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Comparison of self‐rated and clinician‐rated measures of depressive symptoms: A naturalistic study
Author(s) -
Dorz Stella,
Borgherini Giuseppe,
Conforti Donatella,
Scarso Caterina,
Magni Guido
Publication year - 2004
Publication title -
psychology and psychotherapy: theory, research and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.102
H-Index - 62
eISSN - 2044-8341
pISSN - 1476-0835
DOI - 10.1348/1476083041839349
Subject(s) - rating scale , clinical psychology , checklist , depression (economics) , psychology , concordance , logistic regression , personality , psychiatry , montgomery–åsberg depression rating scale , personality disorders , ordered logit , major depressive disorder , medicine , developmental psychology , social psychology , economics , cognitive psychology , macroeconomics , mood , machine learning , computer science
In order to assess the concordance between self‐rating and clinician's assessment tools of depression, as well as factors involved in the differences between auto and hetero evaluation, 198 depressed in‐patients were assessed at admission and at discharge using the Montgomery Asberg Depression Rating Scale (10‐item version, MADRS) and the self‐rating scale Symptoms CheckList (90‐item version, SCL‐90). We found that about 18% of patients overestimated and about 15% underestimated their depressive symptomatology (SCL‐90 depression subscale) relative to the psychiatrist's assessment. Logistic regression analysis showed that the presence of personality disorders and previous history of psychiatric disorders predicted the overestimating group. Discriminant analysis showed that approximately 75% of participants were correctly classified when previous history of psychiatric disorders, presence of personality disorders and age were entered separately into the equation.