psychometric properties of responses by clinicians and older adults to a 6-item hebrew version of the hamilton depression rating scale (ham-d6)心理反应的性质由临床医生和老年人6-item希伯来语版的汉密尔顿抑郁量表(ham-d6).pdfVIP
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psychometric properties of responses by clinicians and older adults to a 6-item hebrew version of the hamilton depression rating scale (ham-d6)心理反应的性质由临床医生和老年人6-item希伯来语版的汉密尔顿抑郁量表(ham-d6)
Bachner et al. BMC Psychiatry 2013, 13:2
/1471-244X/13/2
RESEARCH ARTICLE Open Access
Psychometric properties of responses by
clinicians and older adults to a 6-item Hebrew
version of the Hamilton Depression Rating Scale
(HAM-D6)
1* 2 3 4 5
Yaacov G Bachner , Norm O’Rourke , Margalit Goldfracht , Per Bech and Liat Ayalon
Abstract
Background: The Hamilton Depression Rating Scale (HAM-D) is commonly used as a screening instrument, as a
continuous measure of change in depressive symptoms over time, and as a means to compare the relative efficacy
of treatments. Among several abridged versions, the 6-item HAM-D6 is used most widely in large degree because
of its good psychometric properties. The current study compares both self-report and clinician-rated versions of the
Hebrew version of this scale
.
Methods: A total of 153 Israelis 75 years of age on average participated in this study. The HAM-D6 was examined
using confirmatory factor analytic (CFA) models separately for both patient and clinician responses.
Results: Reponses to the HAM-D6 suggest that this instrument measures a unidimensional construct with each of
the scales’ six items contributing significantly to the measurement. Comparisons between self-report and clinician
versions indicate that responses do not significantly differ for 4 of the 6 items. Moreover, 100% sensitivity (and 91%
specificity) was found between patient HAM-D6 responses and clinician diagnoses of depression.
Conclusion: These results indicate that the Hebrew HAM-D6 can be used to measure and screen for depressive
symptoms among elderly patients.
Keywords: Depression, Hamilton depression rating scale, Hebrew, Elderly
Ba
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