TY -的A2 Caillaud丹尼斯AU -诺瓦克,Christoph盟——Sievi Noriane a . AU - Clarenbach基督教f . AU -施瓦兹,以斯帖艾琳盟——Schlatzer基督教盟——约克,托马斯•AU - Brutsche马丁AU -弗雷,马丁盟——伊朗人,至今为止盟——Leuppi Jorg d . AU - Rudiger Jochen AU - Thurnheer,罗伯特•AU -科勒Malcolm PY - 2014 DA - 2014/12/04 TI -医院焦虑抑郁量表识别慢性阻塞性肺疾病患者抑郁的准确性SP - 973858 VL - 2014 AB -心理疾病在慢性呼吸系统疾病中很常见。探讨了医院焦虑和抑郁量表(HADS)对慢性阻塞性肺疾病(COPD)共病抑郁的诊断准确性和危险因素。一项多中心横断面队列研究纳入了连续COPD患者(GOLD期I-IV期，年龄40-75岁)。抑郁症的诊断是通过临床记录确定的。评估肺功能、HADS评分、6分钟步行试验(6-MWT)、MRC呼吸困难评分、COPD评估试验(CAT)。COPD患者259例(平均年龄62.5岁;32%的女性;平均FEV1预测为48%)。诊断为抑郁症的患者(29/259; 11.2%) had significantly higher HADS-D and HADS-Total scores than nondepressed patients (median (quartiles) HADS-D 6 [4; 9] versus 4 [2; 7], median HADS-Total 14 [10; 20] versus 8 [5; 14]). Receiver-operating characteristic plots showed moderate accuracy for HADS-D, AUC 0.662 (95%CI 0.601–0.719), and HADS-Total, AUC 0.681 (95%CI 0.620–0.737), with optimal cut-off scores of >5 and >9, respectively. Sensitivity and specificity were 62.1% and 62.6% for HADS-D compared to 75.9% and 55.2% for HADS-Total. Age, comorbidities, sex, and lower airflow limitation predicted depression. The HADS exhibits low diagnostic accuracy for depression in COPD patients. Younger men with comorbidities are at increased risk for depression. SN - 2090-1836 UR - https://doi.org/10.1155/2014/973858 DO - 10.1155/2014/973858 JF - Pulmonary Medicine PB - Hindawi Publishing Corporation KW - ER -