A study on the clinical evaluation of major depressive illness by the Japanese version of the Inventory of Depressive Symptomatology, Clinician version

Rush等人开发了抑郁症状量表临床版（IDS-C），用于评估重度抑郁发作的严重程度。本研究的目的是建立评价者间的信度的日本版的IDS & C。共16例DSM-IV重性抑郁发作的受试者进行了评估。两名精神科医生在开始这项可靠性研究之前已经完成了评估IDS-C的培训课程，他们参加了与每名受试者的系统访谈，使用日本版的结构化访谈指南对IDS-C和汉密尔顿抑郁量表进行联合评级，以独立评估IDS-C。由两位评分员评估的30个IDS-C项目的严重程度范围为0 - 4的27个项目和0 - 3的3个项目。各量表条目的组内相关性和评分者间信度的方差分析值在0.874 ~ 1.000之间。本研究结果表明，日本版的IDS-C是一种潜在的有用的评定工具，具有较高的评分者间信度，可用于测量精神科医生在充分评估训练的情况下的抑郁症状的严重程度。

The Inventory of Depressive Symptomatology, clinician version(IDS-C), was developed by Rush et al. to evaluate the severity of major depressive episodes. The aim of the present study was to establish the inter-rater reliability of the Japanese version of the IDS & C. A total of 16 subjects with DSM-IV major depressive episode were evaluated. Two psychiatrists, who had completed a training session for evaluating the IDS-C before starting this reliability study, attended systematic interview sessions with each subject to evaluate the IDS-C independently, using the Japanese version of the structured interview guide for combined rating of the IDS-C and the Hamilton Depression Rating Scale. The severity of the 30 IDS-C items assessed by the two raters ranged from0 to 4 for 27 items and from 0 to 3 for 3 items. The analysis of variance intraclass correlation inter-rater reliability values for the individual scale items ranged from 0.874 to 1.000.The present results suggest that the Japanese version of the IDS-C is a potentially useful rating instrument with high inter-rater reliability for measuring the severity of depressive symptoms in the hands of psychiatrists with sufficient evaluation training.