The Reliability and Validity of the Inventory to Diagnose Depression in Alcohol-Dependent Men and Women

Journal of substance abuse Pub Date : 2000-12-01 DOI:10.1016/S0899-3289(00)00033-X

David C Hodgins , Marie Dufour , Susan Armstrong

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引用次数: 11

Abstract

Purpose: This study examined the reliability and validity of the Inventory to Diagnose Depression (IDD) in alcohol-dependent men and women. The IDD is a self-report instrument that provides a continuous score reflecting depression severity and a DSM-IV major depression diagnosis (MDD).

Methods: Participants (N=57) were administered the IDD, Beck Depression Inventory (BDI), and the mood module of the Structured Clinical Interview for the DSM (SCID).

Results: Internal reliability and item-total correlations were generally good and the IDD severity score correlated highly with the BDI. The diagnostic performance of the IDD using the DSM-IV scoring algorithm was good overall but excellent for currently abstinent participants and fair for participants who had recently consumed alcohol. The IDD cut-off score for identifying cases of depression appears stringent compared to the BDI and SCID.

Implications: The present investigation provides some support for the use of the IDD with abstinent alcoholic outpatient samples when a self-report diagnostic instrument is desirable. For a current drinker, a positive IDD does not distinguish between an alcohol-induced depression and MDD.

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酒精依赖者抑郁量表诊断的信度和效度

目的:本研究检验酒精依赖者抑郁诊断量表(IDD)的信度和效度。IDD是一种自我报告工具，提供反映抑郁严重程度和DSM-IV重度抑郁症诊断(MDD)的连续评分。方法:采用IDD、贝克抑郁量表(BDI)和DSM结构化临床访谈中的情绪模块(SCID)对57名参与者进行问卷调查。结果:内部信度和项目-总相关性总体较好，IDD严重程度评分与BDI高度相关。使用DSM-IV评分算法诊断IDD的表现总体上很好，但对于目前戒酒的参与者来说非常好，对于最近饮酒的参与者来说是公平的。与BDI和SCID相比，IDD识别抑郁症病例的截止评分似乎更严格。含义:目前的调查提供了一些支持，当自我报告诊断工具是可取的戒断酒精门诊样本IDD的使用。对于目前的饮酒者，IDD阳性并不能区分酒精引起的抑郁症和重度抑郁症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of substance abuse

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