The relationship of demographic, clinical, cognitive and personality variables to the discrepancy between self and clinician rated depression
The relationship of demographic, clinical, cognitive and personality variables to the discrepancy between self and clinician rated depression
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DOI：
10.1016/j.jad.2009.11.011
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发表时间：
2010-07-01
影响因子：
6.6
通讯作者：
Joyce, Peter R.
中科院分区：
文献类型：
--
作者：
Carter, Janet D.;Frampton, Christopher M.;Joyce, Peter R.
背景：抑郁症严重程度的测量是临床和研究实践的一个重要方面。然而，研究检查自我报告贝克抑郁量表（BDI）和临床汉密尔顿抑郁评定量表表明只有中度相关性。本研究的目的是探讨两个自我报告的措施，修订后的BDI，霍普金斯症状自评量表与临床医生评定，蒙哥马利-阿斯伯格抑郁量表之间的相关性。第二个目的是调查病人的因素，有助于不一致ratings.Methods：抑郁症的严重程度和人口统计学，临床，个性，认知和个性因素，可能有助于自我报告的临床医生评定的差异进行了检查，在177名成年门诊患者的主要抑郁发作（DSM-IV）参加一项随机临床试验比较CBT和IPT抑郁症。所有的评估进行治疗randomisation.Results：自我报告和临床医生评定的抑郁症中度相关。临床医生评定的抑郁严重程度较高的个体、反刍水平增加的个体和女性更有可能具有比临床医生评定的抑郁更高的自我报告评定的抑郁（BDI-II和SCL-90）。此外，年轻的患者和抑郁症患者有较高的BDI-II相比，MADRS scores.Limitations：结果需要replication.Conclusions：自我报告和观察员评定的抑郁症只有中度相关。解释抑郁水平的研究人员和临床医生需要认识到患者因素，这些因素可能导致相对于观察者评级的自我报告分数的低报或多报。(C)2009爱思唯尔有限公司版权所有。
Background: The measurement of depression severity is an important aspect of both clinical and research practices. However, studies examining the self-report Beck Depression Inventory (BDI) and the clinician Hamilton Depression Rating Scale indicate only moderate correlations. The aim of this study was to examine the correlation between two self-report measures, the revised BDI, the Hopkins Symptom Checklist with the clinician rated, Montgomery-Asberg Depression Rating Scale. The secondary aim was to investigate patient factors which contribute to discordant ratings.Methods: Depression severity and demographic, clinical, personality, cognitive, and personality factors that may contribute to a self-report-clinician rated discrepancy were examined in 177 adult outpatients with a Major Depressive Episode (DSM-IV) participating in a randomised clinical trial comparing CBT and IPT for depression. All assessment was conducted prior to treatment randomisation.Results: Self-report and clinician rated depression were moderately correlated. Individuals with higher clinician rated depression severity, increased levels of rumination and females were more likely to have higher self-report rated depression (BDI-II and SCL-90) than clinician rated depression. In addition, younger patients and those with melancholic depression had higher BDI-II compared to MADRS scores.Limitations: Results require replication.Conclusions: Self-reported and observer rated depression were only moderately correlated. Researchers and clinicians interpreting the level of depression need to be cognizant of the patient factors that may contribute to either underreporting or overreporting self-report scores relative to observer ratings. (C) 2009 Elsevier B.V. All rights reserved.