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81.
The Depression Intensity Scale Circles (DISCs): a first evaluation of a simple assessment tool for depression in the context of brain injury 下载免费PDF全文
Turner-Stokes L Kalmus M Hirani D Clegg F 《Journal of neurology, neurosurgery, and psychiatry》2005,76(9):1273-1278
OBJECTIVE: To assess the validity, responsiveness, and test-retest reliability of DISCs (Depression Intensity Scale Circles) as a simple screening tool for depression in patients with cognitive or communicative deficits following acquired brain injury. DESIGN: Cohort analysis of consecutive patients entered into an integrated care pathway for screening and management of depression in the context of rehabilitation. SETTING: Regional neurological rehabilitation service in the UK. PARTICIPANTS: 114 patients with complex disabilities caused by acquired brain injury (mean (SD) age, 42.8 (14.5) years). MAIN OUTCOME MEASURES: DISCs (a graphic rating scale depicting six circles with increasing proportion of dark shading), Numbered Graphic Rating Scale (NGRS), Yale single question ("Do you often feel sad or depressed"), Beck Depression Inventory-II (BDI-II), DSM-IV criteria for depression. RESULTS: At initial assessment the DISCs correlated with total BDI-II scores (Spearman rho = 0.66, p < 0.001), NGRS (rho = 0.87, p<0.001), and DSM-IV (rho = 0.59, p<0.001). A DISCs score > or =2 identified depression (major or minor) according to DSM-IV criteria with 60% sensitivity, 87% specificity, 75% positive predictive value, and 77% negative predictive value. Test-retest reliability after 24 hours (n = 66) showed "excellent" level of agreement (weighted kappa = 0.84). In 45 patients who received intervention for depression, the DISCs showed a significant change in response to treatment (Wilcoxon; p<0.001). CONCLUSIONS: DISCs had acceptable convergent validity, reliability, and responsiveness as a simple graded tool for screening and assessment of depression in patients with complex disabilities following acquired brain injury. It warrants further investigation in patients with more profound language and cognitive deficits for which it is primarily intended. 相似文献
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Sachs Klestadt Scholz H. Glass E. Schmidt H. v. Tappeiner Zdor Boas Harald Buhtz Petri Else Kalmus Aschner Berta Wolf Max Nobl Pette Reisner Giese Weimann Tbben Eisner Brieger Odenthal Meixner Nippe Bratz Kockel Heinz Kayser-Petersen 《International journal of legal medicine》1932,18(6):259-268
International Journal of Legal Medicine - 相似文献
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W. Eisner Giese A. Hoche F. Stern Haymann Wolpert Imber Klieneberger S. Frey Schellenberg Hans Strauss Reisner Fr. Wohlwill Henneberg Kurt Mendel Henneberg Paul Schuster Krambach Kreidewolf Fritz Dannheisser Heller Heller Adolf Friedemann G. Stiefler Jendralski Peppmüller Schubert Kalmus Giegler v. Neureiter Ziemke A. Meyer Haim Eisner W. König Zillmer Kott S. Fuss Tschermak F. Stern Magnus-Alsleben Strieck S. Kalischer S. Fuss 《International journal of legal medicine》1931,16(2):136-143
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1. Boyden chambers were used to investigate the effects of indomethacin on fibroblast chemotaxis to a conditioned medium. 2. It was determined that indomethacin did not inhibit, but enhanced fibroblast chemotaxis at a concentration of 10(-4) (91%)-10(-6) M (79%). 3. No significant difference was found between controls and cells treated with 10(-8)-10(-10) M indomethacin. 相似文献
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Engelhardt Flaschentrger B. Schnberg Matwejeff Stern F. Freund H. Kalmus Strassmann G. Klbs Schwarzacher Wolf Gnther Ullmann K. Oppenheim M. Mayer R. L. Liguori-Hohenauer Peiser B. Steiger-Kazal Ruickoldt Ehrismann Siegel R. Salinger Jendralski Donalies Eisner W. Frnkel F. Leibbrand Lendle Hesse Fuss S. Autoreferat Oberndorfer Ott Spiecker Merkel H. Teleky Klestadt Badt Marx Wilcke Romanese Weber 《International journal of legal medicine》1931,16(1):97-109
International Journal of Legal Medicine - 相似文献