Psychometric Properties of the Chinese Version of the Bipolar Depression Rating Scale for Bipolar Disorder.
Psychometric Properties of the Chinese Version of the Bipolar Depression Rating Scale for Bipolar Disorder.
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双相情感障碍双相抑郁评定量表中文版的心理测量学特性。
DOI：
10.2147/ndt.s300761
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发表时间：
2021
影响因子：
3.2
通讯作者：
Su YA
中科院分区：
文献类型：
--
作者：
Chen JX;Yin L;Xu HT;Zhang SY;Huang WQ;Li HJ;Li BB;Yang KB;Li Q;Berk M;Su YA
与单相抑郁不同，双相障碍的抑郁发作往往与临床特征有关，如不典型症状和混合症状。然而，目前还没有有效可靠的专门工具来评估中国抑郁发作的具体精神症状。因此，我们旨在评估中文版双相抑郁量表(BDR)在中国双相情感障碍患者中的心理测量学特性。本研究的样本包括111例双相情感障碍患者(男30例，女81例)。采用BDR中文版(BDRS-C)、汉密尔顿抑郁量表(HAMD-17)、蒙哥马利-阿斯伯格抑郁量表(MADRS)和青年躁狂量表(YMRS)对所有受试者进行访谈。对BDR进行了心理测量学分析。BDRS-C的克朗巴赫α系数达到0.869。BDRS-C评分与HAMD-17(r=0.819，p<0.01)、MADRS(r=0.882，p<0.01)、YMRS(r=0.355，p<0.01)呈显著正相关。BDRS-C混合分量表评分与YMRS评分呈显著正相关(r=0.784，p<0.01)。探索性因素分析得到三个因素：原发抑郁症状群、继发性抑郁症状群和混合症状群。BDR的中文版具有令人满意的心理测量学特性。这是一种评估双相情感障碍患者抑郁症状的有效和可靠的工具。
Unlike unipolar depression, depressive episode of bipolar disorder is often associated with clinical characteristics, such as atypical and mixed symptoms. However, there are currently no valid and reliable specific tools available to assess the specific psychiatric symptomatology of depressive episode of bipolar disorder in China. Therefore, we aimed to evaluate the psychometric properties of the Chinese version of the Bipolar Depression Rating Scale (BDRS) in Chinese patients with bipolar disorder. The sample of this study included 111 patients with bipolar disorder (30 male, 81 female). All participants were interviewed with the Chinese version of the BDRS (BDRS-C), the 17-item Hamilton Depression Rating Scale (HAMD-17), the Montgomery-Asberg Depression Rating Scale (MADRS) and the Young Mania Rating Scale (YMRS). A psychometric analysis of the BDRS was conducted. The Cronbach’s alpha coefficient of the BDRS-C reached a value of 0.869. The BDRS-C score and scores for the HAMD-17 (r = 0.819, p < 0.01), the MADRS (r = 0.882, p < 0.01) and the YMRS (r = 0.355, p < 0.01) exhibited significant positive correlations. Close correlations were observed between the mixed subscale score of the BDRS-C and the YMRS score (r = 0.784, p < 0.01). Exploratory factor analysis resulted in three factors: a primary depressive symptoms cluster, a secondary depressive symptoms cluster, and a mixed symptoms cluster. The Chinese version of the BDRS has satisfactory psychometric properties. This is a valid and reliable instrument to assess depressive symptomatology in patients with bipolar disorder.