THE HAMILTON ANXIETY SCALE - EVALUATION OF HOMOGENEITY AND INTER-OBSERVER RELIABILITY IN PATIENTS WITH DEPRESSIVE-DISORDERS
THE HAMILTON ANXIETY SCALE - EVALUATION OF HOMOGENEITY AND INTER-OBSERVER RELIABILITY IN PATIENTS WITH DEPRESSIVE-DISORDERS
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DOI：
10.1016/0165-0327(83)90009-5
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发表时间：
1983-01-01
影响因子：
6.6
通讯作者：
RAFAELSEN, OJ
中科院分区：
文献类型：
--
作者：
GJERRIS, A;BECH, P;RAFAELSEN, OJ
汉密尔顿焦虑量表（Hamilton Anxiety Scale， HAS）最初是为神经性焦虑患者设计的，现应用于诊断为抑郁症的患者。评估量表的信度和同质性，并将总分与Bech-Rafaelsen忧郁症量表（BRMES）进行相关分析。22例患者进入研究，其中13例为内源性抑郁症，9例为非内源性抑郁症，根据ICD-8[国际疾病分类-8]进行分类。两种量表的量表间信度均有显著的统计学意义。在HAS的同质性方面，反映心理焦虑的7个项目有统计学意义，而在BRMES中，除2个项目外，其余项目均有统计学意义。所有22例患者HAS总分与BRMES总分呈正相关。当根据ICD-8对患者进行分类时，这种相关性似乎是由于内源性抑郁组，而非内源性抑郁组没有明显的相关性。当采用MULTI-CLAD （Multi-Axial Classification System for Affective Disorders）系统对患者进行分类时，在抑郁症各亚型中，没有发现HAS和BRMES评分有显著的相互关系。
The Hamilton Anxiety Scale (HAS), originally constructed for patients with neurotic anxiety, was applied to patients with diagnosis of depressive disorders. The inter-rater reliability and homogeneity are evaluated and total score was correlated to the Bech-Rafaelsen Melancholia Scale (BRMES). Patients (22) entered the study, 13 with endogenous depressions, and 9 with non-endogenous depressions when classified according to the ICD-8 [International Classification of Diseases-8]. For both scales, the inter-rater reliability was found statistically significant. Concerning the homogeneity of the HAS, statistical significance was obtained for 7 items reflecting psychic anxiety, whereas in the BRMES statistical significance was found in all items apart from 2. Total scale score on HAS correlated positively with total score on BRMES for all 22 patients. When the patients were classified according to the ICD-8 this correlation seemed to be due to the endogenously depressed group as no significant correlation was seen for the group of non-endogenous depression. When the patients were classified according to the MULTI-CLAD [Multi-Axial Classification System for Affective Disorders] system no significant intercorrelation of the HAS and BRMES scores was found within the subtypes of depression.