抑郁症患者阴性症状临床评估访谈的心理测量特性及其与情感症状的关系。

IF 3.6 3区 医学 Q1 PSYCHIATRY Annals of General Psychiatry Pub Date : 2023-10-26 DOI:10.1186/s12991-023-00474-x
Johan Bengtsson, Parya Rad, Martin Cernvall, Robert Bodén
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引用次数: 0

摘要

背景:消极症状和抑郁症状之间存在概念上的重叠,需要进一步探索以促进对消极症状的理解。本研究的目的是检验抑郁症患者消极症状临床评估访谈(CAINS)的心理测量特性,并探讨消极症状和情感症状领域之间的关系。方法:采用CAINS和简明精神病评定量表(BPRS-E)对51例抑郁症患者进行访谈。采用Montgomery-Asberg抑郁评定量表(MADR-S)收集自我报告的抑郁症状。调查了评分者之间的一致性、内部一致性和有效性指标,以及负面症状和情感症状之间的相关性。结果:CAINS-动机和快乐分量表(CAINS-MAP)的组内相关性为0.98(95%CI 0.96-0.99),表达分量表(CAINS-EXP)的组间相关性为0.81(95%CI 0.67-0.89)。BPRS-E与阴性症状分量表的相关性为0.35(p = 0.011,盲法/不同评分者)或0.55(p 结论:CAINS可以评估抑郁症的阴性症状,具有良好的评分者间一致性和可接受的内部一致性和有效性。消极症状和抑郁症状之间存在联系,需要进一步探索。
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Psychometric properties of the Clinical Assessment Interview for Negative Symptoms (CAINS) in patients with depression and its relationship to affective symptoms.

Background: There is a conceptual overlap between negative and depressive symptoms, requiring further exploration to advance the understanding of negative symptoms. The aim of this study was to examine psychometric properties of the Clinical Assessment Interview for Negative Symptoms (CAINS) in patients with depression, and to explore the relationship between the negative and affective symptoms domains.

Methods: Fifty-one patients with a depressive episode were included and interviewed with the CAINS and the Brief Psychiatric Rating Scale-Expanded (BPRS-E). Self-reported depressive symptoms were collected with the Montgomery-Asberg Depression Rating Scale (MADRS-S). Inter-rater agreement, internal consistency and validity measures were examined, as were correlations between negative and affective symptoms.

Results: The intraclass correlation for the CAINS motivation and pleasure subscale (CAINS-MAP) was 0.98 (95% CI 0.96-0.99) and that for the expressional subscale (CAINS-EXP) was 0.81 (95% CI 0.67-0.89). Cronbach's alpha was 0.71 (95% CI 0.57-0.82) for the CAINS-MAP and 0.86 (95% CI 0.79-0.92) for the CAINS-EXP. The correlation with the negative symptoms subscale of the BPRS-E was 0.35 (p = 0.011, blinded/different raters) or 0.55 (p < 0.001, not blinded/same rater). The CAINS-MAP correlated with the affective symptoms subscale of the BPRS-E (r = 0.39, p = 0.005) and the MADRS-S total score (r = 0.50, p < 0.001), but not with anxiety symptoms.

Conclusions: Negative symptoms in depression can be assessed with the CAINS with good inter-rater agreement and acceptable internal consistency and validity. There are associations between negative and depressive symptoms that call for further exploration.

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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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