The construct validity of the Major Depression Inventory: A Rasch analysis of a self-rating scale in primary care

2017 ◽  
Vol 97 ◽  
pp. 70-81 ◽  
Author(s):  
Marie Germund Nielsen ◽  
Eva Ørnbøl ◽  
Mogens Vestergaard ◽  
Per Bech ◽  
Kaj Sparle Christensen
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Construct Validity ◽  
Rasch Analysis ◽  
Rating Scale ◽  
Self Rating ◽  
Major Depression Inventory

scholarly journals Diagnosing depression in primary care: a Rasch analysis of the Major Depression Inventory

2019 ◽  
Vol 37 (2) ◽  
pp. 256-263
Author(s):  
Kaj Sparle Christensen ◽  
Eva Oernboel ◽  
Marie Germund Nielsen ◽  
Per Bech
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Rasch Analysis ◽  
Major Depression Inventory

scholarly journals Diagnosing depression in primary care: a Rasch analysis of the major depression inventory

2019 ◽  
Vol 37 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Kaj Sparle Christensen ◽  
Eva Oernboel ◽  
Marie Germund Nielsen ◽  
Per Bech
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Rasch Analysis ◽  
Major Depression Inventory

scholarly journals Physical exercise for late-life major depression

2015 ◽  
Vol 207 (3) ◽  
pp. 235-242 ◽  
Author(s):  
M. Belvederi Murri ◽  
M. Amore ◽  
M. Menchetti ◽  
G. Toni ◽  
F. Neviani ◽  
...  
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Physical Exercise ◽  
Primary Outcome ◽  
Rating Scale ◽  
Late Life ◽  
Lower Intensity ◽  
Progressive Exercise ◽  
Primary Care Patients ◽  
Hamilton Rating Scale

BackgroundInterventions including physical exercise may help improve the outcomes of late-life major depression, but few studies are available.AimsTo investigate whether augmenting sertraline therapy with physical exercise leads to better outcomes of late-life major depression.MethodPrimary care patients (>65 years) with major depression were randomised to 24 weeks of higher-intensity, progressive aerobic exercise plus sertraline (S+PAE), lower-intensity, non-progressive exercise plus sertraline (S+NPE) and sertraline alone. The primary outcome was remission (a score of $10 on the Hamilton Rating Scale for Depression).ResultsA total of 121 patients were included. At study end, 45% of participants in the sertraline group, 73% of those in the S+NPE group and 81% of those in the S+PAE group achieved remission (P = 0.001). A shorter time to remission was observed in the S+PAE group than in the sertraline-only group.ConclusionsPhysical exercise may be a safe and effective augmentation to antidepressant therapy in late-life major depression.

Changes in the Rate of Diagnosis of Major Depression in Adolescents Following Routine Use of a Depression Rating Scale

2002 ◽  
Vol 36 (2) ◽  
pp. 229-233 ◽  
Author(s):  
Joseph M Rey ◽  
David Grayson ◽  
Tayebeh Mojarrad ◽  
Garry Walter
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Major Depression ◽  
Health Service ◽  
Patient Population ◽  
Rating Scale ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Initial Assessment ◽  
Self Rating

Objective: Because major depression in adolescents often goes undiagnosed, it is useful to establish whether clinicians’ rates of making this diagnosis in a specialist adolescent mental health service change when a self-rating depression scale is routinely administered. Method: A retrospective, naturalistic study examining the rate of diagnosis of major depression in a mental health service between 1993 and 1997. The intervention was the administration of the Center for Epidemiological Studies Depression Scale (CES-D) prior to initial assessment from September 1995 onwards. The proportion of clinical diagnoses of DSM-III-R or DSM-IV major depression was the outcome measure. Age, gender, ratings of depression and other confounding variables were used to control for changes in patient population over time. Results: One thousand three hundred and ten adolescents aged 12 to 17 years assessed between 1993 and 1997 were included. After taking into account potential confounders, diagnosis of major depression was 2.8 times (95% confidence interval 1.8, 4.3) as likely when the CES-D was in use. Increase was more marked when adolescents were more disturbed overall. There was no evidence suggesting this was due to changes in diagnostic practices or in the patient population. Conclusion: Availability to clinicians of a self-rating depression scale completed prior to assessment was associated with an increase in the frequency of diagnosis of depression in a specialist mental health service for adolescents.

scholarly journals Guided self-help concreteness training as an intervention for major depression in primary care: a Phase II randomized controlled trial

2011 ◽  
Vol 42 (7) ◽  
pp. 1359-1371 ◽  
Author(s):  
E. R. Watkins ◽  
R. S. Taylor ◽  
R. Byng ◽  
C. Baeyens ◽  
R. Read ◽  
...  
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Cognitive Processes ◽  
Relaxation Training ◽  
Rating Scale ◽  
Controlled Trial ◽  
Post Treatment ◽  
Mean Difference ◽  
Treatment As Usual ◽  
Self Help

BackgroundThe development of widely accessible, effective psychological interventions for depression is a priority. This randomized trial provides the first controlled data on an innovative cognitive bias modification (CBM) training guided self-help intervention for depression.MethodOne hundred and twenty-one consecutively recruited participants meeting criteria for current major depression were randomly allocated to treatment as usual (TAU) or to TAU plus concreteness training (CNT) guided self-help or to TAU plus relaxation training (RT) guided self-help. CNT involved repeated practice at mental exercises designed to switch patients from an unhelpful abstract thinking habit to a helpful concrete thinking habit, thereby targeting depressogenic cognitive processes (rumination, overgeneralization).ResultsThe addition of CNT to TAU significantly improved depressive symptoms at post-treatment [mean difference on the Hamilton Rating Scale for Depression (HAMD) 4.28, 95% confidence interval (CI) 1.29–7.26], 3- and 6-month follow-ups, and for rumination and overgeneralization post-treatment. There was no difference in the reduction of symptoms between CNT and RT (mean difference on the HAMD 1.98, 95% CI −1.14 to 5.11), although CNT significantly reduced rumination and overgeneralization relative to RT post-treatment, suggesting a specific benefit on these cognitive processes.ConclusionsThis study provides preliminary evidence that CNT guided self-help may be a useful addition to TAU in treating major depression in primary care, although the effect was not significantly different from an existing active treatment (RT) matched for structural and common factors. Because of its relative brevity and distinct format, it may have value as an additional innovative approach to increase the accessibility of treatment choices for depression.

scholarly journals The criterion validity of the web-based Major Depression Inventory when used on clinical suspicion of depression in primary care

2017 ◽  
Vol Volume 9 ◽  
pp. 355-365 ◽  
Author(s):  
Marie Germund Nielsen ◽  
Eva Ørnbøl ◽  
Per Bech ◽  
Mogens Vestergaard ◽  
Kaj Sparle Christensen
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Criterion Validity ◽  
Clinical Suspicion ◽  
Web Based ◽  
Major Depression Inventory ◽  
The Web

The Occupational Performance History Interview: Evidence for Three Underlying Constructs of Occupational Adaptation

1998 ◽  
Vol 65 (4) ◽  
pp. 219-228 ◽  
Author(s):  
Trudy Mallinson ◽  
Lisa Mahaffey ◽  
Gary Kielhofner
Keyword(s):  
Life History ◽  
Construct Validity ◽  
Rasch Analysis ◽  
Rating Scale ◽  
Occupational Performance ◽  
Occupational Adaptation ◽  
Performance History ◽  
Occupational Functioning ◽  
Psychiatric Setting ◽  
Single Construct

The Occupational Performance History Interview (OPHI) was developed to gather data on a person's past and current occupational functioning. The OPHI includes both a life history narrative component designed to render the life history from the client's perspective and a rating scale designed to measure the client's past and present occupational adaptation. Previous research documented the reliability of the OPHI, but there has been limited study of its construct validity. This study used Rasch analysis to determine the construct validity of a modified version of OPHI scale (OPHI-R). Data previously gathered on 20 clients in a psychiatric setting were analyzed. The results indicate that the items of the OPHI-R do not effectively measure a single construct of occupational adaptation as originally thought. Rather, the OPHI-R items appear to measure three underlying constructs reflecting occupational competence, identity and environment. These findings suggest that revision of the OPHI scale should seek to capture these three underlying constructs for the measurement of occupational adaptation.

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