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首页> 外文期刊>Scandinavian journal of public health >Is one question enough to screen for depression?
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Is one question enough to screen for depression?

机译：一个问题足以解决抑郁症吗？

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AIMS: The aim of this study was to determine if chronic pain patients with symptoms of depression could be identified by one single question. METHODS: Data from 595 patients, 55% women, and 45% men, from three different patient populations; low back pain patients (n = 387), whiplash patients (n = 119), and disability pensioners (n = 89), were analysed. We evaluated the test characteristics of one question on depression from the Subjective Health Complaints (SHC) Inventory. The respondents report if, and to what extent, they have been affected by sadness/depression in the last 30 days. The Hopkins Symptom Checklist-25 (HSCL-25) was used as the criterion standard. HSCL-25 is a self-report symptom rating scale with two dimensions: depression and anxiety. ''Depressed'' was defined as having a score above 1.75 on the depression subscale. RESULTS: Thirty-three per cent of the patients were depressed according to HSCL-25. The sensitivity of the single SHC depression-question was 79%, and the specificity was 81%. Positive predictive value was 67% while negative predictive value was 89%. Kappa value for all groups combined was 0.58 (p < 0.001). The receiver operating characteristic (ROC) curve showed an area under the curve of 0.83. CONCLUSIONS: The depression-question from SHC identified most of the depressed patients measured by HSCL-25 in low back pain patients, whiplash patients, and disability pensioners, and can therefore be considered an indicator of depression. Satisfactory sensitivity and specificity were detected, as well as similar responsiveness as determined by the ROC analyses. The results indicate that one simple question could replace a whole questionnaire (HSCL-25) in identifying depressive patients.
机译：目的：这项研究的目的是确定是否可以通过一个问题来识别患有抑郁症状的慢性疼痛患者。方法：来自三个不同患者群体的595名患者，55％的女性和45％的男性的数据;分析了下腰痛患者（n = 387），鞭打患者（n = 119）和伤残抚恤金领取者（n = 89）。我们从主观健康投诉（SHC）清单中评估了一个关于抑郁的问题的测试特征。受访者报告他们在过去30天内是否或在何种程度上受到悲伤/沮丧的影响。霍普金斯症状清单-25（HSCL-25）被用作标准。 HSCL-25是一种自我报告症状评分量表，具有两个维度：抑郁和焦虑。 “抑郁”定义为在抑郁量表上的得分高于1.75。结果：根据HSCL-25，有33％的患者感到沮丧。单个SHC抑制问题的敏感性为79％，特异性为81％。阳性预测值为67％，阴性预测值为89％。所有各组的卡伯值均为0.58（p <0.001）。接收器工作特性（ROC）曲线显示曲线下的面积为0.83。结论：SHC的抑郁问题确定了通过腰背痛患者，鞭打患者和残疾抚恤金领取者通过HSCL-25测量的大多数抑郁患者，因此可以认为是抑郁的指标。检测到令人满意的灵敏度和特异性，以及通过ROC分析确定的相似响应性。结果表明，一个简单的问题可以代替整个问卷（HSCL-25）来识别抑郁症患者。

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