Abstract:
:Depression remains poorly managed in oncology, in part because of the difficulty of reliably screening and assessing for depression in the context of medical illness. Whether somatic items really skew the ability to identify "true" depression, or represent meaningful indicators of depression, remains to be determined. This study utilized item response theory (IRT) to compare the performance of traditional depression criteria with Endicott's substitutive criteria (ESC; tearfulness or depressed appearance; social withdrawal; brooding; cannot be cheered up). The Patient Health Questionnaire (PHQ-9), ESC, and Center for Epidemiologic Studies Depression Scale (CES-D) were administered to 558 outpatients with cancer. IRT models were utilized to evaluate global and item fit for traditional PHQ-9 items compared with a modified version replacing the 4 somatic items with ESC. The modified PHQ-9 ESC scale was the best fit using a partial credit model; model fit was improved after collapsing the middle 2 response categories and removing psychomotor agitation/retardation. This improved model showed satisfactory scale precision and internal consistency, and was free from differential item functioning for gender, age, and race. Concurrent and criterion validity were supported. Thus, as many have speculated, utilizing the ESC may result in more accurate identification of depressive symptoms in oncology. Depressed mood, anhedonia, and suicidal ideation retained their expected properties in the modified scale, indicating that the traditional underlying syndrome of depression likely remains the same, but the ESC may provide more specificity when assessing patients with cancer. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
journal_name
Psychol Assessjournal_title
Psychological assessmentauthors
Saracino RM,Aytürk E,Cham H,Rosenfeld B,Feuerstahler LM,Nelson CJdoi
10.1037/pas0000765subject
Has Abstractpub_date
2020-01-01 00:00:00pages
98-107issue
1eissn
1040-3590issn
1939-134Xpii
2019-46247-001journal_volume
32pub_type
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journal_title:Psychological assessment
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journal_title:Psychological assessment
pub_type: 杂志文章
doi:10.1037/1040-3590.17.2.231
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journal_title:Psychological assessment
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journal_title:Psychological assessment
pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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journal_title:Psychological assessment
pub_type: 杂志文章
doi:10.1037/pas0000738
更新日期:2019-09-01 00:00:00
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journal_title:Psychological assessment
pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
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journal_title:Psychological assessment
pub_type: 杂志文章
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更新日期:2017-02-01 00:00:00
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journal_title:Psychological assessment
pub_type: 杂志文章
doi:10.1037/1040-3590.18.1.112
更新日期:2006-03-01 00:00:00
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journal_title:Psychological assessment
pub_type: 杂志文章
doi:10.1037/pas0000144
更新日期:2015-12-01 00:00:00
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journal_title:Psychological assessment
pub_type: 杂志文章
doi:10.1037/1040-3590.19.1.152
更新日期:2007-03-01 00:00:00
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journal_title:Psychological assessment
pub_type: 杂志文章
doi:10.1037/pas0000293
更新日期:2016-12-01 00:00:00
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doi:10.1037/1040-3590.19.3.281
更新日期:2007-09-01 00:00:00
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更新日期:2017-11-01 00:00:00
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journal_title:Psychological assessment
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