The relationship of distress to mood disturbance in primary care and psychiatric populations
The relationship of distress to mood disturbance in primary care and psychiatric populations
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DOI：
10.1037/0022-006x.65.1.161
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发表时间：
1997-02-01
影响因子：
5.9
通讯作者：
Schwenk, TL
中科院分区：
文献类型：
--
作者：
Coyne, JC;Schwenk, TL
对于如何解释自我报告的痛苦指标得分升高仍然存在分歧。本研究比较了流行病学中心抑郁量表（CES-D）在2个样本中的分数升高与访谈中评估的情绪障碍。在一个初级医疗保健样本中，大多数痛苦的患者没有情绪障碍，没有情绪障碍的痛苦与轻微的损害有关。CES-D评分升高的初级保健患者比精神病患者更不痛苦，更不可能有情绪障碍，重性抑郁症或损害。两个样本中有情绪障碍的患者很少不符合重性抑郁症的标准。使用自我报告的措施，在临床和非临床人群的概括，并为预防干预措施的筛选抑郁症的研究的影响进行了讨论。
Disagreement remains as how to interpret elevated scores on measures of self-reported distress. This study compared elevated scores on the Center for Epidemiologic Studies-Depression Scale (CES-D) in 2 samples to mood disturbance as assessed in an interview. In a primary medical care sample, most distressed patients did not have a mood disturbance, and distress without mood disturbance was associated with little impairment. Primary care patients with elevated scores on the CES-D were less distressed and less likely to have mood disturbance, major depression, or impairment than distressed psychiatric patients. Few patients with mood disturbance in either sample failed to meet criteria for major depression. Implications are discussed for research on depression using self-report measures, for generalizations across clinical and nonclinical populations, and for screening for preventive interventions.