Article1988

Rating scales for mood disorders: Applicability, Consistency and construct validity

71 citations0/0 files storedActa Psychiatrica Scandinavica

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Treatment of Major Depression Bipolar Disorder and Treatment

Abstract

Rating scales for mood disorders have been reviewed with special reference to their consistency, applicability, and validity. Diagnostic scales with a biometric reference to antidepressants have been developed on the basis of the Newcastle Scales. This Diagnostic Melancholia Scale (DMS) includes two dimensions, one measuring endogenous depression, and one measuring reactive depression. These dimensions were found not to be mutually exclusive as 30% of the depressed patients scored high on both dimensions. Scales measuring outcomes of treatment were subdivided into (a) scales measuring disability of clinical depression (melancholia), anxiety, and mania, (b) scales measuring distress as a construct of side-effects during treatment, and (c) scales measuring discomfort or quality of life. Disability, distress and discomfort should be separately validated as they reflect different aspects of outcome of treatment. Self-rating scales have their main applicability in the measurement of discomfort.

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References

1959THE ASSESSMENT OF ANXIETY STATES BY RATING 1988The Hamilton Anxiety Scale: reliability, validity and sensitivity to change in anxiety and depressive disorders 1961Persuasion and Healing 1975QUANTITATIVE RATING OF DEPRESSIVE STATES 1970Physical Illness, the Individual and the Coping Processes 1981The Hamilton Depression Scale 1981Rating scales for affective disorders: their validity and consistency.1985Comparative analysis of observer depression scales

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