Abstract. The purpose of this study was to (1) examine the psychometric properties of the Behavioral Health Screen Depression Subscale (BHS-DS), including internal consistency, factor structure, convergent and discriminant validity, and (2) identify cut-off scores on the BHS-DS to distinguish patients with depression risk and their level of severity among an acute clinical sample of adolescents in residential psychiatric care. Participants included 861 youths ages 10–24 at residential treatment centers who completed a battery of measures, including the BHS-DS and Patient Health Questionnaire (PHQ-9). Factor analysis, bivariate correlation, and Cronbach’s α suggested the BHS-DS is a unidimensional scale with evidence of internal consistency reliability and convergent and discriminant validity. Receiver operating characteristic curve analysis identified four clinical cut-off scores (no, mild, moderate, and severe depression risk). Analysis of variance, Cohen’s kappa (κ), and Wilcoxon signed-rank test results suggested the four groups differ from each other and that the BHS-DS exhibits moderate agreement with the PHQ-9. The BHS-DS demonstrates good psychometric properties among a sample of residential youth, offering clinicians a good alternative to the PHQ-9 in screening for depression.

中文翻译：

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验证行为健康筛查抑郁症与住​​院护理中的青少年

摘要。本研究的目的是 (1) 检查行为健康筛查抑郁量表 (BHS-DS) 的心理测量特性，包括内部一致性、因子结构、收敛效度和区分效度，以及 (2) 确定BHS-DS 用于在住院精神病护理的青少年急性临床样本中区分患有抑郁症风险的患者及其严重程度。参与者包括住院治疗中心的 861 名 10-24 岁的青年，他们完成了一系列措施，包括 BHS-DS 和患者健康问卷 (PHQ-9)。因子分析、双变量相关性和 Cronbach's α 表明 BHS-DS 是一个单维量表，具有内部一致性信度以及收敛和区分效度的证据。接受者操作特征曲线分析确定了四个临床临界值（无、轻度、中度和重度抑郁风险）。方差分析、Cohen 的 kappa (κ) 和 Wilcoxon 符号秩检验结果表明四组彼此不同，并且 BHS-DS 与 PHQ-9 表现出适度的一致性。BHS-DS 在居住青年样本中表现出良好的心理测量特性，为临床医生在筛查抑郁症方面提供了替代 PHQ-9 的良好选择。