The Techniques for Overcoming Depression Questionnaire: Mokken Scale Analysis, Reliability, and Concurrent Validity in Depressed Cardiac Patients.
The Techniques for Overcoming Depression Questionnaire: Mokken Scale Analysis, Reliability, and Concurrent Validity in Depressed Cardiac Patients.
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DOI：
10.1007/s10608-016-9797-6
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发表时间：
2017-02
影响因子：
2.8
通讯作者：
Carney RM
中科院分区：
文献类型：
--
作者：
Freedland KE;Lemos M;Doyle F;Steinmeyer BC;Csik I;Carney RM
克服抑郁症的技术（TOD）问卷评估了抑郁症患者在日常生活中使用认知行为技术的频率。本研究以抑郁性心脏病患者为研究对象，考察了该量表的潜在结构、信度和同时效度。在心脏病患者抑郁症的认知行为疗法（CBT）（n = 260）的三项试验中，在初始和最终治疗阶段进行了TOD。使用Mokken标度来确定其维数。在抑郁性心脏病患者中，初始评估（H = .46）和治疗结束（H = .47）时的TOD均为一维。它对变化很敏感，总分与治疗师对患者对CBT的社会化（r= 0.40，p<0.05），家庭作业依从性（r=0.36，p<0.05）和认知行为技术的使用（r= 0.51，p<0.01）的评分相关。在两项试验中，TOD评分与治疗后抑郁评分相关（两项分析中p<0.01）。TOD是一种单维度的、可靠的、有效的和临床信息的测量方法，用于自我报告使用认知行为技术来克服心脏病患者的抑郁。需要对其他抑郁症患者人群的TOD进行研究。
The Techniques for Overcoming Depression (TOD) questionnaire assesses the frequency with which patients being treated for depression use cognitive-behavioral techniques in daily life. This study examined its latent structure, reliability and concurrent validity in depressed cardiac patients. The TOD was administered at the initial and final treatment sessions in three trials of cognitive behavior therapy (CBT) (n = 260) for depression in cardiac patients. Mokken scaling was used to determine its dimensionality. The TOD is unidimensional in depressed cardiac patients, both at the initial evaluation (H = .46) and the end of treatment (H = .47). It is sensitive to change and the total score correlates with therapist ratings of the patient’s socialization to CBT (r=.40, p<.05), homework adherence (r=0.36, p<0.05), and use of cognitive-behavioral techniques (r=.51, p<.01). TOD scores were associated with post-treatment depression scores in two of the trials (p<.01 in both analyses). The TOD is a unidimensional, reliable, valid, and clinically informative measure of self-reported use of cognitive-behavioral techniques for overcoming depression in cardiac patients. Studies of the TOD in other depressed patient populations are needed.