학술논문

The integral inventory for depression, a new, self-rated clinimetric instrument for the emotional and painful dimensions in major depressive disorder.
Document Type
Article
Source
International Journal of Psychiatry in Clinical Practice. Sep2011, Vol. 15 Issue 3, p171-179. 9p.
Subject
*DIAGNOSIS of mental depression
*PAIN & psychology
*MENTAL depression
*ALEXITHYMIA
*ANALYSIS of variance
*CLINICAL trials
*COMPUTER software
*STATISTICAL correlation
*FACTOR analysis
*RESEARCH methodology
*RESEARCH funding
*STATISTICS
*DATA analysis
*MULTITRAIT multimethod techniques
*RESEARCH methodology evaluation
RESEARCH evaluation
Language
ISSN
1365-1501
Abstract
Objective. To assess the reliability and validity of the Integral Inventory for Depression (IID) scale using post hoc analyses of data from a multi-country study (ClinicalTrials.gov: NCT00561509) of patients with major depressive disorder (MDD). Methods. Patients ( N == 1629) completed the IID (comprising two separate dimensions for emotional and physically painful symptoms; maximum score of 65) and a reference scale (16-item Quick Inventory of Depressive Symptomatology Self-Report) at baseline and at follow-up (8 and 24 weeks). Physicians rated MDD symptoms using the Clinical Global Impressions of Severity scale at each visit. Inter-item correlation, internal consistency, external validity, factor structure, and exploratory analysis of an optimal severity cut-off point were assessed. Results. The IID displayed two distinct dimensions (i.e. painful and emotional) with little item redundancy and good internal consistency (Cronbach's α > 0.83 at each visit). The IID displayed good external validity (Pearson's correlations coefficients >0.60 at each visit) and statistically significant agreement (McNemar's test; P < 0.001 at follow-up) with the reference scale. Results suggest that a cut-off score of ≤24 had adequate precision (>80%) to identify patients with and without moderate MDD. Conclusions. Results suggest that the IID may be a reliable and valid tool for assessing emotional and painful symptoms of MDD. [ABSTRACT FROM AUTHOR]