Health 版 (精华区)

发信人: coco (可乐), 信区: Health
标  题: 抑郁症自评(CES-D)
发信站: 紫丁香 (Mon Sep 29 10:16:34 1997)

抑郁症自评(CES-D)


　　本方法可适用于具有忧郁情绪障碍的成年。
　　按照过去一星期内您的实际情况或感觉，在适当的格子内划一“√”，分别为： 
            没有或几乎没有(出现这
              类情况不超过一天)
                                   少有(1～2
                                    天内有)
                                              常有(3～4
                                                天有)
                                                        几乎一直有(5～
                                                            7天有)
           　　 
                                  　　 
                                              　　 
                                                        　　 

　　 一般10分钟左右即将各项填写完毕.

                     流调抑郁症自评量表(CES-D)项目及引出症状
            序 号
                  量表中症状项目原文
                                                         引 出 症 状
           1.
                  我因一些小事而烦恼
                                                         烦 恼
           2.
                  我不想吃东西,我的胃口不好
                                                         食欲减退
           3.
                  即使朋友帮助,仍然无法摆脱苦闷
                                                         苦 闷 感
           4.*
                  我觉得我和一般人一样好
                                                         自 卑 感
           5.
                  我在做事时,无法集中自己的注意力
                                                         注意障碍
           6.
                  我感到情绪低沉
                                                         情绪低沉
           7.
                  我感到任何事都很费力
                                                         乏 力
           8.*
                  我觉得前途是有希望的
                                                         绝 感 望
           9.
                  我觉得我的生活是失败的
                                                         失 败 感
           10.
                  我感到害怕
                                                         害 怕
           11.
                  我的睡眠情况不好
                                                         睡眠障碍
           12.*
                  我感到高兴
                                                         无愉快感
           13.
                  我比平时说话要少
                                                         言语减少
           14.
                  我感到孤单
                                                         孤 单 感
           15.
                  我觉得人们对我不太友好
                                                         敌 意 感
           16.*
                  我觉得生活很有意思
                                                         空 虚 感
           17.
                  我曾哭泣
                                                         哭 泣
           18.
                  我感到忧愁
                                                         忧 愁
           19.
                  我感得人们不喜欢我
                                                         被憎厌感
           20.
                  我觉得我无 法继续我的日常工作
                                                         能力丧失 

　　　　　　<注>*为反向提问项目

注意:

　　1.评定时间范围：应强调是"现在"或"过去一周"。将这一时间范围十分明确，具体地告诉
自评者。
　　2.评定时, 不要漏项, 也不要在相同一个项目打两个钩(即不要重复评定)。
　　3.反问项目：CES-D中有4项为反向提问，须提醒自评者注意，否则将影响评分结果。

结果分析

　　CES-D分析较简单，主要的统计指标是总分。
　　CES-D采用4级评分，主要评定各项目所定义之症状出现的频度。其标准为： 
                     　　
                              没有
                                     少有
                                           常有
                                                   几乎一直有
                   一般提问
                                0
                                      1
                                             2
                                                        3
                   反向提问
                                3
                                      2
                                             1
                                                        0


评价


　　1.CES-D简单实用,可作为忧郁症状的筛选工具<
　　通过对40例总分为16或≥20分者所进行的进一步检查发现,其中9例患有抑郁性疾病, 需
要接受治疗. 
　　2.美国学者调查4986人, CES-D均数为7.04～9.25;
　　我国全国部分量表协作组应用CES-D对1150人作常模研究, 均值为11.52; 
　　对198例神经症评定结果,初评均分为34.43, 为常模的2.9倍; 
　　而神经衰弱, 焦虑性神经症则较低(25.04,27.84), 分别为常模的2.2倍和2.4倍. 

--
※ 来源:．紫丁香 pclinux.hit.edu.cn．[FROM: 202.97.230.191]