Assessment of depression: Comparison between Beck Depression Inventory and subscales of Comprehensive Psychopathological Rating Scale
Assessment of depression: Comparison between Beck Depression Inventory and subscales of Comprehensive Psychopathological Rating Scale
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DOI：
10.1111/j.1600-0447.1995.tb09613.x
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发表时间：
1995-12-01
影响因子：
6.7
通讯作者：
Hoffart, A
中科院分区：
文献类型：
--
作者：
Martinsen, EW;Friis, S;Hoffart, A
本研究旨在探讨非精神病性单相抑郁症患者自我评定与治疗师评定的关系。我们还想知道人格障碍的存在是否会影响结果。在入院和出院时，117例患者填写贝克抑郁量表（BDI），并由治疗师在综合精神病理评定量表（CPRS）上进行评定。根据CPRS评分计算两个抑郁指数：CPRS-dep和蒙哥马利阿斯伯格抑郁量表（MADRS）。63例患者患有DSM-III-R抑郁症。30例有心境恶劣障碍，24例无抑郁障碍。80人患有一种或多种人格障碍，大多数属于C类。自我评定（BDI）和治疗师评定（CPRS-dep和MADRS）有很强的相关性，在人格障碍患者中相关性较弱的趋势不显著。所有的尺度是有用的，以区分抑郁症和非抑郁症，并区分重性抑郁症和心境恶劣障碍，倾向于BDI。作为重性抑郁症的截止评分，我们推荐BDI总分为23分，CPRS-dep平均分为1分，MADRS平均分为1.1分（0-3分）。当使用这些值时，70-79%的患者被正确分类。
The purpose of this study was to investigate the relationship between self-rating and therapist rating in nonpsychotic patients with unipolar depressive disorders. We also wanted to find out whether the presence of personality disorders would influence the results. At admission and discharge 117 patients filled in the Beck Depression Inventory (BDI) and were rated by a therapist on the Comprehensive Psychopathological Rating Scale (CPRS). Based on the CPRS-scores, two indices of depression were calculated: CPRS-dep and Montgomery Asberg Depression Rating Scale (MADRS). Sixty-three patients had DSM-III-R major depression. 30 had dysthymic disorder, while 24 had no depressive disorder. Eighty suffered from one or more personality disorders, mostly within cluster C. The self rating (BDI) and therapist ratings (CPRS-dep and MADRS) were strongly intercorrelated, with a nonsignificant tendency for weaker correlations in patients with personality disorders. All scales were useful to separate depressed from non-depressed, and to discriminate between major depression and dysthymic disorder, with a tendency in favour of BDI. As cut-off scores for major depression we recommend the sum score of 23 on the BDI, and mean scores of 1 on CPRS-dep and 1.1 on MADRS on a 0-3 scale. When these values are used, 70-79% of patients are correctly classified.