression in the older adult - Criterion validity of the 10-item Center for Epidemiological Studies Depression Scale
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DOI：
10.1001/archinte.159.15.1701
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发表时间：
1999-08-09
影响因子：
--
通讯作者：
Oxman, MN
中科院分区：
文献类型：
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作者：
Irwin, M;Artin, KHH;Oxman, MN
背景：流行病学研究中心抑郁量表（CES-D）已广泛应用于老年抑郁症的研究。虽然CES-D在大多数情况下都很方便使用，但它可能会给老年受访者带来问题，他们可能会发现回答格式令人困惑，问题在情感上有压力，并且完成时间繁重。已经提出了一个更简短的10项版本，但关于其作为筛查工具的性能的数据很少。方法：在2项研究中使用了10项CES-D。在研究I中，分层样本的中年抑郁症患者（n = 40）和对照组（n = 43）进行了管理的CES-D，以确定最佳的临界分数。在研究2中，在60岁以上的成人样本（n = 68）中测试了CES-D最佳临界评分的准确性。重性抑郁症的诊断来自结构化临床访谈诊断和统计手册的精神疾病，修订第三版，与共识诊断使用诊断和统计手册的精神疾病，第四版。结果：可靠性统计与10项CES-D被发现是可比的原始CES-D报告。在研究I中使用4分的最佳临界值，10项CES-D的敏感性为97%，特异性为84%，阳性预测值为85%。结论：10项CES-D量表可作为老年抑郁症的筛查工具，具有良好的临床应用价值。
Background: The Center for Epidemiological Studies Depression Scale (CES-D) has been widely used in studies of late-life depression. While the CES-D is convenient to use in most settings, it can present problems for elderly respondents who may find the response format confusing, the questions emotionally stressful, and the time to complete burdensome. A briefer 10-item version has been proposed, but there are few data on its properties as a screening instrument.Methods: The 10-item CES-D was administered in 2 studies. In study I, a stratified sample of middle-aged depressed patients (n = 40) and comparison controls (n = 43) were administered the CES-D to determine an optimal cutoff score. In study 2, the accuracy of the CES-D optimal cutoff score was tested in a sample of adults older than 60 years (n = 68). Major depression diagnoses were derived from the Structured Clinical Interview for Diagnostic ann Statistical Manual of Mental Disorders, Revised Third Edition, with consensus diagnoses using Diagnostic and Statistical Manual of Mental Disorders, Four-th Edition.Results: Reliability statistics with the 10-item CES-D were found to be comparable to those reported for the original CES-D. Using an optimal cutoff score of 4 in study I, the sensitivity of the 10-item CES-D was 97%; specificity, 84%; and positive predictive value, 85%. In the study 2 sample of older adults, the sensitivity of the CES-D was 100%; specificity, 93%; and positive predictive value, 38%.Conclusion: The 10-item CES-D has excellent properties for use as a screening instrument for the identification of major depression in older adults.