'Do you think you suffer from depression?' Reevaluating the use of a single item question for the screening of depression in older primary care patients
'Do you think you suffer from depression?' Reevaluating the use of a single item question for the screening of depression in older primary care patients
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DOI：
10.1002/gps.2368
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发表时间：
2010-05-01
影响因子：
4
通讯作者：
Bech, Per
中科院分区：
文献类型：
--
作者：
Ayalon, Liat;Goldfracht, Margalit;Bech, Per
目的：大多数老年人在初级保健中寻求抑郁症治疗。尽管在将抑郁症治疗纳入初级保健方面做出了令人印象深刻的努力，但抑郁症往往未被发现。本研究的总体目标是比较一个单一的项目筛选抑郁症现有的抑郁症筛查tools.Methods：153老年初级保健患者的横断面样本。参与者完成了几项抑郁筛查措施（例如，单一抑郁筛查、患者健康问卷-9、重度抑郁量表、视觉焦虑量表）。措施进行了评估，对抑郁症的诊断结构化临床访谈DSM-IV。结果：总体而言，3.9%的样本被诊断为抑郁症。最值得注意的发现是，单项问题“你认为你患有抑郁症吗？”“的灵敏度（83%）与其他所有屏幕一样好或更好。尽管如此，其83%的特异性表明，它必须通过诊断访谈进行随访。额外的敏感性分析有关使用一个单一的抑郁症项目直接从抑郁症筛查measurements支持这一finding.Conclusions：一个简单的方法来检测抑郁症的老年初级保健患者会问一个问题，“你认为你患有抑郁症？版权所有（C）2009约翰威利父子有限公司。
Objectives: The majority of older adults seek depression treatment in primary care. Despite impressive efforts to integrate depression treatment into primary care, depression often remains undetected. The overall goal of the present study was to compare a single item screening for depression to existing depression screening tools.Methods: A cross sectional sample of 153 older primary care patients. Participants completed several depression-screening measures (e.g. a single depression screen, Patient Health Questionnaire-9, Major Depression Inventory, Visual Analogue Scale). Measures were evaluated against a depression diagnosis made by the Structured Clinical Interview for DSM-IV.Results: Overall, 3.9% of the sample was diagnosed with depression. The most notable finding was that the single-item question, 'do you think you suffer from depression?' had as good or better sensitivity (83%) than all other screens. Nonetheless, its specificity of 83% suggested that it has to be followed up by a through diagnostic interview. Additional sensitivity analyses concerning the use of a single depression item taken directly from the depression screening measures supported this finding.Conclusions: An easy way to detect depression in older primary care patients would be asking the single question, 'do you think you suffer from depression?' Copyright (C) 2009 John Wiley & Sons, Ltd.