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| 患者健康问卷抑郁症状群量表在综合性医院中的应用研究 | |
| 引用本文： | 卞崔冬,何筱衍,钱洁,吴文源,李春波. 患者健康问卷抑郁症状群量表在综合性医院中的应用研究[J]. 同济大学学报(医学版), 2009, 30(5): 136-140 |
| 作者姓名： | 卞崔冬 何筱衍 钱洁 吴文源 李春波 |
| 作者单位： | 1. 同济大学附属同济医院泌尿外科,上海,200065 2. 上海市奉贤区中心医院内科,上海,201400 3. 同济大学附属同济医院心身医学科,上海,200065 4. 上海交通大学医学院附属精神卫生中心,上海,200030 |
| 基金项目： | 国家863计划资助项目，上海市科委重点科技攻关项目，上海市医院新兴技术项目 |
| 摘 要： | 目的检验中文版患者健康问卷（patient health questionnaire,PHQ）中抑郁症状群量表（PHQ-9）在综合性医院普通门诊患者中的信度、效度和检出率。方法600例综合性医院普通门诊患者完成中文版PHQ-9和医院焦虑抑郁量表（hospital anxiety and depression scale,HADS）自评,并接受汉密顿抑郁量表（hamilton depression scale,HAMD）的评定,抽取44名患者在完成初次评定后7-14 d内接受PHQ-9重测;抽取96例患者,在完成初次评定后2周内,接受专业研究人员的定式临床精神检查（structured clinical interview for DSM-IV,SCID）。结果PHQ-9内部一致性系数为0.857,条目间的相关系数为0.236-0.718,各条目与量表总分的相关系数为0.588-0.784,先后两次测定总分的相关系数为0.947,PHQ-9总分与HADS总分及抑郁分量表分值和HAMD总分的相关系数范围0.792-0.811,PHQ-9的灵敏度为91%,特异度为97%,Kappa=0.884。检出抑郁症状群98例,占总样本量的16.3%（95%CI：13.4%-19.3%）。结论中文版本PHQ-9在综合性医院普通门诊患者应用中具有良好的信度和效度。 |
| 关 键 词： | 患者健康问卷 抑郁症状群量表 信度 效度 检出率 |
The reliability and validity of a modified patient health questionnaire for screening depressive syndrome in general hospital outpatients |
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| Affiliation: | BIAN Cui-dong, HE Xiao-yan, QIAN fie, WU Wen-yuan, LI Chun-bo (1. Dept. of Urology, Tongji Hospital, Tongji University, Shanghai 200065, China; 2. Dept. of Medicine, Fengxian Central Hosptal, Shanghai 201400, China; 3. Dept. of Physical and Mental, Tongji Hospital, Tongji University, Shanghai 200065, China; 4. Dept. of Mental Health Center, School of Medicine, Shanghai Jiaotong University, Shanghai 200030, China) |
| Abstract: | Objective To evaluate the reliability and validity of a modified patient health questionnaire module named PHQ-9 with emphasis on screening of depressive syndrome in general hospital outpatients.Methods Six hundred general hospital outpatients were evaluated by using the PHQ-9. The internal reliability, test-retest reliability and validity were examined. Results Cronbach＇ s coefficient of PHQ-9 was 0. 857, the test-retest reliability 0. 947, and the range of correlation coefficient of the nine items with the total score of the scale 0. 588 - 0. 784. The sensitivity of PHQ-9 was 91%, the specificity 97%, and Kappa value 0. 884. PHQ -9 general The detection rate was 16.3%, （95% CI：13.4% -19.3% ）. Conclusion The Chinese version of has been shown to have good reliability and validity for the screening of depressive syndrome in hospital outpatients |
| Keywords: | patient health questionnaire PHQ-9 reliability validity detection rate |
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