SCREENING FOR DEPRESSION IN HOSPITALIZED GERIATRIC MEDICAL PATIENTS
SCREENING FOR DEPRESSION IN HOSPITALIZED GERIATRIC MEDICAL PATIENTS
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DOI：
10.1111/j.1532-5415.1982.tb01300.x
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发表时间：
1982-01-01
影响因子：
6.3
通讯作者：
RASKIND, MA
中科院分区：
文献类型：
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作者：
KITCHELL, MA;BARNES, RF;RASKIND, MA
为提高老年住院患者抑郁的诊断水平，对Zung抑郁自评量表(SDS)和Popoff抑郁指数(ID)两种抑郁自评量表的效度进行了评估。这两个量表由42名内科住院患者完成，他们的平均年龄为68岁。一位“盲目”衡量结果的精神病学家采访了每个患者，并根据重度抑郁发作的诊断和统计手册III(DSM-III)标准诊断了是否存在抑郁。无论是在抑郁自评量表上，还是在身份识别量表上，量表结果与访谈诊断都有显著的一致性。与访谈诊断相比，抑郁自评量表的敏感度为58%，特异度为87%，并正确地将74%的患者识别为抑郁症或非抑郁症。ID的敏感度为88%，特异度为52%，正确识别了66%的患者。尽管与年轻抑郁症患者相比，这两个量表的表现都有所下降，但这些自我评定量表似乎对老年内科患者的抑郁症检测是有用的辅助工具。
As part of an effort to improve the detection of depression in geriatric hospitalized medical patients, the validity of two self‐rating depression scales, the Zung Self‐rating Depression Scale (SDS) and the Popoff Index of Depression (ID), was evaluated. These two scales were completed by 42 medical inpatients whose mean age was 68 years. A psychiatrist who was “blind” to scale results interviewed each patient and diagnosed the presence or absence of depression according to the Diagnostic and Statistical Manual‐III (DSM‐III) criteria for Major Depressive Episode. On both the SDS and the ID, there was significant agreement between the scale results and the interview diagnosis. Compared with the interview diagnosis, the SDS had a sensitivity of 58 per cent and a specificity of 87 per cent, and it correctly identified 74 per cent of the patients as being either depressed or nondepressed. The ID had a sensitivity of 88 per cent and a specificity of 52 per cent, and it correctly identified 66 per cent of the patients. Although performance on both scales is reduced compared with that of younger depressed patients, these self‐rating scales appear to be useful aids for the detection of depression in geriatric medical patients.