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在COVID-19大流行期间,抑郁症查工具的最佳切断:系统性审查

Jieru Zhou¹, Maja R Radojčić², Claire E Ashton-James³

¹School of Chinese Materia Medica, Tianjin University of Traditional Chinese Medicine, Jinghai, Tianjin, 301617, People's Republic of China.

|December 20, 2023

概括

抑郁症查工具的准确性在COVID-19期间因患病率增加而发生变化,影响了最佳的截止点. 这些频谱效应需要考虑准确的流行后心理健康评估.

科学领域:

心理健康研究心理健康研究
流行病学流行病学
心理测量心理测量心理测量

背景情况:

在COVID-19大流行期间报告的抑郁症患病率增加.
查工具的准确性可能会受到疾病流行率和人口分布的影响 (频谱效应).

研究的目的:

在COVID-19大流行期间调查抑郁症查工具的准确性.
为了比较流行病前和流行病期间抑郁症查工具的最佳截止值.

主要方法:

在PsycINFO,EMBASE和MEDLINE (2020年3月至2022年9月) 搜索了流行病期间抑郁症查工具准确性的原始研究.
在大流行之前对这些工具进行的已识别的元分析.
在疫情期间和之前,对选择工具的最佳切断值进行了比较.

主要成果:

在疫情期间,四项研究评估了贝克抑郁量表 (BDI-II),医院焦虑和抑郁量表-抑郁量表 (HADS-D),患者健康问卷-9 (PHQ-9) 和老年抑郁量表-4 (GDS-4).
最佳截止值转移:BDI-II (14对14.5),HADS-D (10对7),PHQ-9 (11对8),GDS-4 (1.8对3),反映了流行率和人口的变化.
观察到的患病率各不相同:在疫情期间,2型糖尿病患者 (23.8%),大学生 (14.5%),记忆诊所成年人 (29.0%).

结论:

抑郁症查工具的最佳切断值对研究群体和参考标准的变化很敏感.
必须考虑潜在的频谱效应,以提高后COVID时代的诊断准确性.

关键词:

这就是Covid-19的原因.抑郁症抑郁症抑郁症最佳的切断界限是最好的切断界限.系统性审查系统性审查

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