贝克抑郁量表及其缩略语在青少年精神病样本中的可辨别性。

IF 1.4 Q3 PSYCHIATRY
Fatemeh Seifi, Sebastian Therman, Tommi Tolmunen
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引用次数: 0

摘要

背景:贝克抑郁量表(BDI)是一种广泛认可的自我报告筛选工具,用于评估抑郁症状的存在和强度。BDI-IA虽然是一个较旧的版本,但与更新的BDI-II高度相关,仍然具有临床价值,并且由于其免费可用而被广泛使用。目的:本研究旨在检验BDI-IA的心理测量特性,并将其与缩略版BDI-SF、BDI-PC和BDI-6版本的诊断准确性与芬兰代表性青少年临床人群的金标准研究诊断进行比较。方法:参与者为13-20岁的转诊门诊青少年(N = 752, 73%为女性)。我们用项目因子分析来调查结构效度,并用各种诊断方法来评估平均得分和因子得分的标准效度。用自举法估计样本最优截止点(准则未加权Cohen’s kappa)。结果:全BDI的样本最佳截止值为19,略高于先前文献建议的截止值。在所有三种诊断分类中,BDI-IA的缩写被证明在检测抑郁症状方面与全量表一样好。结论:建议使用简单易用的问卷,如BDI-PC或BDI-6,以确保最佳的抑郁症筛查和减少行政负担,特别是在初级保健机构,临床决策和转诊往往需要在有限的时间框架内进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Discriminability of the Beck Depression Inventory and its Abbreviations in an Adolescent Psychiatric Sample.

Background: The Beck Depression Inventory (BDI) is a widely acknowledged self-report screening tool for evaluating the presence and intensity of depressive symptoms. The BDI-IA, although an older version, is highly correlated with the updated BDI-II, remains clinically valuable, and is widely used due to its free availability.

Aim: This study aimed to examine the psychometric properties of the BDI-IA and compare its diagnostic accuracy with the abbreviated BDI-SF, BDI-PC, and BDI-6 versions against gold-standard research diagnoses in a representative Finnish adolescent clinical population.

Methods: The participants were referred outpatient adolescents aged 13-20 years (N = 752, 73% female). We investigated structural validity with item factor analysis and evaluated the criterion validity of mean scores and factor scores with various diagnostic measures. Sample-optimal cut-offs (criterion unweighted Cohen's kappa) were estimated with a bootstrap procedure.

Results: The sample-optimal cut-off for the full BDI was 19, slightly higher than that suggested by the previous literature. The abbreviations of the BDI-IA were demonstrated to be as good as the full scale in detecting depressive symptoms in all three diagnostic categorizations.

Conclusion: The use of brief and user-friendly questionnaires such as the BDI-PC or BDI-6 is recommended to ensure optimal depression screening and minimize the administrative burden, especially in primary care settings where clinical decision-making and referrals often need to occur within a limited time frame.

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5.30%
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