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  4. Screening of Depression in Patients with Chronic Medical Diseases in a Primary Care Setting
 
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Screening of Depression in Patients with Chronic Medical Diseases in a Primary Care Setting

Resource
FAMILY PRACTICE v.15 n.1 pp.67-75
Journal
FAMILY PRACTICE
Journal Volume
v.15
Journal Issue
n.1
Pages
67-75
Date Issued
1998
Date
1998
Author(s)
LEUNG, KAI-KUEN
LUE, BEE-HORNG
LEE, MING-BEEN
TANG, LI-YU
URI
http://ntur.lib.ntu.edu.tw//handle/246246/99488
Abstract
Background. Patients with chronic medical diseases may have depression that is not recognized by their primary care physicians. Objectives. We aimed to examine the application of Zung's Self-Rating Depression Scale ( SDS) in the screening of depression in primary care patients with chronic medical diseases in a Chinese population. Methods. We studied 268 patients with chronic medical diseases in the Family Medicine Outpatient Clinic using a structured questionnaire including basic demographic data, a Chinese version of the SDS and a rating for the self-perceived severity of physical condition. The severity of chronic medical diseases was assessed by the authors using the Duke University Severity of Illness Scale from a chart audit. Fifty patients were randomly selected for a diagnostic interview according to the DSM-IV criteria. The construct validity and internal consistency reliability, sensitivity and specificity of the SDS were examined. Results. The results revealed that the SDS has good construct validity and internal consistent reliability in the evaluation of depression in Chinese patients with chronic medical diseases . A cut- off point of 55 had a sensitivity of 66.7% and a specificity of 90.0%. Depressed patients reported more cognitive symptoms than depressed affect and physical symptoms. Female patients had more severe depressed affect than male patients, but males had more prominent diurnal variation of mood than females. Conclusions. We concluded that SDS can be a good screening tool for depression in Chinese patients with chronic medical diseases. Owing to constraints in the expression of sexual desire in the Chinese, elderly subjects tended to report loss of libido in the response to the SDS.

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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