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    抑郁自评量表(SDS)
    2012-06-07 23:07:20   来源:   评论:0 点击:

    请仔细阅读每一条,把题目的意思看明白,然后按照自己最近一周以来的实际情况,对下面的20个条目按1-4级评分:①很少;②有时;③经常;④持续。1、我感到情绪沮丧,郁闷。       ①很少②有时③经常④持...
    请仔细阅读每一条,把题目的意思看明白,然后按照自己最近一周以来的实际情况,对下面的20个条目按1-4级评分: ①很少;②有时;③经常;④持续。 

      1、我感到情绪沮丧,郁闷。       ①很少 ②有时 ③经常 ④持续 
      2、我感到早晨心情最好。        ①很少 ②有时 ③经常 ④持续 
      3、我要哭或想哭。           ①很少 ②有时 ③经常 ④持续 
      4、我夜间睡眠不好。          ①很少 ②有时 ③经常 ④持续 
      5、我吃饭象平时一样多。        ①很少 ②有时 ③经常 ④持续 

      6、我的性功能正常。          ①很少 ②有时 ③经常 ④持续 
      7、我感到体重减轻。          ①很少 ②有时 ③经常 ④持续 
      8、我为便秘烦恼。           ①很少 ②有时 ③经常 ④持续 
      9、我的心跳比平时快。         ①很少 ②有时 ③经常 ④持续 
     10、我无故感到疲劳。          ①很少 ②有时 ③经常 ④持续 

     11、我的头脑象往常一样清楚。      ①很少 ②有时 ③经常 ④持续 
     12、我做事情象平时一样不感到困难。   ①很少 ②有时 ③经常 ④持续 
     13、我坐卧不安, 难以保持平静。     ①很少 ②有时 ③经常 ④持续 
     14、我对未来感到有希望。        ①很少 ②有时 ③经常 ④持续 
     15、我比平时更容易激怒。        ①很少 ②有时 ③经常 ④持续 

     16、我觉得决定什么事很容易。      ①很少 ②有时 ③经常 ④持续 
     17、我感到自己是有用的和不可缺少的人。 ①很少 ②有时 ③经常 ④持续 
     18、我的生活很有意义。         ①很少 ②有时 ③经常 ④持续 
     19、假若我死了别人会过得更好。     ①很少 ②有时 ③经常 持续 
     20、我仍旧喜爱自己平时喜爱的东西。   ①很少 ②有时 ③经常 ④持续 



    计分方式:
     1、①、②、③、④依次计1、2、3、4分; 
    2、第2、5、6、11、12、14、16、17、18、20题反向计分,即①、②、③、④依次计4、3、2、1分。
     统计结果:
    < >总分(20个项目所得分之和):___
    标准T分(标准分=原始总分X 1.25并四舍五入取整数):———抑郁自评量表(SDS)的计分标准及注意事项
    抑郁自评量表(Self—Rating Depression Scale,SDS)由Zung编制于1965年。为美国教育卫生福利部推荐的用于精神药理学研究的量表之一,因使用简便,应用颇广。
        SDS按症状出现频度评定,分4个等级:没有或很少时间,少部分时间,相当多时间,绝大部分或全部时间。若为正向评分题,依次评为粗分l、2、3、4。反向评分题,则评为4、3、2、1。 评定时间为过去一周内,把个题的得分相加为粗分,粗分乘以1.25,四舍五入取整数即得到标准分。抑郁评定的领临界值为T=53,分值越高,抑郁倾向越明显。
    中国常模:分界值为53分,53-62为轻度抑郁,
    63-72为中度抑郁,
    72分以上为重度抑郁。
    注:量表总分值仅作为参考而非绝对标准,应根据临床(要害)症状来划分;对严重阻滞症状的抑郁病人,评定有困难。
     
    【评定注意事项】
        表格由评定对象自行填写,在自评者评定以前,一定要让他把整个量表的填写方法及每条问题的涵义都弄明白,然后作出独立的,不受任何人影响的自我评定。
        在开始评定之前先由工作人员指着SDS量表告诉他:“下面有20条文字,请仔细阅读每一条,把意思弄明白,然后根据您最近一星期的实际情况,在适当的方格里划一钩(√)。每一条文字后有4个方格,分别代表没有或很少(发生),少部分时间、相当多时间或全部时间”。
        如果评定者的文化程度太低,不能理解或看不懂SDS问题的内容,可由工作人员念给他听,逐条念,让评定者独自作出评定。一次评定,可在10分钟内填完。
    【注意事项】
        1.评定时间范围,强调评定的时间范围为过去一周。
        2.评定结束时,工作人员应仔细检查一下自评结果,应提醒自评者不要漏评某一项目,也不要在相同一个项目里打两个钩(重复评定)。
        3.如用以评估疗效,应在开始治疗或研究前让自评者评定一次,然后至少应在治疗后或研究结束时再让他自评一次,以便通过SDS总分变化来分析该自评者的症状变化情况。在治疗或研究期间评定,其时间间隔可由研究者自行安排。


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