The inter-rater reliability of the Japanese version of the Montgomery–Asberg depression rating scale(MADRS) using a structured interview guide for MADRS(SIGMA)

2004 ◽  
Vol 19 (3) ◽  
pp. 187-192 ◽  
Author(s):  
Nagahide Takahashi ◽  
Kenji Tomita ◽  
Teruhiko Higuchi ◽  
Toshiya Inada
2006 ◽  
Vol 28 (3) ◽  
pp. 212-217 ◽  
Author(s):  
Flávia de Lima Osório ◽  
José Alexandre de Souza Crippa ◽  
Sonia Regina Loureiro

OBJECTIVE: To present the translation and validation of the Brief Social Phobia Scale for use in Brazilian Portuguese, to develop a structured interview guide in order to systemize its use and to perform a preliminary study of inter-rater reliability. METHOD: The instrument was translated and adapted to Portuguese by specialists in anxiety disorders and rating scales. A structured interview guide was created with the aim of covering all of the items of the instrument and grouping them into six categories. Specialists in mental health evaluated the guide. These professionals also watched the videotaped interviews of patients with and without social anxiety disorders, and, based on the interview guide, they rated the scale to evaluate its reliability. RESULTS: No semantic or linguistic adjustments were needed. For the complete scale, the general evaluation showed a percentage of agreement of 0.84 and intraclass coefficient of 0.91. The mean inter-rater correlation was 0.84. CONCLUSIONS: The Portuguese-language version of the Brief Social Phobia Scale is available for use in the Brazilian population, with rather acceptable indicators of inter-rater reliability. The interview guide was useful in providing these values. Further studies are needed in order to improve the reliability and to study other psychometric properties of the instrument.


2008 ◽  
Vol 192 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Janet B. W. Williams ◽  
Kenneth A. Kobak

BackgroundThe Montgomery-Åsberg Depression Rating Scale (MADRS) is often used in clinical trials to select patients and to assess treatment efficacy. The scale was originally published without suggested questions for clinicians to use in gathering the information necessary to rate the items. Structured and semi-structured interview guides have been found to improve reliability with other scales.AimsTo describe the development and test-retest reliability of a structured interview guide for the MADRS (SIGMA).MethodA total of 162 test-retest interviews were conducted by 81 rater pairs. Each patient was interviewed twice, once by each rater conducting an independent interview.ResultsThe intraclass correlation for total score between raters using the SIGMA was r = 0.93, P < 0.0001. All ten items had good to excellent interrater reliability.ConclusionsUse of the SIGMA can result in high reliability of MADRS scores in evaluating patients with depression.


2001 ◽  
Vol 13 (4) ◽  
pp. 166-178 ◽  
Author(s):  
M. Katherine Shear ◽  
Joni Vander Bilt ◽  
Paola Rucci ◽  
Jean Endicott ◽  
Bruce Lydiard ◽  
...  

2003 ◽  
Vol 9 (3) ◽  
pp. 429-439 ◽  
Author(s):  
DAVID W. DESMOND ◽  
ROBERT H. REMIEN ◽  
JOAN T. MORONEY ◽  
YAAKOV STERN ◽  
MARY SANO ◽  
...  

Previous studies of depression after stroke have reported widely variable findings, possibly due to differences between studies in patient characteristics and methods for the assessment of depression, small sample sizes, and the failure to examine stroke-free reference groups to determine the base rate of depression in the general population. In an effort to address certain of those methodologic issues and further investigate the frequency and clinical determinants of depression after stroke, we administered the Structured Interview Guide for the Hamilton Depression Rating Scale (SIGH–D) and neurological, neuropsychological, and functional assessments to 421 patients (age = 71.5 ± 8.0 years) 3 months after ischemic stroke and 249 stroke-free control subjects (age = 70.8 ± 6.7 years). We required a SIGH–D total score > 11 for the identification of depression. We found that depression was less frequent (47/421 patients, or 11.2%, and 13/249 control subjects, or 5.2%), less severe, and less persistent in our stroke cohort than previously reported, possibly due to the underrepresentation of patients with a premorbid history of affective illness. Depression was associated with more severe stroke, particularly in vascular territories that supply limbic structures; dementia; and female sex. SIGH–D item analyses suggested that a reliance on nonsomatic rather than somatic symptoms would result in the most accurate diagnoses of depression after ischemic stroke. (JINS, 2003, 9, 429–439.)


2011 ◽  
Vol 26 (S2) ◽  
pp. 690-690
Author(s):  
E. Shmunk

IntroductionDepressive disorders (DD) are common and disabling. Patients with DD often have to do a long way before seeing a mental health specialist.ObjectivesTo investigate characteristics of the period before hospitalization to psychiatric hospital of patients with DD.AimsTo define clinical peculiarities of DD, investigations, treatment of depressive patients before hospitalization.MethodsThe RDC of ICD-10 and «Structured Interview Guide for the Hamilton Depression Rating Scale, Seasonal Affective Disorders Version» were used.ResultsAfter informed agreement 102 patients with DD for the first time admitted to the psychiatric hospital were examined. The average duration of DD before psychiatric examination was 19,1 months (up to 312 months). The average number of visits to primary care (PC) was 3,6 (up to 49), the average number of investigations was 2,4 (up to 8). The most part of visits to PC felt at patients with heart complaints (р = 0,02), the less to patients with loss of energy (р = 0,0007). With the prolongation of DD the number of investigations, medications in PC and absence days increased (r > 0,2, р < 0,05). Patients with heart and gastrointestinal complaints had more investigations (р = 0,01; р = 0,03). 38,2% of patients were prescribed tranquilizers and only 23,5% antidepressants, but 54,2% of them had suboptimal dossages.ConclusionsTo summarize, in real clinical practice patients with DD still haven’t enough opportunities for early diagnostics and treatment. Systematic recognition of patient with DD, professional training of PC doctors of different specialities are cruicial.


Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 379-379
Author(s):  
David W Desmond ◽  
Robert H Remien ◽  
Joan T Moroney ◽  
Yaakov Stern ◽  
Mary Sano ◽  
...  

P219 Objective: To investigate the frequency and clinical determinants of depression after ischemic stroke. Methods: We administered the Structured Interview Guide for the Hamilton Depression Rating Scale (SIGH-D) and neurological, neuropsychological, and functional assessments to 421 patients (age = 71.5 ± 8.0 years) three months after ischemic stroke and 249 stroke-free control subjects. We required a SIGH-D total score > 11 for the identification of clinically significant depression. Results: We identified clinically significant depression in 47 of the 421 patients (11.2%) and 13 of the 249 control subjects (5.2%), yielding an unadjusted odds ratio (OR) of 2.3 (95% confidence interval, 1.2 to 4.3) for depression associated with stroke. Logistic regression suggested that depression was independently associated with dementia (OR, 3.2), a major hemispheral stroke syndrome (OR, 1.7), infarcts in the anterior and posterior cerebral artery territories vs. infarcts in other vascular territories (OR, 1.6), and female sex (OR, 1.7). When present, depression tended to be mild and typically remitted in follow-up examinations. Somatic SIGH-D items but not depressed mood best distinguished stroke patients from control subjects and demented from nondemented stroke patients. Conclusions: Depression was less frequent, less severe, and less persistent in our stroke cohort than previously reported, possibly due to the underrepresentation of patients with a premorbid history of affective illness. It was associated with more severe stroke, particularly in vascular territories that supply limbic structures, and it was more frequent among patients with dementia and women. Somatic symptoms but not depressed mood best distinguished stroke patients from control subjects and demented from nondemented stroke patients, however, suggesting that stroke is more likely to be associated with a “pseudo-depression of dementia” than a “pseudo-dementia of depression.”


1999 ◽  
Vol 175 (5) ◽  
pp. 472-475 ◽  
Author(s):  
John M. Eagles ◽  
Samantha M. Wileman ◽  
Isobel M. Cameron ◽  
Fiona L. Howie ◽  
Kenneth Lawton ◽  
...  

BackgroundThere are no large published studies of the prevalence of seasonal affective disorder (SAD) among UK populations.AimTo determine the prevalence of SAD among patients attending a general practitioner (GP).MethodPatients aged 16–64 consulting their GPs in Aberdeen during January were screened with the Seasonal Pattern Assessment Questionnaire (SPAQ). SPAQs were also mailed to 600 matched patients, who had not consulted their GP during January. Surgery attenders who fulfilled SPAQ criteria for SAD were invited for interview to determine whether they met criteria for SAD in DSM–IVand the Structured Interview Guide for the Hamilton Rating Scale for Depression– Seasonal Affective Disorder Version (SIGH–SAD).ResultsOf 6161 surgery attenders, 4557 (74%) completed a SPAQ; 442 (9.7%) were SPAQ cases of SAD. Rate of caseness on the SPAQ did not differ between surgery attenders and non-attenders. Of 223 interviewed SPAQ cases of SAD, 91 (41%) also fulfilled DSM–IVand SIGH–SAD criteria.ConclusionsThere is a high prevalence of SAD among patients attending their GPs in January in Aberdeen; this is likely to reflect a similar rate in the community.


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