简要仪器在透析患者中进行抑郁查的实用性
Isabel Vázquez1, Adolfo Figueiras2,3,4, Ángel Salgado-Barreira2,3,4
1Department of Clinical Psychology and Psychobiology, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
Clinical kidney journal
|January 9, 2025
概括
贝克抑郁 inventory-FastScreen (BDI-FS) 和医院焦虑抑郁量表 (HADS-D) 有效地选透析患者的抑郁症. 建议使用BDI-FS,因为它易于使用和识别自杀风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 精神病学是一个精神病学.
- 临床评估 临床评估
背景情况:
- 抑郁症在透析患者中是一种常见的,往往未被发现的并发症.
- 贝克抑郁症目录第二版 (BDI-II) 是有效的,但对于常规的临床使用而言,需要很长时间.
- 在这个人群中,需要有效的查工具来检测抑郁症状.
研究的目的:
- 为了比较较短的抑郁查仪器的疗效与BDI-II.
- 确定最有效的工具来检测透析患者的抑郁症状.
- 评估贝克抑郁 inventory-FastScreen (BDI-FS),医院焦虑抑郁量表 (HADS-D) 和SF-36心理健康量表.
主要方法:
- 一项涉及145名透析患者 (血液透析或腹膜透析) 的横截面研究.
- 患者完成了BDI-II,HADS-D和SF-36心理健康等级.
- 敏感性,特异性和预测值与BDI-II分数≥16.6相对评估.
主要成果:
- 24.8%的患者表现出抑郁症状 (BDI-II ≥16).
- BDI-FS (切断值≥3) 显示91.7%的灵敏度和96.1%的负预测值.
- HADS-D (截止值≥4) 显示了91.7%的灵敏度和95.8%的负预测值.
- SF-36心理健康量表产生了较低的灵敏度和负预测值.
结论:
- 无论是BDI-FS还是HADS-D都适用于透析患者查抑郁症.
- 推使用BDI-FS,因为它易于使用,并且能够识别自杀风险.
- 在这个群体中,BDI-FS为临床抑郁症查提供了BDI-II的实用替代方案.
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