CAJ | 학술논문

目的编制流调中心抑郁量表(Center for Epidemiologic Studies Depression Scale,CES-D)中文简版.方法以全国分层随机取样的30801个普通人群样本和415个精神疾患样本为基础,结合独立样本t检验结果与量表信效度指标编制简版,并提出抑郁症状检出的划界分.结果 CES-D中文简版共9题,内部一致信度在0.85 ～ 0.88,重测信度为0.49(P＜0.001),各条目与总分相关均大于0.5,与原量表相关系数0.94～ 0.96 (P＜0.001).首诊抑郁患者的量表分高于服药抑郁患者和普通人群.简版量表验证了两维度的因素结构,即积极症状与消极症状.量表以10分和17分为抑郁倾向和抑郁高风险的划界分.结论流调中心抑郁量表9题中文简版的信效度良好,可以在各年龄群体中进行抑郁水平的施测.
목적 편제류조중심억욱량표(Center for Epidemiologic Studies Depression Scale,CES-D)중문간판.방법 이전국분층수궤취양적30801개보통인군양본화415개정신질환양본위기출,결합독립양본t검험결과여량표신효도지표편제간판,병제출억욱증상검출적화계분.결과 CES-D중문간판공9제,내부일치신도재0.85 ～ 0.88,중측신도위0.49(P＜0.001),각조목여총분상관균대우0.5,여원량표상관계수0.94～ 0.96 (P＜0.001).수진억욱환자적량표분고우복약억욱환자화보통인군.간판량표험증료량유도적인소결구,즉적겁증상여소겁증상.량표이10분화17분위억욱경향화억욱고풍험적화계분.결론 류조중심억욱량표9제중문간판적신효도량호,가이재각년령군체중진행억욱수평적시측.
Objective To develop a short Chinese version of the center for epidemiological studies depression scale(CES-D).Method A stratified random nationwide sample with 30801 normal people and a mentally ill sample with 415 patients were tested.Items in the short version were chosen according to both the result of independent t-test in current study and the result of reliance and validity.Cut-off scores were offered to check up depressions.Result The internal consistency reliability of the 9-item Chinese version CES-D ranged from 0.85 to 0.88.The test-retest reliability was 0.49(P＜0.001).All item-total correlations were higher than 0.5.The correlation between sumscores of the original scale and sunscores of the Chinese short version ranged from 0.94 to 0.96 (P＜ 0.001) in all the samples.The sum scores of initial diagnosis depression sample were significantly higher than that of treated depression sample and common sample.A two-dimension structure was testified.The cut-off scores of the short version were 10 and 17.Conclusion The 9-item Chinese version of CES-D can be used in various samples with reliable and valid effect.