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首页> 外文期刊>International clinical psychopharmacology >Relative sensitivity of the Montgomery-Asberg depression rating scale, the Hamilton depression rating scale and the Clinical Global Impressions rating scale in antidepressant clinical trials: a replication analysis.
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Relative sensitivity of the Montgomery-Asberg depression rating scale, the Hamilton depression rating scale and the Clinical Global Impressions rating scale in antidepressant clinical trials: a replication analysis.

机译:蒙哥马利-阿斯伯格抑郁量表,汉密尔顿抑郁量表和临床总体印象量表在抗抑郁剂临床试验中的相对敏感性:重复分析。

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摘要

The present study replicates a previous study in which we found that the less frequently used Montgomery-Asberg Depression Rating Scale (MADRS) is as sensitive an instrument in detecting antidepressant-placebo differences in antidepressant clinical trials as the more widely used Hamilton Depression (HAM-D) rating scale. The Clinical Global Impressions Rating Scale for Severity (CGI-S) was also similar to the other two scales. A retrospective chart review was performed on the records of 139 depressed adult patients who participated in six randomized, placebo-controlled, double-blind antidepressant clinical trials at the North-west Clinical Research Centre between 1996 and 2003. The effect size (measured as the mean change in rating with antidepressants minus the mean change for placebo divided by the pooled SD of change) was 0.68 with MADRS, 0.54 with CGI-S and 0.57 with HAM-D. A correlation analysis also revealed a significant positive relationships between baseline MADRS and HAM-D and final MADRS and HAM-D for the total sample, placebo group, and antidepressant group (P<0.01). Further research is needed to examine which scale is the most appropriate to use for each particular antidepressant clinical trial.
机译:本研究重复了先前的研究,其中我们发现,使用频率较低的蒙哥马利-阿斯伯格抑郁量表(MADRS)与使用汉密尔顿抑郁症(HAM- D)等级量表。临床全球严重程度印象评定量表(CGI-S)也与其他两个量表相似。回顾性图表回顾了西北地区临床研究中心在1996年至2003年间参加了6项随机,安慰剂对照,双盲抗抑郁药临床试验的139例抑郁症成年患者的病历。抗抑郁药的平均评分变化减去安慰剂的平均变化除以合并的SD变化)对于MADRS为0.68,对于CGI-S为0.54,对于HAM-D为0.57。相关分析还显示,总样品,安慰剂组和抗抑郁剂组的基线MADRS和HAM-D与最终MADRS和HAM-D之间存在显着的正相关(P <0.01)。需要做进一步的研究来检查哪种量表最适合用于每个特定的抗抑郁药临床试验。

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