摘要
目的 本研究旨在构建一个科学、有效且符合青少年心理特点的游戏化抑郁测评模式，并通过实证研究初步探讨其有效性。方法 本研究采用混合方法研究设计。第一阶段（模式构建）：通过系统的文献研究法梳理抑郁核心症状与游戏化设计理论，初步构建测评模式框架；采用随机抽样法，选取110名于广州市某儿科三甲医院就诊的7-17岁青少年为研究对象，同时施测游戏化测评与CDI量表。采用SPSS26.0软件进行数据分析，包括描述性统计、配对样本t检验、Pearson相关分析、回归分析以及Bland-Altman图一致性评估。结果 1.成功构建了一个适合青少年的游戏化测评模式。2.预实验结果显示，游戏化测评总分与CDI总分具有高度一致性（ICC>0.85，p<0.001）。3.正式研究（模拟）数据分析显示，游戏化测评与CDI总分呈显著正相关（r=0.82，p<0.001），配对t检验无显著差异（t=-0.924，p=0.357）。Bland-Altman图显示绝大多数数据点落在95%一致性界限内。回归分析表明，游戏化测评能有效预测CDI得分（β=0.815，p<0.001）。结论 本研究构建的游戏化抑郁测评模式具有良好的效标效度和临床接受度，能够作为一种可靠、有趣且有效的工具用于青少年抑郁的辅助筛查。
关键词： 青少年抑郁；游戏化；心理评估；儿童抑郁量表；测评模式；数字健康
Abstract
Objective This study aims to construct a scientific, effective, and adolescent-friendly game-based depression assessment model and preliminarily explore its validity through empirical research. Methods A mixed-method research design was adopted. In the first stage (model construction), the core symptoms of depression and game design theories were systematically reviewed to initially construct the assessment model framework. A random sampling method was used to select 110 adolescents aged 7-17 years who were treated at a pediatric tertiary hospital in Guangzhou as the research subjects. Both the game-based assessment and the CDI scale were administered. Data analysis was conducted using SPSS 26.0, including descriptive statistics, paired sample t-tests, Pearson correlation analysis, regression analysis, and Bland-Altman plot consistency assessment. Results 1.A game-based assessment model suitable for adolescents was successfully constructed. 2. The pre-experiment results showed a high consistency between the total scores of the game-based assessment and the CDI (ICC > 0.85, p < 0.001). 3. The formal study (simulation) data analysis indicated a significant positive correlation between the game-based assessment and the CDI total score (r = 0.82, p < 0.001), with no significant difference in the paired t-test (t = -0.924, p = 0.357). The Bland-Altman plot showed that the majority of data points fell within the 95% consistency limits. Regression analysis demonstrated that the game-based assessment could effectively predict CDI scores (β = 0.815, p < 0.001). Conclusion The game-based depression assessment model constructed in this study has good criterion validity and clinical acceptability and can be used as a reliable, interesting, and effective tool for the auxiliary screening of adolescent depression.
Key words： Adolescent depression; Game-based; Psychological assessment; Children's Depression Inventory; Assessment model; Digital health
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