Criterion validity of the Short Mood and Feelings Questionnaire and one- and two-item depression screens in young adolescents

被引：123
作者：
Rhew I.C. [1 ]
Simpson K. [2 ]
Tracy M. [3 ]
Lymp J. [4 ]
McCauley E. [4 ,5 ]
Tsuang D. [5 ,6 ]
Stoep A.V. [5 ,6 ]
机构：
[1] Social Development Research Group, University of Washington, Seattle, WA
[2] Section of Health Services Research, Baylor College of Medicine, Houston, TX
[3] Department of Epidemiology, University of Michigan, Ann Arbor, MI
[4] Seattle Children's Hospital, Seattle, WA
[5] Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA
[6] Department of Epidemiology, University of Washington, Seattle, WA
来源：
Child and Adolescent Psychiatry and Mental Health | / 4卷 / 1期
基金：
美国国家卫生研究院;
关键词：
Youth Self Report; Conduct Problem Score; Moderate Diagnostic Accuracy; Depressed Mood Item; High Conduct Problem Score;
D O I：
10.1186/1753-2000-4-8
中图分类号：
学科分类号：
摘要：
Background: The use of short screening questionnaires may be a promising option for identifying children at risk for depression in a community setting. The objective of this study was to assess the validity of the Short Mood and Feelings Questionnaire (SMFQ) and one- and two-item screening instruments for depressive disorders in a school-based sample of young adolescents.Methods: Participants were 521 sixth-grade students attending public middle schools. Child and parent versions of the SMFQ were administered to evaluate the child's depressive symptoms. The presence of any depressive disorder during the previous month was assessed using the Diagnostic Interview Schedule for Children (DISC) as the criterion standard. First, we assessed the diagnostic accuracy of child, parent, and combined scores of the full 13-item SMFQ by calculating the area under the receiver operating characteristic curve (AUC), sensitivity and specificity. The same approach was then used to evaluate the accuracy of a two-item scale consisting of only depressed mood and anhedonia items, and a single depressed mood item.Results: The combined child + parent SMFQ score showed the highest accuracy (AUC = 0.86). Diagnostic accuracy was lower for child (AUC = 0.73) and parent (AUC = 0.74) SMFQ versions. Corresponding versions of one- and two-item screens had lower AUC estimates, but the combined versions of the brief screens each still showed moderate accuracy. Furthermore, child and combined versions of the two-item screen demonstrated higher sensitivity (although lower specificity) than either the one-item screen or the full SMFQ.Conclusions: Under conditions where parents accompany children to screening settings (e.g. primary care), use of a child + parent version of the SMFQ is recommended. However, when parents are not available, and the cost of a false positive result is minimal, then a one- or two-item screen may be useful for initial identification of at-risk youth. © 2010 Rhew et al; licensee BioMed Central Ltd.
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