A Comparison of Depressive Symptom Self-Reported Measures in the Texas Youth Depression and Suicide Research Network (TX-YDSRN).

IF 4.5 2区医学 Q1 PSYCHIATRY Journal of Clinical Psychiatry Pub Date : 2023-12-18 DOI:10.4088/JCP.23m14861

Karabi Nandy, A John Rush, Thomas Carmody, Beth D Kennard, Graham J Emslie, Holli Slater, Taryn L Mayes, Melissa DeFilippis, Cynthia Garza, Eric A Storch, Sarah M Wakefield, Madhukar H Trivedi

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Abstract

Objective: To evaluate psychometrically and provide crosswalks between 3 self-report measures of depressive symptomatology in youth in psychiatric care settings. Ratings included the Patient Health Questionnaire for Adolescents (PHQ-A), a widely used 9-item self-report; the 16-item Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR₁₆); and the 5-item Very Quick Inventory of Depressive Symptomatology-Self-Report (VQIDS-SR₅), a recent effort to create a bridge from the QIDS-SR₁₆ to clinical practice.

Methods: Data from the Texas Youth Depression and Suicide Research Network Registry (August 26, 2020-May 11, 2022) were included in this work. At first visit, 795 depressed or suicidal adolescent (12-20 years of age) psychiatric outpatients completed the PHQ-A, QIDS-SR₁₆, and VQIDS-SR₅. Classical test theory and item-response theory (IRT) analyses were conducted. Crosswalks among total scales were created. Sensitivity to change over 1-month follow-up was assessed for all 3 scales (n = 682).

Results: Cronbach alphas were 0.86 (PHQ-A), 0.80 (QIDS-SR₁₆), and 0.76 (VQIDS-SR₅). Item total correlations were 0.49-0.72, 0.29-0.64, and 0.43-0.61, respectively. All 3 scales were unidimensional and sensitive to change over a 1-month period. IRT analyses revealed satisfactory item performance. Modest but significant associations were found between baseline to 1-month changes in PHQ-A and VQIDS-SR₅ total scores (r = 0.50, P < .0001) and between PHQ-A and QIDS-SR₁₆ total scores (r = 0.56; P < .0001). Categorical thresholds of severity (ie, mild, moderate, severe, and very severe) were comparable between PHQ-A and QIDS-SR₁₆.

Conclusions: The PHQ-A, QIDS-SR₁₆, and VQIDS-SR₅ are unidimensional, psychometrically acceptable self-reports of depressive prevalence or severity in adolescents and young adults in this sample. Total scale scores on any measure can be converted reliably to those on any other.

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德克萨斯州青少年抑郁与自杀研究网络（TX-YDSRN）中抑郁症状自我描述测量方法的比较》（A Comparison of Depressive Symptom Self-Reported Measures in the Texas Youth Depression and Suicide Research Network (TX-YDSRN).

目的对精神病治疗机构中青少年抑郁症状的 3 种自我报告测量方法进行心理测量学评估，并提供交叉数据。评分包括青少年患者健康问卷（Patient Health Questionnaire for Adolescents，PHQ-A）--一种广泛使用的9个项目的自我报告；16个项目的抑郁症状快速量表--自我报告（QIDS-SR16）；以及5个项目的抑郁症状快速量表--自我报告（Very Quick Inventory of Depressive Symptomatology-Self-Report, VQIDS-SR5）--一种最近从QIDS-SR16到临床实践的桥梁：方法：德克萨斯州青少年抑郁与自杀研究网络登记处（2020年8月26日至2022年5月11日）的数据被纳入这项研究。795名抑郁或有自杀倾向的青少年（12-20岁）精神科门诊患者在首次就诊时填写了PHQ-A、QIDS-SR16和VQIDS-SR5。我们进行了经典测验理论和项目反应理论（IRT）分析。建立了各量表之间的交叉关系。对所有 3 个量表（n = 682）在 1 个月随访期间变化的敏感性进行了评估：Cronbach 误差分别为 0.86（PHQ-A）、0.80（QIDS-SR16）和 0.76（VQIDS-SR5）。项目总相关性分别为 0.49-0.72、0.29-0.64 和 0.43-0.61。所有 3 个量表都是单维度的，对 1 个月内的变化敏感。IRT分析表明，量表项目的表现令人满意。PHQ-A和VQIDS-SR5总分从基线到1个月的变化之间存在微小但重要的关联（r = 0.50，P 16）：PHQ-A、QIDS-SR16 和 VQIDS-SR5 是该样本中青少年抑郁患病率或严重程度的单维度、心理测量学上可接受的自我报告。任何一种测量方法的量表总分都可以可靠地转换成其他测量方法的量表总分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychiatry 医学-精神病学

CiteScore

7.40

自引率

1.90%

发文量

审稿时长

3-8 weeks

期刊介绍： For over 75 years, The Journal of Clinical Psychiatry has been a leading source of peer-reviewed articles offering the latest information on mental health topics to psychiatrists and other medical professionals.The Journal of Clinical Psychiatry is the leading psychiatric resource for clinical information and covers disorders including depression, bipolar disorder, schizophrenia, anxiety, addiction, posttraumatic stress disorder, and attention-deficit/hyperactivity disorder while exploring the newest advances in diagnosis and treatment.