Development of a brief screening instrument: The HANDS
Development of a brief screening instrument: The HANDS
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DOI：
10.1159/000012364
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发表时间：
2000-01-01
影响因子：
22.8
通讯作者：
O'Laughlen, J
中科院分区：
文献类型：
--
作者：
Baer, L;Jacobs, DG;O'Laughlen, J
背景：本研究旨在开发一个包含约 10 个项目的更简短的筛查量表，该量表在与参加全国抑郁症筛查日 (NDSD) 的样本以及更广泛的受众相似的样本中保持了 Zung 抑郁自评量表的有效性。方法：我们首先对 40 名回答抑郁症受试者广告的受试者和 55 名回答非抑郁症受试者广告的受试者进行来自各种现有评级标准的 70 个项目，所有这些受试者的诊断均通过 DSM-IV 结构化临床访谈 (SCID) 得到证实。根据每个项目与诊断标准之间的相关性，我们将项目数量减少到 17 个，然后将其分配给另外 45 名受试者，他们回答了与 NDSD 类似的广告，并接受了 SCID 访谈。基于这些结果，我们在项目反应理论的帮助下得出了最终的包含 10 项的哈佛精神病学系/NDSD 量表 (HANDS)。这些项目根据过去 2 周内每种症状的出现频率进行评分。总分范围为 9 至 30，结果：10 项量表 (HANDS) 具有良好的内部一致性和有效性：两项研究中的切点分数为 9 或更高，灵敏度至少为 95%。尽管自选人群中所有量表的特异性均较低，但 HANDS 的表现至少与包含 20 项的 Zung 量表、包含 21 项的贝克抑郁量表-ii 和包含 15 项的霍普金斯症状抑郁量表一样好。结论：10 项 HANDS 的表现与其他广泛使用的较长自我报告量表一样，并且具有管理时间较短的优点。版权所有(C) 2000 S. Karger AG，巴塞尔。
Background: The present study was designed to develop a briefer screening scale of approximately 10 items which maintained the validity of the Zung Self-Rating Depression Scale in a sample similar to that attending National Depression Screening Day (NDSD), as well as a more general audience. Methods: We first administered 70 items from a variety of existing rating sea les to 40 subjects who answered an ad for depressed subjects and 55 who answered an ad for non-depressed subjects, all of whose diagnoses were confirmed by the Structured Clinical Interview for DSM-IV (SCID). Based on the correlation between each item and the diagnostic criterion, we reduced the number of items to 17 which we then administered to another 45 subjects who answered an ad similar to that used for NDSD and also underwent a SCID interview. Based on these results, we arrived at the final 10-item Harvard Department of Psychiatry/NDSD scale (HANDS) with the assistance of the item-response theory. The items are scored for frequency of occurrence of each symptom over the past 2 weeks. Total scores range from 9 to 30, Results: The 10-item scale (HANDS) has good internal consistency and validity: a cutpoint score of 9 or greater gave sensitivity of at least 95% in both studies. Although specificity was lower for all scales in the self-selected population, the HANDS performed at least as well as the 20-item Zung Scale, the 21-item Beck Depression Inventory-ii and the 15-item Hopkins Symptom Depression Checklist. Conclusion: The 10-item HANDS performs as well as other widely used longer self-report scales and has the advantage of briefer administration time. Copyright(C) 2000 S. Karger AG, Basel.