The Inventory of Depressive Symptomatology (IDS): Clinician (IDS-C) and Self-Report (IDS-SR) ratings of depressive symptoms

The primary purpose of this study was to investigate parents' and teachers' sensitivity to the unhappiness and depression of 110 elementary-aged undercontrolled children being treated in an inpatient program. Sensitivity was operationally defined as congruence between the child's responses on two self-report measures (Children's Depression Inventory and Hopelessness Scale for Children) and the adults' behavioral ratings of the children on behavior checklists (Child Behavior Checklist and Teacher Report Form). The first hypothesis that children's self-reports of depressive symptoms would not be significantly correlated with parents' and teachers' ratings of depressive symptomatology was supported. Secondly, it was hypothesized that there would be no differences in the level of self-reported depressive symptoms when children who were rated as depressed by their parents and teachers were compared with children rated as not depressed by their parents and teachers. This was also supported. Finally, it was hypothesized that children who reported significant levels of depressive symptomatology would be rated by their parents and teachers as having more behavior problems than children who did not report significant levels of depressed symptomatology. This was partially supported. The implications of these results in relation to identification and treatment are discussed.

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Treating Insomnia with High Risk of Depression Using Therapist-Guided Digital Cognitive, Behavioral, and Circadian Rhythm Support Interventions to Prevent Worsening of Depressive Symptoms: A Randomized Controlled Trial

Psychotherapy and Psychosomatics ◽

10.1159/000520282 ◽

2021 ◽

pp. 1-12

Author(s):

Jeanne Leerssen ◽

Oti Lakbila-Kamal ◽

Laura M.S. Dekkers ◽

Savannah L.C. Ikelaar ◽

Anne C.W. Albers ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Circadian Rhythm ◽

Depressive Symptoms ◽

High Risk ◽

Depressive Symptomatology ◽

Controlled Trial ◽

Self Report ◽

Cognitive Behavioral ◽

Randomized Controlled ◽

Increased Risk

Introduction: The global disease burden of major depressive disorder urgently requires prevention in high-risk individuals, such as recently discovered insomnia subtypes. Previous studies targeting insomnia with fully automated eHealth interventions to prevent depression are inconclusive: dropout was high and likely biased, and depressive symptoms in untreated participants on average improved rather than worsened. Objective: This randomized controlled trial aimed to efficiently prevent the worsening of depressive symptoms by selecting insomnia subtypes at high risk of depression for internet-based circadian rhythm support (CRS), cognitive behavioral therapy for insomnia (CBT-I), or their combination (CBT-I+CRS), with online therapist guidance to promote adherence. Methods: Participants with an insomnia disorder subtype conveying an increased risk of depression (n = 132) were randomized to no treatment (NT), CRS, CBT-I, or CBT-I+CRS. The Inventory of Depressive Symptomatology – Self Report (IDS-SR) was self-administered at baseline and at four follow-ups spanning 1 year. Results: Without treatment, depressive symptoms indeed worsened (d = 0.28, p = 0.041) in high-risk insomnia, but not in a reference group with low-risk insomnia. Therapist-guided CBT-I and CBT-I+CRS reduced IDS-SR ratings across all follow-up assessments (respectively, d = –0.80, p = 0.001; d = –0.95, p < 0.001). Only CBT-I+CRS reduced the 1-year incidence of clinically meaningful worsening (p = 0.002). Dropout during therapist-guided interventions was very low (8%) compared to previous automated interventions (57–62%). Conclusions: The findings tentatively suggest that the efficiency of population-wide preventive strategies could benefit from the possibility to select insomnia subtypes at high risk of developing depression for therapist-guided digital CBT-I+CRS. This treatment may provide effective long-term prevention of worsening of depressive symptoms. Trial registration: the Netherlands Trial Register (NL7359).

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Eating pathology and depressive symptoms as predictors of excessive weight gain during pregnancy

Journal of Health Psychology ◽

10.1177/1359105320913934 ◽

2020 ◽

pp. 135910532091393 ◽

Cited By ~ 1

Author(s):

Leah M Hecht ◽

Natalie Schwartz ◽

Lisa R Miller-Matero ◽

Jordan M Braciszewski ◽

Alissa Haedt-Matt

Keyword(s):

Depressive Symptoms ◽

Weight Gain ◽

Gestational Weight Gain ◽

Depressive Symptomatology ◽

Eating Pathology ◽

Self Report ◽

Gestational Weight ◽

Excessive Gestational Weight Gain ◽

Excessive Weight ◽

Weight Gain During Pregnancy

Excessive gestational weight gain is associated with negative outcomes and the identification of contributing psychosocial factors may be useful in prevention and intervention. Pregnant women ( N = 70) completed self-report measures of eating pathology, depressive symptomatology, and gestational weight gain. Global eating pathology was positively associated with overvaluation of shape and weight, dietary restraint, frequency of binge eating, and depressive symptoms. Depressive symptoms significantly predicted excessive gestational weight gain, while global eating pathology predicted excessive gestational weight gain at a trend level. Results suggest that depressive symptoms more strongly predict excessive gestational weight gain than eating pathology.

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Efficacy of an online intervention for treatment of depressive disorders: a three-arm randomized controlled trial comparing guided and unguided self-help with waitlist control (Preprint)

10.2196/preprints.34028 ◽

2021 ◽

Author(s):

Krämer Rico

Keyword(s):

Depressive Symptoms ◽

Depressive Disorders ◽

Depressive Symptomatology ◽

Controlled Trial ◽

Intervention Group ◽

Online Intervention ◽

Self Report ◽

Secondary Outcome ◽

Control Group

BACKGROUND Digital health applications are efficacious treatment options for mild-to-moderate depressive disorders. However, the extent to which psychological guidance increases the efficacy of these applications is controversial. OBJECTIVE We evaluated the efficacy of the online intervention “Selfapy” for unipolar depression. We also investigated differences between a psychotherapist-guided vs. unguided version compared with those from a control group. METHODS A cohort of 401 participants with mild-to-severe depressive disorders were assigned randomly to either participate in a guided version of Selfapy (involving weekly telephone calls of 25-min duration), an unguided version of Selfapy, or to the waiting list (control group). Selfapy is a cognitive behavioral therapy-based intervention for depressive disorders of duration 12 weeks. Symptom assessment was undertaken at T1 (before study entrance), T2 (after 6 weeks), T3 (post-treatment, after 12 weeks), and T4 (follow-up, after 6 months). The main outcome was reduction in depressive symptoms in the Beck Depression Inventory (BDI-II) from T1 to T3. Secondary-outcome parameters were the Quick Inventory of Depressive Symptomatology – Self Report (QIDS-SR 16) and Beck Anxiety Inventory (BAI). RESULTS A total of 297 out of 401 participants (74.06%) completed the post-measurement at T3. In the primary analysis, both intervention groups showed a significantly higher reduction in depressive symptoms (BDI-II) from T1 to T3 compared with that in the control group, with high within-effect sizes (guided: d = 1.46; unguided d = 1.36). No significant differences were found for guided vs. unguided treatment groups. The response rate (BDI-II) for intention-to-treat data in the guided version was 46.4%, 40.0% for the unguided version, and 2.0% in the control group. After 6 months (T4), treatment effects could been maintained for both intervention groups (BDI-II) without differences between either intervention group. CONCLUSIONS Conclusions: Selfapy can help to reduce depressive symptoms in guided or unguided version. Follow-up data suggest that these effects could be maintained. The guided version was not superior to the unguided version. CLINICALTRIAL Trial Registration: Current Controlled Trial DRKS00017191 Date of registration: 14 May 2019 INTERNATIONAL REGISTERED REPORT RR2-https://doi.org/10.1186/s13063-021-05218-4

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Depressive symptomatology in hospitalised children

Curationis ◽

10.4102/curationis.v16i2.1397 ◽

1993 ◽

Vol 16 (2) ◽

Cited By ~ 2

Author(s):

M. Rangaka ◽

C. Rose ◽

L. Richter

Keyword(s):

Depressive Symptoms ◽

Rating Scale ◽

Depressive Symptomatology ◽

Structured Interview ◽

Self Report ◽

Coping Responses ◽

Black South African ◽

Post Test ◽

Children's Coping ◽

Mood Scale

This study was undertaken to determine the extent and nature of depressive symptoms exhibited by black South African children during hospitalisation for orthopaedic procedures. Social factors associated with the risk for depression, in response to hospitalisation, were also examined. Pre- and post-test assessments were conducted on a sample of 30 children aged between 6 and 12 years. The assessment entailed a structured interview, together with the following psychometric instruments: A Global Mood Scale, a Depressive Symptoms Checklist, a Hospital Fears Rating Scale and a Self Report Depression Rating Scale. A large proportion of the children were rated by ward sisters as showing high levels of depressive symptomatology two weeks after admission to hospital. As expected, discrepancies were found between adult and child self-ratings of depression. The results of this study indicate that hospitalisation for orthopaedic child patients is associated with the development of depressive symptomatology. It is suggested that emphasis be placed on the development of supportive programmes and procedures aimed at maximising children's coping responses to hospitalisation, particularly for children who find themselves Isolated from their communities and families, as a result of both centralised health services and poor socio-economic conditions.

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The Quick Inventory of Depressive Symptomatology (Clinician and Self-Report Versions) in Patients With Bipolar Disorder

CNS Spectrums ◽

10.1017/s1092852900029230 ◽

2010 ◽

Vol 15 (6) ◽

pp. 367-373 ◽

Cited By ~ 10

Author(s):

Ira H. Bernstein ◽

A. John Rush ◽

Trisha Suppes ◽

Yakasushi Kyotoku ◽

Diane Warden

Keyword(s):

Bipolar Disorder ◽

Major Depressive Disorder ◽

Depressive Symptoms ◽

Depressive Disorder ◽

Depressive Symptomatology ◽

Self Report ◽

General Interest ◽

Major Depressive ◽

Sad Mood ◽

Illness Phase

ABSTRACTIntroduction: The clinical and self-report versions of the Quick Inventory of Depressive Symptomatology (QIDS-C16 and QIDS-SR16) have been well studied in patients with major depressive disorder and in one recent study using patients with bipolar disorder. This article examines these measures in a second sample of 141 outpatients with bipolar disorder in different phases of the illness.Methods: At baseline, 61 patients were depressed and 30 were euthymic; at exit, 50 were depressed and 52 were euthymic. The remaining patients (at baseline or exit) were in either a manic or mixed phase and were pooled for statistical reasons.Results: Similar results were found for the QIDS-C16 and QIDS-SR16. Scores were reasonably reliable to the extent that variability within groups permitted. As expected, euthymic patients showed less depressive symptomatology than depressed patients. Sad mood and general interest were tne most discriminating symptoms between depressed and euthymic phases. Changes in illness phase (baseline to exit) were associated with substantial changes in scores. The relation of individual depressive symptoms to the overall level of depression was consistent across phases.Conclusion: Both the QIDS-SR16 and QIDS-C16 are suitable measures of depressive symptoms in patients with bipolar disorder.

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Negative Self-Beliefs in Relation to Eating Disorder and Depressive Symptoms: Different Themes Are Characteristic of the Two Sets of Symptoms in Those With Eating Disorders and/or Depression

Journal of Cognitive Psychotherapy ◽

10.1891/0889-8391.23.2.147 ◽

2009 ◽

Vol 23 (2) ◽

pp. 147-159 ◽

Cited By ~ 15

Author(s):

Myra J. Cooper ◽

Phil Cowen

Keyword(s):

Eating Disorders ◽

Eating Disorder ◽

Depressive Symptoms ◽

Depressive Symptomatology ◽

Self Report ◽

Control Group ◽

Core Beliefs ◽

Regression Analyses ◽

Eating Disordered ◽

Eating Disorder Symptoms

This study aimed to identify differences in the personal themes in negative self or core beliefs that might be characteristic of high levels of eating disorder symptoms when compared to high levels of depressive symptoms in those with an eating disorder and/or depression. Differences between putative diagnostic subgroups were also examined. One hundred and ninety-three participants completed self-report measures of negative self-beliefs, eating, and depressive symptoms. Putative diagnostic subgroups were also identified, including an eating disorder group that also had high levels of depressive symptomatology and in most cases a diagnosis of depression. Six themes descriptive of the self corresponding to 6 robust factors were identified and provisionally labeled isolated, repelled by self, self-dislike, lacking in warmth, childlike, and highly organized. Multiple regression analyses indicated that, in the whole sample, eating disorder symptoms were uniquely predicted by subscales reflective of repelled by self and lacking in warmth, though depressive symptoms were uniquely predicted by subscales measuring isolation and self-dislike. Between-group analyses indicated that high scores on isolation, self-dislike, and lacking in warmth were typical of both eating-disordered and depressed-only diagnostic groups when compared to the control group, though only the eating-disordered group (also high in depressive symptoms and “diagnosis” of depression) also had high scores on repelled by self. The findings indicate that eating disorder and depressive symptoms are associated with some potentially important differences in self-beliefs. Putative diagnostic subgroups may also differ in these beliefs. The findings further indicate that psychometrically sound themes exist in the core or negative self-beliefs associated with eating disorder and depressive symptoms. Implications of the findings for cognitive therapy with eating disorders and depression are briefly considered, and the limitations and implications of the diagnostic subgroups identified here are discussed.

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Antidepressant use and depressive symptomatology among older people from the Australian Longitudinal Study of Ageing

International Psychogeriatrics ◽

10.1017/s1041610209991554 ◽

2010 ◽

Vol 22 (3) ◽

pp. 437-444 ◽

Cited By ~ 19

Author(s):

Ying Zhang ◽

Veronica Chow ◽

Agnes I. Vitry ◽

Philip Ryan ◽

Elizabeth E. Roughead ◽

...

Keyword(s):

Depressive Symptoms ◽

Longitudinal Study ◽

Health Status ◽

Depressive Symptomatology ◽

Depression Scale ◽

Epidemiologic Studies ◽

Self Report ◽

Perceived Health Status ◽

Australian Longitudinal Study ◽

Antidepressant Use

ABSTRACTBackground:Depression is one of the leading contributors to the burden of non-fatal diseases in Australia. Although there is an overall increasing trend in antidepressant use, the relationship between use of antidepressants and depressive symptomatology is not clear, particularly in the older population.Methods:Data for this study were obtained from the Australian Longitudinal Study of Ageing (ALSA), a cohort of 2087 people aged over 65 years at baseline. Four waves of home interviews were conducted between 1992 and 2004 to collect information on sociodemographic and health status. Depressive symptoms were measured by the Center for Epidemiologic Studies – Depression Scale. Use of antidepressants was based on self-report, with the interviewer able to check packaging details if available. Longitudinal analysis was performed using logistic generalized estimating equations to detect if there was any trend in the use of antidepressants, adjusting for potential confounding factors.Results:The prevalence of depressive symptoms was 15.2% in 1992 and 15.8% in 2004 (p> 0.05). The prevalence of antidepressant users increased from 6.5% to 10.9% (p< 0.01) over this period. Among people with depressive symptoms, less than 20% were taking antidepressants at any wave. Among people without depressive symptoms, the prevalence of antidepressant use was 5.2% in 1992 and 12.0% in 2004 (p< 0.01). Being female (OR = 1.67, 95%CI: 1.25–2.24), having poor self-perceived health status (OR = 1.17, 95%CI: 1.04–1.32), having physical impairment (OR = 1.48, 95%CI: 1.14–1.91) and having depressive symptoms (OR = 1.62, 95%CI: 1.24–2.13) significantly increased the use of antidepressants, while living in community (OR = 0.51, 95%CI: 0.37–0.71) reduced the risk of antidepressant use.Conclusions:Use of antidepressants increased, while depressive symptoms remained stable, in the ALSA over a 12-year period. Use of antidepressants was low for people with depressive symptoms.

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DRD2, DAT1, AND COMT genotypes as moderators of the relation between maternal depressive symptoms and infant cortisol reactivity

10.32920/ryerson.14645154.v1 ◽

2021 ◽

Author(s):

Jaclyn Ludmer

Keyword(s):

Depressive Symptoms ◽

Maternal Separation ◽

Depressive Symptomatology ◽

Differential Susceptibility ◽

Self Report ◽

Maternal Depressive Symptoms ◽

Cortisol Reactivity ◽

Gene Environment ◽

Context Specific ◽

Separation Results

Both maternal depression and dopamine-related genotypes have been linked to the development of the HPA axis. This thesis explored whether and how DRD2, DAT1, and (from an exploratory perspective) COMT genotypes moderate the relation between maternal depressive symptoms and infant cortisol reactivity in the context of a toy frustration challenge at 16 months and in the context of a maternal separation challenge at 17 months. Buccal cells were used for the purpose of genotyping. Maternal depressive symptoms were assessed via self-report at infant age 16 months. Candidate DRD2 and DAT1 genotypes moderated the relation between maternal depressive symptomatology and infant cortisol secretion in a diathesis-stress manner in the context of the toy frustration task, and in a differential susceptibility manner in the context of the maternal separation. Results are interpreted as indicating that the nature of gene-environment interactions is context-specific.

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Should Unexplained Painful Physical Symptoms be Considered within the Spectrum of Depressive Symptoms?

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901511010130 ◽

2015 ◽

Vol 11 (1) ◽

pp. 130-139 ◽

Cited By ~ 2

Author(s):

Jihyung Hong ◽

Diego Novick ◽

William Montgomery ◽

Jaume Aguado ◽

Héctor Dueñas ◽

...

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Depressive Symptomatology ◽

Physical Symptoms ◽

Self Report ◽

Depression Severity ◽

Confirmatory Factor Analyses ◽

Disturbance Factor ◽

Highly Correlated

Objective: To examine whether painful physical symptoms (PPS) can be considered within the spectrum of depressive symptoms. Methods: Data for this post-hoc analysis were taken from a 6-month observational study mostly conducted in East Asia, Mexico, and the Middle East of 1,549 depressed patients without sexual dysfunction at baseline. Both explanatory and confirmatory factor analyses (EFA and CFA) were performed on the combined items of the 16-item Quick Inventory of Depressive Symptomatology Self-Report and the Somatic Symptom Inventory (seven pain-related items only). An additional second-order CFA was also conducted to examine an association between retained factors and the overall “depressive symptoms” factor. In addition, Spearman’s correlation was used to assess levels of correlation between retained factors and depression severity as well as quality of life. Results: Both EFA and CFA suggested and validated a four-factor solution, which included a pain factor. The other three factors identified were a mood/cognitive factor, a sleep disturbance factor, and an appetite/weight disturbance factor. All four factors were significantly associated with the overall factor of depression. They were also highly correlated to depression severity and quality of life (p<0.001 for all). The levels of correlations with the pain factor were generally greater than those with the appetite/weight factor and similar to those with the sleep factor. Conclusion: It may be reasonable to consider PPS within a broad spectrum of depressive symptoms. At least, they should be routinely assessed in patients with depression. Further research is warranted to validate these preliminary findings.

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