Disagreement and factors between symptom on self-report and clinician rating of major depressive disorder: A report of a national survey in China

Lyu, Dongbin; Wu, Zhiguo; Wang, Yun; Huang, Qinte; Wu, Zhenling; Cao, Tongdan; Zhao, Jie; Cao, Yonghua; Hu, Ye; Chen, Jun; Wang, Yong; Su, Yousong; Zhang, Chen; Peng, Daihui; Li, Zezhi; Cao, Lan; Wu, Hong; Fang, Yiru

doi:10.1016/j.jad.2019.04.073

Cited by 10 publications

(4 citation statements)

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“…Our study does have some limitations. First, we used selfreporting scales to assess psychological symptoms, including BDI, STAI, CTQ, FACIT-Sp-12, and FSSQ; self-reporting can exaggerate the reported severity of symptoms (101,102). Second, because of the cross-sectional design of this study, we cannot certainly infer causality between suicide attempts and the other variables studied.…”

Section: Discussionmentioning

confidence: 99%

Factors Related to Suicide Attempts: The Roles of Childhood Abuse and Spirituality

Tae

Chae

2021

Front. Psychiatry

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Objectives: The purpose of this article was to identify independent factors associated with suicide attempts in patients with depression and/or anxiety.Background and Aims: This study was conducted in order to examine whether risk and protective psychological factors influence the risk of suicide attempts among outpatients with anxiety and/or depressive disorders. In this regard, explanatory models have been reported to detect high-risk groups for suicide attempt. We also examined whether identified factors serve as mediators on suicide attempts.Materials and Methods: Patients from 18 to 65 years old from an outpatient clinic at Seoul St. Mary's Hospital were invited to join clinical studies. From September 2010 to November 2017, a total of 737 participants were included in the final sample. The Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Childhood Trauma Questionnaire (CTQ), Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp-12), and Functional Social Support Questionnaire (FSSQ) were used to assess psychiatric symptoms. An independent samples t-test, a chi-square test, hierarchical multiple regression analyses, and the Baron and Kenny's procedures were performed in order to analyze data.Results: Young age, childhood history of emotional and sexual abuse, depression, and a low level of spirituality were significant independent factors for increased suicide attempts. Depression was reported to mediate the relationship between childhood emotional and sexual abuse, spirituality, and suicide attempts.Conclusions: Identifying the factors that significantly affect suicidality may be important for establishing effective plans of suicide prevention. Strategic assessments and interventions aimed at decreasing depression and supporting spirituality may be valuable for suicide prevention.

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Section: Discussionmentioning

confidence: 99%

Factors Related to Suicide Attempts: The Roles of Childhood Abuse and Spirituality

Tae

Chae

2021

Front. Psychiatry

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“…The same centrality was not observed across the self-reported BDI-II samples. This centrality difference across measures may relate to the lower tendency for patients to self-report mood symptoms, with cross-measure consensus favoring physical symptoms [e.g., fatigue (68)]. Nevertheless, the higher centrality and co-occurrence of these symptoms was not surprising given both, by DSM definition, are core MDD criteria (48).…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Individual Patient Data Network Analysis of the Residual Symptom Structure Following Cognitive-Behavioral Therapy and Escitalopram, Mirtazapine and Venlafaxine for Depression

et al. 2022

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ObjectiveConsistent evidence suggests residual depressive symptomology are the strongest predictors of depression relapse following cognitive-behavioral therapy (CBT) and antidepressant medications (ADM's). Psychometric network models help detecting and understanding central symptoms that remain post-treatment, along with their complex co-occurrences. However, individual psychometric network studies show inconsistent findings. This systematic review and IPD network analysis aimed to estimate and compare the symptom network structures of residual depressive symptoms following CBT, ADM's, and their combination.MethodsPsycINFO, PsycArticles, and PubMed were systematically searched through October 2020 for studies that have assessed individuals with major depression at post-treatment receiving either CBT and/or ADM's (venlafaxine, escitalopram, mirtazapine). IPD was requested from eligible samples to estimate and compare residual symptom psychometric network models post-CBT and post-ADM's.ResultsIn total, 25 from 663 eligible samples, including 1,389 patients qualified for the IPD. Depressed mood and anhedonia were consistently central residual symptoms post-CBT and post-ADM's. For CBT, fatigue-related and anxiety symptoms were also central post-treatment. A significant difference in network structure across treatments (CBT vs. ADM) was observed for samples measuring depression severity using the MADRS. Specifically, stronger symptom occurrences were present amongst lassitude-suicide post-CBT (vs. ADM's) and amongst lassitude-inability to feel post-ADM's (vs. CBT). No significant difference in global strength was observed across treatments.ConclusionsCore major depression symptoms remain central across treatments, strategies to target these symptoms should be considered. Anxiety and fatigue related complaints also remain central post-CBT. Efforts must be made amongst researchers, institutions, and journals to permit sharing of IPD.Systematic Review Registration: A protocol was prospectively registered on PROSPERO (CRD42020141663; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=141663).

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“…However, the recognition rate of psychological disorders by non-psychiatric clinicians was relatively low in China Zhuang et al, 2010;Lyu et al, 2019;. The rate of recognition of depressive disorders in internal medicine outpatient departments of 23 general hospitals in Shenyang was observed only 4.0% in a Chinese study (Qin et al, 2008).…”

Section: Introductionmentioning

confidence: 98%

Comparison of SSS-CN and PHQ-15 in the evaluation of patients with suspected psychological disorders in cardiovascular medicine

Lin

Xiang

et al. 2023

Front. Psychol.

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AimsSomatic Symptom Scale-China (SSS-CN) has been applied to assess the presence and severity of somatization symptom disorders (SSD) in Chinese patients. However, there was no study comparing SSS-CN with Patient Health Questionnaire-15 (PHQ-15). The aim of this study was to compare the consistency of the SSS-CN with the PHQ-15 in evaluating SSD in patients with suspected psychological disorders in cardiovascular medicine and to explore the relationship between scores on the two SSD self-rating scales and scores on self-rating scales for anxiety or depression.MethodsIn this study, 1,324 subjects were enrolled by using a “three-question method.” Then, they completed four self-assessment scales, i.e., SSS-CN, PHQ-15, Patient Health Questionnaire-9 (PHQ-9), and General Anxiety Disorder-7 (GAD-7), in turn. The ability of SSS-CN to diagnose SSD was analyzed by the receiver operating characteristic (ROC) curve, and the area under the curve (AUC) value, sensitivity, and specificity were calculated. Reliability analysis was performed with the Kappa statistic to determine consistency between SSS-CN and PHQ-15. The relationship between two qualitative variables was analyzed by Spearman correlation analysis.ResultsThe proportions of SSD evaluated by SSS-CN and PHQ-15 were 83.2 and 87.0%, respectively. SSS-CN score was significantly correlated with PHQ-15 one (r = 0.709, p < 0.001). The AUC of the SSS-CN for the diagnosis of SSD was 0.891, with a high sensitivity and acceptable specificity. There was a moderate agreement between SSS-CN and PHQ-15 in assessing SSD, with a Kappa value of 0.512. Anxiety and/or depression were detected in about 70% of patients with SSD. There was significant correlation between the score of each SSD scale and that of GAD-7 or PHQ-9 (SSS-CN: r = 0.614 or 0.674; PHQ-15: r = 0.444 or 0.582, all p < 0.001). In addition, the SSS-CN score was more closely correlated with the GAD-7 or PHQ-9 score than the PHQ-15 score, and a higher proportion of patients with anxiety or depression was detected in those with moderate and severe SSD evaluated by SSS-CN.ConclusionThe SSS-CN could be one of the ideal scales for the rapid screening of patients with suspected psychological disorders in cardiovascular medicine.

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Disagreement and factors between symptom on self-report and clinician rating of major depressive disorder: A report of a national survey in China

Cited by 10 publications

References 34 publications

Factors Related to Suicide Attempts: The Roles of Childhood Abuse and Spirituality

Factors Related to Suicide Attempts: The Roles of Childhood Abuse and Spirituality

A Systematic Review and Individual Patient Data Network Analysis of the Residual Symptom Structure Following Cognitive-Behavioral Therapy and Escitalopram, Mirtazapine and Venlafaxine for Depression

Comparison of SSS-CN and PHQ-15 in the evaluation of patients with suspected psychological disorders in cardiovascular medicine

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