Interrater reliability of the Hamilton Rating Scale for Depression

1992 ◽  
Vol 4 (4) ◽  
pp. 86-89 ◽  
Author(s):  
E. Hoencamp ◽  
I. Betten ◽  
P.M.J. Haffmans
Keyword(s):  
Interrater Reliability ◽  
Rating Scale ◽  
Dutch Version ◽  
Reliable Instrument ◽  
Hamilton Rating Scale ◽  
Very High

SummaryInterrater reliability of the Hamilton Rating Scale for DepressionInterrater reliability of the Dutch version of the Hamilton Rating Scale for Depression (HRSD 17 items) was investigated. Although sufficient, a kappa of .65, found for all raters, was not very high. Specifically item 2 (feelings of guilt) and item 11 (psychic anxiety) seemed difficult to judge. The most experienced raters achieved the highest kappas as well on the total score of the HRSD.It is concluded that this version of the HRSD, if administered by experienced raters, is a reasonably reliable instrument to obtain a certain ‘cut-off score (for instance in-exclusion criterium) as well as to measure the change in severity of the depression during treatment.

scholarly journals Interrater Reliability of the Movement Assessment Battery for Children

2008 ◽  
Vol 88 (2) ◽  
pp. 286-294 ◽  
Author(s):  
Bouwien CM Smits-Engelsman ◽  
Marlene J Fiers ◽  
Sheila E Henderson ◽  
Leslie Henderson
Keyword(s):  
Interrater Reliability ◽  
Physical Therapists ◽  
Motor Impairment ◽  
Clinical Settings ◽  
Dutch Version ◽  
Assessment Battery ◽  
Movement Assessment ◽  
Movement Difficulties ◽  
Very High

Background and Purpose The Movement Assessment Battery for Children (M-ABC) is a widely used, standardized assessment of motor performance in children. The total score obtained on this test often is used to identify children who are either definitely impaired or at risk for motor impairment. The purpose of this study was to determine the interrater reliability of data for the M-ABC when scored by pediatric physical therapists working in routine clinical settings. Subjects and Methods For 9 children who were referred to clinical settings for an assessment of possible movement difficulties, performance on the appropriate age band of the M-ABC was videotaped. The 9 children, one at each age from 4 through 12 years, represented all ages covered by the test. The videotaped performances were rated according to the test instructions by 131 pediatric physical therapists with a range of experience and by an expert rater who developed the Dutch version of the test. Results The average agreement between therapists in their classification of the children was very high. The kappa coefficients for the 9 videos ranged from .95 to 1.00. Discussion and Conclusion Errors made by the therapists could be classified as those that might be common to all tests and those that are specific to the M-ABC.

The interrater reliability of a Dutch version of the Comprehensive Psychopathological Rating Scale

1991 ◽  
Vol 83 (3) ◽  
pp. 202-205 ◽  
Author(s):  
J. G. Goekoop ◽  
E. A. M. Knoppert-Van der Klein ◽  
T. Hoeksema ◽  
R. A. Klinkhamer ◽  
H. A. E. Van Gaalen ◽  
...  
Keyword(s):  
Interrater Reliability ◽  
Rating Scale ◽  
Dutch Version

Psychometric Properties of the Life Regard Index–Revised: A Validation Study of a Measure of Personal Meaning

2001 ◽  
Vol 89 (3) ◽  
pp. 759-773 ◽  
Author(s):  
Alex H. S. Harris ◽  
Samuel Standard
Keyword(s):  
Factor Structure ◽  
Validation Study ◽  
Discriminant Validity ◽  
Rating Scale ◽  
Well Being ◽  
Personal Meaning ◽  
English Version ◽  
Dutch Version ◽  
Restriction Of Range ◽  
Very High

A validation study of the English version of the 28-item Life Regard Index–Revised was undertaken with a sample of 91 participants from the general population. All previous studies of the Index have examined the Dutch version. The test-retest reliabilities at 8 wk. for the total Index ( r = .87), Framework ( r = .82), and Fulfillment ( r = .81) subscales were very high. Cronbach alphas were .92, .83, and .87, respectively. A significant restriction of range was observed at the high-meaning end of the scale. Factor analysis only weakly supported the theorized two-factor structure. A very high disattenuated correlation between the Framework and Fulfillment subscales was observed ( r = .94). The Index appeared to have adequate evidence supporting its concurrent and discriminant validity when compared with measures of hopelessness, spiritual well-being, and other measures of personal meaning. A significant positive association was found between the index and the Marlowe-Crowne Social Desirability Scale ( r = .38). The Index was also significantly associated with sex (women scoring higher) and marital status (divorced people scoring lower). Revisions of the English version may address the restriction of range problem by employing a 5-point rating scale, instead of the current 3-point scale, or by adding more discriminating items. Further factor-analytic studies with larger samples are needed before conclusions can be drawn regarding this scale's factor structure.

scholarly journals Interrater reliability of client categorization system as a psychiatric status rating scale in measuring psychiatric patients’ health status

2017 ◽  
Vol 5 (5) ◽  
pp. 2193
Author(s):  
Intansari Nurjannah ◽  
Putri Nurmasari ◽  
Irwan Tri Nugraha ◽  
Diki Yuge Katan ◽  
Ki Hariyadi
Keyword(s):  
Clinical Practice ◽  
Health Status ◽  
Interrater Reliability ◽  
Rating Scale ◽  
Psychiatric Patients ◽  
Psychiatric Status ◽  
Cohen's Kappa ◽  
Percent Agreement ◽  
Reliable Instrument ◽  
Categorization System

Background: Reliable instrument is needed by nurses to measure patient’s status. This study aimed to determine the interrater reliability of client categorization system instrument used in psychiatric setting.Methods: Data was collected two periods in a year by twelve raters. They used the CCS to simultaneously gauge the condition of 30 patients for 98 measurements. Data was analyzed using the Cohen’s-Kappa formula and percent agreement.Results: The analysis showed that the Cohen-Kappa values of interrater reliability were 0.59 which can be categorized as moderate (accepted, if value >0.41) and percent agreement value was 77.78% indicated acceptable.Conclusions: The CSS has moderate and acceptable category of interrater reliability and can be recommended for use in clinical practice.

An intervention for depressive symptoms using a commercial game in a mental health impatient setting. (Preprint)

2019 ◽  
Author(s):  
Pablo Rodrigo Guzman Cortez ◽  
Matias Marzocchi ◽  
Neus Freixa Fontanals ◽  
Mercedes Balcells-Olivero
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Health Outcomes ◽  
Serious Games ◽  
Rating Scale ◽  
Depressive Symptomatology ◽  
Pilot Test ◽  
Potential Health ◽  
Depressive Episodes ◽  
Hamilton Rating Scale

BACKGROUND Computerized mental health interventions have shown evidence of their potential benefit for mental health outcomes in young users. All of the studied interventions available in the review and scientific literature can be classified as "serious games". Serious games are computerized interventions designed from the start with the objective of improving specific desired health outcomes. Moreover, there are reports of users experiencing subjective benefits in mental health after playing specific commercial games. These were games not intentionally made with a therapeutic objective in the design process. An example is the videogame "Journey", first released for the Playstation 3 console in 2012 which won "Game of the Year" in the 2013 D.I.C.E awards. The creator of the game describes the game as a short, 2-3-hour narrative experience in which the player goes through the "Hero's Journey" following a classic 3-part structure. There were more than 100 testimonials from players describing how the game helped them cope with psychological or personal issues. Some of them explicitly described recovering from depressive episodes through playing the game. OBJECTIVE To conduct a pilot test of the efficacy of the videogame Journey in reducing depressive symptoms in an acute impatient setting METHODS Depressive symptomatology was measured before and after the intervention using the Hamilton Rating Scale for Depression (HRSD) The intervention was conducted in an isolated room using a Playstation 3 console with the videogame "Journey" developed by Thatgamecompany. No internet access was allowed. The game was played over the course of 4 30-45 min sessions in a two week period. RESULTS The initial score in the Hamilton Rating Scale for Depression (HRSD) was 30, indicating a very severe depression. After the intervention the HRSD score was 10, showing a mild depression. CONCLUSIONS The Videogame Journey, a commercial game first available for the Playstation 3 console in 2012, was not created as a serious game with potential health benefits. Our pilot test is the first case report of a commercial game showing a potential effect in reducing depressive symptoms, which is consistent with the previous informal reports of users online.

scholarly journals Sociodemographic and Clinical Profile of Patients Presenting With Erectile Dysfunction: Experience From a Tertiary Care Centre of North India

2021 ◽  
pp. 263183182110311
Author(s):  
Adarsh Tripathi ◽  
Dhirendra Kumar ◽  
Sujita Kumar Kar ◽  
PK Dalal ◽  
Anil Nischal
Keyword(s):  
Erectile Dysfunction ◽  
Rating Scale ◽  
Nuclear Family ◽  
Sexual Experience ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Sexual Disorders ◽  
Care Hospital ◽  
Tertiary Center ◽  
Hamilton Rating Scale

Background: Erectile dysfunction (ED) is one of the most common psychosexual disorders in clinical practice, and it results in significant distress, interpersonal impairments, poor quality of life, and marital disharmony. However, there is limited research on ED in India. Therefore, this study aimed to assess the sociodemographic and clinical profile of patients presenting with ED. Method: Cross-sectional evaluation of patients with ED presenting to the psychosexual outpatient department (OPD) of psychiatry department in a tertiary care hospital was done on structured clinical pro forma, Mini-International Neuropsychiatric Interview, International Index of Erectile Function-5, Arizona Sexual Experience, Hamilton rating scale for depression, and Hamilton rating scale for anxiety. Results: The sample included 102 patients. The mean age was 33.38 years. The majority of the patients were married (81.4%), Hindu (82.4%), residing in a rural area (60.8%), and belonging to a nuclear family (62.7%). The majority of the patients had a moderate level of ED (50%) followed by mild-to-moderate ED (26.5%) and severe ED (23.5%). Premature ejaculation (46.1%) and depression (28.4%) were the most common sexual and psychiatric comorbidities. Obesity was common (62.7%), and only a minority had other metabolic dysfunction, namely dyslipidemia (7.8%), diabetes (5.9%), and hypertension (4.9%). Tobacco dependence and alcohol dependence were present in 37.3% and 6.9% cases, respectively. Conclusion: Young adults with moderate-to-severe ED were present for treatment at a tertiary center. Comorbidities of other sexual disorders, psychiatric disorders, and substance use are commonly encountered in such patients. Promotion of early help-seeking should be encouraged. Clinicians should thoroughly assess even the young patients for other sexual, psychiatric, and medical comorbidities.

scholarly journals Using Differential Item Functioning to Test for Interrater Reliability in Constructed Response Items

2020 ◽  
Vol 80 (4) ◽  
pp. 808-820
Author(s):  
Cindy M. Walker ◽  
Sakine Göçer Şahin
Keyword(s):  
Differential Item Functioning ◽  
Interrater Reliability ◽  
Rating Scales ◽  
Rating Scale ◽  
Intraclass Correlation ◽  
Kappa Statistic ◽  
Promising Alternative ◽  
Constructed Response ◽  
Polytomous Item ◽  
Item Functioning

The purpose of this study was to investigate a new way of evaluating interrater reliability that can allow one to determine if two raters differ with respect to their rating on a polytomous rating scale or constructed response item. Specifically, differential item functioning (DIF) analyses were used to assess interrater reliability and compared with traditional interrater reliability measures. Three different procedures that can be used as measures of interrater reliability were compared: (1) intraclass correlation coefficient (ICC), (2) Cohen’s kappa statistic, and (3) DIF statistic obtained from Poly-SIBTEST. The results of this investigation indicated that DIF procedures appear to be a promising alternative to assess the interrater reliability of constructed response items, or other polytomous types of items, such as rating scales. Furthermore, using DIF to assess interrater reliability does not require a fully crossed design and allows one to determine if a rater is either more severe, or more lenient, in their scoring of each individual polytomous item on a test or rating scale.

A comparison of the ‘Hamilton Rating Scale for Depression’ and the ‘Montgomery-Asberg Depression rating Scale’

1999 ◽  
Vol 11 (1) ◽  
pp. 34-37 ◽  
Author(s):  
I.P.A.M. Huijbrechts ◽  
P.M.J. Haffmans ◽  
K. Jonker ◽  
A. van Dijke ◽  
E. Hoencamp
Keyword(s):  
Clinical Practice ◽  
Clinical Global Impression ◽  
Rating Scale ◽  
Reliability And Validity ◽  
Structured Interview ◽  
Clinical Impression ◽  
Clinical Relationship ◽  
Hamilton Rating Scale ◽  
Depressive States

SummaryAlthough the Hamilton Rating Scale for Depression (HRSD) is the most frequently used rating scale for quantifying depressive states, it has been criticized for its reliability and its usability in clinical practice. This criticism is less applying to the Montgomery-Asberg Depression Rating Scale (MADRS). Goal of the present study is to investigate the reliability and validity, and clinical relationship between the HRSD and the MADRS. For 60 out-patients with diagnosed depression (DSM IV296.2x, 296.3x, 300.40 and 311.00), the HRSD and MADRS were scored at baseline and 6 weeks later by an independent rater according to a structured interview. Also the Clinical Global Impression (CGI) was assessed by a psychiatrist. Satisfying agreement was found between the totalscores (r= .75, p>.000 en r=.92, p>.000 respectively, at baseline and 6 weeks later). Furthermore agreement was found between the items of both scales, and these agree with the clinical impression. The reliability of the MADRS is more stable than the reliability of the HRSD (α = .6367 and α =.8900 vs α = .2193 and α = .8362 at baseline and at endpoint respectively). Considering the ease of scoring both scales in one interview and the widely international use of the HRSD, scoring both the HRSD and the MADRS to measure the severity of a depression seems to be an acceptabel covenant.

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