Comparison of self-administered and rater-administered methods of assessing levels of severity of depression in elderly patients.

Comparison of self-administered and rater-administered methods of assessing levels of severity of depression in elderly patients.
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评估老年患者抑郁严重程度的自我管理方法和评估者管理方法的比较。

DOI:
10.1093/geronj/43.5.p136
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发表时间:
1988
期刊:
Journal of gerontology
影响因子:
--
通讯作者:
Teresi,J
Teresi,J
中科院分区:
--
文献类型:
--
作者:
Toner,J;Gurland,B;Teresi,J

文献摘要

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在纽约一家教学医院的初级保健小组实践中,连续80名参加者(M年龄= 75岁)使用自填问卷、Zung抑郁自评量表(SDS)和评分员访谈(短期护理)评估抑郁症。样本中75%为女性,85%为黑人或西班牙裔。完成访谈的回应率为65%的Zung SDS和100%的短期护理。受试者未填写zung SDS的原因包括视力问题(n = 13,28%)、文盲(n = 4,9%)和缺乏动力/想读给他们听(n = 16,34%)。此外,使用初级保健医生问卷(PCPQ),从短期护理和Zung SDS的结果进行了比较,初级保健医生的判断,对这些患者的抑郁症的存在。Zung SDS与PCPQ的收敛效度系数为0.65(kappa = 0.29); PCPQ和short-CARE抑郁量表的可比系数分别为0.73和0.46。
Eighty consecutive attenders (M age = 75 years) in a primary care group practice associated with a teaching hospital in New York were assessed for depression using a self-administered questionnaire, the Zung Self-Rating Depression Scale (SDS), and a rater-administered interview, the short-CARE. The sample was 75% female and 85% black or hispanic. The response rate of completed interviews was 65% for the Zung SDS and 100% for the short-care. Among the reasons indicated by subjects for not filling out the zung sds were visual problems (n = 13,28%), illiteracy (n = 4, 9%), and lack of motivation/wanted it read to them (n = 16,34%). Additionally, using the primary Care Physicians' Questionnaire (PCPQ), results from the short-CARE and the Zung SDS were compared to primary care physicians' judgments regarding the presence of depression in these patients. The convergent validity coefficient for the Zung SDS with the PCPQ was .65 (kappa = .29); the comparable coefficients for the PCPQ and the short-CARE Depression Scale were .73 and .46 respectively.