Jpn J Psychosom Med 57:944-954, 2017 Ji, Ji 9 4 0 90 91 91 45.3 27 64 40.0 Cronbach 0.938 Ji Key words Ji SDS 1 Ji Ji Appendix 2016 5 31 2017 2 7 547 0044 2 9 20 1 2 7 1 25 2 2008 20 10.7 3 4 90 5 6 944 Vol. 57 No. 9. 2017
7 8 9 3 10 Gold Standard Hamilton Rating Scale for Depression HAM D 11 4 2015 12 12 13 1 2006 14 15 17 2013 25 Vol. 57 No. 9. 2017 18 1 1 10 1,000 89.9 10 Ji 1 2015 4 91 27 64 45.3 47.09.5 2 1 Ji 2 Ji WHO 10 ICD 10 9 9 945
30 4 4 0 1 2 3 0 90 3 Self rating Depression Scale SDSSDS Zung 1960 4 25 2 2 Ji 5 Ji 9 Cronbach Intraclass Correlation Coefficient ICC SDS Spearman ROC SDS ROC AUC Area Under the Curve I T r 0.25 r 0.7 promax 1 0.4 Pearson 5 SPSS 6 1 Ji n 91 172 373 n 545 2013 6 2015 3 17 85 49.8 4912.9 promax 9Table 1 2 1 Ji Cronbach 0.938 2 2 2 Ji Intraclass Correlation Coefficient ICC 0.907 p 0.000 3 1 a Ji 30 9 ICD 10 Table 1 Ji Fig. 946 Vol. 57 No. 9. 2017
Table 1 Factor loadings Items Factor 1 Factor 2 Factor 3 Factor 4 Factor 5 Factor 6 Factor 7 Factor 8 Factor 9 h 2 Q9.870.104.080.044.047.007.009.229.082 0.726 Q10.827.095.081.062.076.069.112.047.094 0.696 Q8.827.002.077.031.029.028.081.060.087 0.770 Q29.802.062.103.087.001.013.035.025.081 0.779 Q23.776.112.017.105.051.032.027.045.009 0.763 Q22.730.034.010.025.060.120.126.020.020 0.702 Q18.715.123.161.043.056.045.111.099.024 0.773 Q7.536.098.295.079.049.007.113.164.067 0.753 Q6.430.121.366.077.123.059.050.034.064 0.664 Q26.417.020.085.061.030.361.197.034.051 0.679 Q15.401.139.064.302.078.002.025.112.215 0.609 Q13.375.266.125.059.002.042.316.112.001 0.506 Q20.035.759.002.026.032.005.181.095.078 0.575 Q19.315.461.001.085.050.151.054.054.068 0.718 Q27.091.360.005.117.071.078.270.057.166 0.599 Q21.123.279.275.116.074.096.129.068.081 0.453 Q3.175.024.631.152.041.174.031.170.124 0.456 Q4.098.077.517.073.042.052.099.234.081 0.600 Q5.358.043.404.142.069.071.090.102.010 0.616 Q12.328.333.339.110.049.119.038.013.037 0.765 Q24.035.038.053.680.108.129.065.064.115 0.623 Q14.064.093.162.649.067.065.067.021.100 0.592 Q1.026.031.000.105.680.013.052.066.032 0.569 Q2.082.049.075.067.645.033.153.030.065 0.529 Q25.236.194.011.121.028.495.102.087.026 0.802 Q11.332.074.051.039.025.441.073.049.087 0.749 Q30.237.287.094.020.053.012.545.069.127 0.504 Q16.104.146.019.036.033.072.036.446.133 0.311 Q17.097.154.099.038.061.012.119.250.551 0.597 Q28.113.035.006.181.101.019.026.010.486 0.31 variance 14.286 10.783 10.170 8.261 7.751 7.408 6.677 6.374 4.766 1 b I T r 0.25 Table 2 c Pearson Vol. 57 No. 9. 2017 Table 3 2 Ji SDS Spearman Table 4 947
number of patients 18 16 14 12 10 8 6 4 2 0 0 10 20 30 40 50 60 70 80 90 Ji test score Fig. 1 Distribution of total score Ji test Table 2 Item Total Correlation Analysis Items I T Q1 0.566 Q2 0.578 Q3 0.658 Q4 0.663 Q5 0.683 Q6 0.733 Q7 0.807 Q8 0.818 Q9 0.779 Q10 0.826 Q11 0.830 Q12 0.817 Q13 0.663 Q14 0.550 Q15 0.672 Q16 0.433 Q17 0.677 Q18 0.856 Q19 0.799 Q20 0.623 Q21 0.621 Q22 0.809 Q23 0.858 Q24 0.643 Q25 0.850 Q26 0.769 Q27 0.684 Q28 0.437 Q29 0.847 Q30 0.699 948 Vol. 57 No. 9. 2017
Table 3 Factor 1 Factor 2 Factor 3 Factor 4 Factor 5 Factor 6 Factor 7 Factor 8 Factor 9 Total Factor 1 1 Factor 2 0.805 1 Factor 3 0.787 0.759 1 Factor 4 0.587 0.479 0.564 1 Factor 5 0.614 0.544 0.515 0.541 1 Factor 6 0.830 0.804 0.719 0.509 0.486 1 Factor 7 0.649 0.563 0.602 0.464 0.553 0.634 1 Factor 8 0.322 0.429 0.427 0.290 0.242 0.301 0.090 1 Factor 9 0.575 0.622 0.488 0.366 0.459 0.555 0.462 0.378 1 Total 0.963 0.883 0.870 0.668 0.680 0.870 0.699 0.433 0.658 1 Table 4 Correlation coefficients between SDS and Ji test Depression Spearman not depressed 0.782 mild 0.693 moderate 0.631 severe 0.628 Table 5 Setting of cut off point Ji test Cut off point Sensitivity Specificity mild 33 34 0.813 0.917 moderate 60 61 0.769 0.778 severe 75 76 0.667 0.692 5 SDS 1.0 ROC Ji SDS AUC 0.8 Ji AUC 0.974 p 0.001 SDS AUC 0.953 p 0.001 Ji Sensitivity 0.6 0.4 Ji test SDS AUC 0.974 0.953 Fig. 2 0.2 Ji test 0.0 SDS 1.0 0.8 0.6 0.4 0.2 0.0 Specificity Fig. 2 Area Under the Curve 4 Ji ROC Table 5 Vol. 57 No. 9. 2017 AUC 0.9-1.0 AUC 0.7-0.9 AUC 0.5-0.7 High accuracy Moderate accuracy Low accuracy 1 Ji 9 Cronbach 0.938 ICC 0.907 9 ICD 10 Ji 9 Table 1 SDS 949
2 SDS SDS 19 Sakamoto 20 1994 2,187 SDS SDS 21 SDS 3 22 SDS 23 SDS 20 24 Ji 1 1 ROC Ji SDS ROC AUC high accuracy Ji SDS Ji 3 Ji 1 SDS 2 ICD 10 global standard 3 Ji 4 4 2015 12 1 950 Vol. 57 No. 9. 2017
Ji 5 Ji Ji high convenient 6 2 Ji Ji Ji 2 Ji 58 1 14 2002 2 19 3 12 2004 3 21 2010 http: www.npa.go.jp toukei index.htm 4 pp213 233 2005 5 Conwell Y, Duberstein PR, Cox C, et al Relationship of age and Axis I diagnoses in victims of completed suicide A psychological autopsy study. Am J Psychiatry 153 1001 1008, 1996 6 Isometsä E, Heikkinen M, Henriksson M, et al Suicide in non major depressions. J Affect Disord 36 117 127, 1996 7 Nakao M, Takeuchi T The suicide epidemic in Japan and strategies of depression screening for its prevention. Bull World Health Organ 84 492 493, 2006 8 Oyama H, Sakashita T, Ono Y, et al Effect of community based intervention using depression Vol. 57 No. 9. 2017 951
screening on elderly suicide risk A meta analysis of the evidence from Japan. Community Ment Health J 44 311 320, 2008 9 100 469 485 1998 10 pp38 58 2010 11 Cusin C, Yang H, Yeung A, et al Rating Scales for Depression. In Baer L, Blais MA eds Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health. Humana Press, New York, pp7 35, 2010 12 27 5 http:www.mhlw.go.jp bunya roudoukijun anzeneisei12 pdf 150507 1.pdf 13 27 7 http:www. mhlw.go.jp bunya roudoukijun anzeneisei12 pdf 150709 1.pdf 14 18 3 17 0317008 http:www. mhlw.go.jp houdou 2003 05 h0520 3.html 2015 11 11 15 48 Suppl 498 2006 16 48 Suppl 725 2006 17 48 Suppl 726 2006 18 25 26 9 25 http:www. mhlw.go.jp toukei list h25 46 50.html 2015 11 11 191990 2006 16 238 246 2008 20 Sakamoto S, Kijima N, Tomoda A, et al Factor structure of the Zung self rating depression scale SDS for Undergraduates. J Clin Psychol 54 474 487, 1998 21 Zung WWK A Self rating depression scale. Arch Gen Psychiatry 12 63 70, 1965 22SDS 24 50 59 2011 23 34 576 577 1992 24 28 360 361 1986 952 Vol. 57 No. 9. 2017
Appendix Self Rating Questionnaire for Depression Ji test 2 1 2 3 4 Q1 1 2 3 4 Q2 1 2 3 4 Q3 1 2 3 4 Q4 1 2 3 4 1 2 3 4 Q5 1 2 3 4 Q6 1 2 3 4 Q7 1 2 3 4 Q8 1 2 3 4 Q9 1 2 3 4 Q10 1 2 3 4 Q11 1 2 3 4 Q12 1 2 3 4 Q13 1 2 3 4 Q14 1 2 3 4 Q15 1 2 3 4 Q16 1 2 3 4 Q17 1 2 3 4 Q18 1 2 3 4 Q19 1 2 3 4 Q20 1 2 3 4 Q21 1 2 3 4 Q22 1 2 3 4 Q23 1 2 3 4 Q24 1 2 3 4 Q25 1 2 3 4 Q26 1 2 3 4 Q27 1 2 3 4 Q28 1 2 3 4 Q29 1 2 3 4 Q30 1 2 3 4 Vol. 57 No. 9. 2017 953
Abstract Development of Self Rating Questionnaire for Depression Ji test First Report Statistical Analysis and Prospects for the Stress Check Program Hideki Ito, Medical Corporation Senjukai Ito Clinic Mailing Address Hideki Ito, 2 9 20 Hirano honmachi, Hirano ku, Osaka shi, Osaka 547 0044, Japan Medical Corporation Senjukai International Psychosomatic Laboratory Objective The purpose of this study is to develop the high quality and reliable questionnaire Self rating questionnaire for depression Ji test in order to use conveniently in a general outpatient. Methods Among depressive symptoms, the typical symptoms were selected as 9 subscales, which were persistent sadness or low mood, loss of interests or pleasure, fatigue or low energy, existence, suicidal thoughts or acts, anxiety, low thoughts, low attention and poor concentration, somatization, and disturbed sleep. We judged the symptoms in each item as dairy life disorder and carried out a statistical analysis on the basis of a comprehensive indicator of the total score 0 to 90 points by the respondents in the 4 methods. Results 91 new patients participated in this study. Their average age was 45.3, male and female ratio was 27 male 64 female, the average score was 40.0 points. Cronbach coefficient was 0.938. Conclusions The comparison with SDS revealed that a correlation coefficient between Ji test and SDS was very strong, reliability and validity of Ji test was sufficiently high. Also, the comparison with a comprehensive evaluation in clinical diagnosis revealed sufficient reliability of Ji test. Currently, from the point of view of prospects for the Stress Check Program that has been performed, we would like to report upon the present study in detail with deep consideration. Key words Ji test, depression rating scale, stress check, SDS Received May 31, 2016 accepted February 7, 2017 954 Vol. 57 No. 9. 2017