Toward a generalizable model of symptoms in major depressive disorder.

Abstract:

BACKGROUND:This study has two goals: 1) to establish a generalizable model of the symptoms observed in outpatients with major depressive disorder (MDD); and 2) to compare symptom coverage of the Inventory of Depressive Symptomatology, Clinician-Rated (IDS-C) and Self-Report (IDS-SR) to that of the Hamilton Depression Rating Scale (HDRS) and Beck Depression Inventory (BDI). METHODS:A factor analysis of IDS-C, IDS-SR, HDRS, and BDI items was carried out on 324 adult outpatients with MDD. Patients with coexisting Axis I or III illness or those taking psychotropic medication were excluded. RESULTS:Ten primary factors were identified, six of which were substantially intercorrelated, defining a second-order factor of general depression severity. Schmid-Leiman orthogonalization identified the symptoms most associated with general severity. CONCLUSIONS:The IDS provided more complete factors coverage than did the HDRS or BDI and thus may be more useful in research on symptom profiles.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Gullion CM,Rush AJ

doi

10.1016/s0006-3223(98)00235-2

subject

Has Abstract

pub_date

1998-11-15 00:00:00

pages

959-72

issue

10

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(98)00235-2

journal_volume

44

pub_type

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