کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5721745 1608100 2018 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Research paperAre self-report scales as effective as clinician rating scales in measuring treatment response in routine clinical practice?
ترجمه فارسی عنوان
آیا مقیاس های خودگزارشی به عنوان مقیاس های امتیاز بالینی در اندازه گیری پاسخ درمان در روال معمول بالینی عمل می کنند؟
کلمات کلیدی
افسردگی؛ نتیجه مقیاس؛ خود گزارش؛ رتبه بندی بالینی؛ همیلتون
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی


- Recent treatment guidelines have suggested that outcome should be measured in routine clinical practice.
- We compared 3 self-report and 2 clinician scales of depressive symptoms in evaluating outcome in routine practice.
- The magnitude of change of depressive symptoms is as great on self-report scales as on clinician rating scales.

ObjectiveRecent treatment guidelines have suggested that outcome should be measured in routine clinical practice. In the present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project, we compared three self-report scales of depressive symptoms and the two most widely used clinician administered scales in treatment studies in their sensitivity to change and evaluation of treatment response in depressed patients treated in routine practice.MethodsAt baseline and 4-month follow-up 153 depressed outpatients with DSM-IV MDD completed the Clinically Useful Depression Outcome Scale (CUDOS), Quick Inventory of Depressive Symptomatology-Self-report version (QIDS-SR), and Patient Health Questionnaire (PHQ-9). The patients were rated on the 17-item Hamilton Depression Rating Scale (HAMD) and the Montgomery-Asberg Depression Rating Scale (MADRS). On each scale treatment response was defined as a 50% or greater reduction in scores from baseline.ResultsWhile there were some differences in the percentage of patients considered to be responders on the different scales, a large effect size was found for each scale, with little variability amongst the scales. The level of agreement between the three self-report scales and the clinician rating scales was approximately the sameLimitationsThe present study was conducted in a single clinical practice in which the majority of the patients were white, female, and had health insurance.DiscussionWhen measuring outcome in clinical practice the magnitude of change in depressive symptoms is as great on self-report scales as on clinician rating scales.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 225, 1 January 2018, Pages 449-452
نویسندگان
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