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A comparison of alternative assessments of depressive symptom severity: a pilot study.
- Source :
-
Psychiatry research [Psychiatry Res] 2000 Nov 20; Vol. 96 (3), pp. 269-79. - Publication Year :
- 2000
-
Abstract
- This study compared the performance of an itemized symptom self-report (Inventory of Depressive Symptomatology - Self-Report; IDS-SR), patient global ratings, and clinician global ratings with an itemized clinician-rated symptom severity measure (Inventory of Depressive Symptomatology - Clinician-Rated; IDS-C) in detecting treatment effects in patients with major depressive disorder (MDD). A total of 28 inpatients (30.8% psychotic) and 34 outpatients (17.9% psychotic) with MDD began treatment that followed the Texas medication algorithm. The clinicians completed the IDS-C and a Physician Global Rating Scale (PhGRS) at each assessment visit, while the patients completed the IDS-SR and a Patient Global Rating Scale (PtGRS). Change scores from the baseline to subsequent weeks were computed for all subjects, utilizing all four measures. The IDS-SR was a significant independent predictor of the response to treatment as compared to the two global ratings. The IDS-SR was as sensitive to change as the IDS-C. While the clinician-rated itemized symptom severity rating scale remains the standard to assess the symptomatic outcome of the treatment of MDD, a self-report of identical symptomatology may be a reasonable alternative for many patients.
- Subjects :
- Adult
Algorithms
Depressive Disorder, Major diagnosis
Diagnosis, Differential
Feasibility Studies
Female
Humans
Logistic Models
Male
Middle Aged
Pilot Projects
Practice Guidelines as Topic
Prognosis
Self-Assessment
Severity of Illness Index
Texas
Depression diagnosis
Depressive Disorder, Major drug therapy
Outcome Assessment, Health Care methods
Psychiatric Status Rating Scales standards
Psychotropic Drugs therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 0165-1781
- Volume :
- 96
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Psychiatry research
- Publication Type :
- Academic Journal
- Accession number :
- 11084222
- Full Text :
- https://doi.org/10.1016/s0165-1781(00)00235-3