Discrepancy between self- and observer-rated depression severities as a predictor of vulnerability to suicide in patients with mild depression

Tsujii, Noa; Akashi, Hiroyuki; Mikawa, Wakako; Tsujimoto, Emi; Niwa, Akira; Adachi, Toru; Sato, Osamu

doi:10.1016/j.jad.2014.03.014

Cited by 19 publications

(18 citation statements)

References 43 publications

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“…The second limitation was the relatively simplistic assessment of depression. Although the HAMD is a valid observer-rated measurement to assess the severity of depression, some studies had suggested a discrepancy between self-rated depression severity (such as the BDI) and the HAMD (Tsujii et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Role of depression severity and impulsivity in the relationship between hopelessness and suicidal ideation in patients with major depressive disorder

Wang

Jiang

Cheung

et al. 2015

Journal of Affective Disorders

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Section: Discussionmentioning

confidence: 99%

Role of depression severity and impulsivity in the relationship between hopelessness and suicidal ideation in patients with major depressive disorder

Wang

Jiang

Cheung

et al. 2015

Journal of Affective Disorders

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“…[23,24,28,30,58], während im Vergleich mit Selbstbeurteilungsverfahren die Kriterumsvalidität als eher schlecht beurteilt wurde [28,29]. Eine umfassende Beurteilung der depressiven Symptomatik erfordert jedoch sowohl Fremd-als auch Selbstbeurteilungsverfahren [34][35][36][37]; so konnte gezeigt werden, dass Diskrepanzen zwischen selbst-und fremdbeurteilter Depressivität mit einer höheren Ausprägung des Persönlichkeitsfaktors Neurotizismus [59][60][61], einer höheren Vulnerabilität für einen Suizidversuch [62] sowie einer verzögerten Zeit bis zum Ansprechen auf die Behandlung [63] zusammenhängen. Auffällig ist, dass zum Zeitpunkt des Austritts der Gesamtwert der HoNOS mit dem HAMD und dem BDI signifikant korrelierte im Gegensatz zu den Korrelationen bei Eintritt.…”

Section: Kriteriumsvalidität Der Honosunclassified

Die Eignung der HoNOS (Health of the Nation Outcome Scales) zur Erfassung des Verlaufs und des Schweregrads depressiver Symptomatik im stationären Setting

Fankhauser

Hochstrasser

Sievers

et al. 2017

Psychother Psych Med

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This study investigates the assessment of change of depressive symptoms and severity of depression with the "Health of the Nation Outcome Scales" (HoNOS) in an inpatient setting. Participants were 132 adults diagnosed with depressive disorder (F32: n=102; F33: n=30). Bivariate correlations were used to determine the correlation of the HoNOS with self-reported (BDI) and observer-rated depressive symptoms (HAMD). The predictive validity of the HoNOS was analysed with linear regression models. The HoNOS differentiated significantly between patients with moderate versus severe depression at baseline (p<0,05). It correlated with the HAMD change score (r=0,25, p<0,008), but not with the BDI change score (r=0,19, p>0,008).The HoNOS was not a significant predictor of observer-rated depression at discharge (β=0,03, p>0,05). As the HoNOS only partially seems to assess the change and severity of depressive symptoms, it should only be used in combination with depression-specific instruments.

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“…Other work links decreased verbal fluency to suboptimal neuronal activity around the caudate nucleus and the frontal part of the callosal gyrus in the left hemisphere [ 42 ]. In patients who showed high self-reporting of depression compared to psychiatric evaluation, decrements in verbal fluency predict suicide risk [ 43 ], highlighting the importance of changes underlying verbal fluency deficits in the course of depression.…”

Section: Areas Of Cognitive Dysfunction In Rdd Patientsmentioning

confidence: 99%

Mechanisms Underlying Neurocognitive Dysfunctions in Recurrent Major Depression

Gałecki

Talarowska

Anderson³

et al. 2015

Med Sci Monit

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Recent work shows that depression is intimately associated with changes in cognitive functioning, including memory, attention, verbal fluency, and other aspects of higher-order cognitive processing. Changes in cognitive functioning are more likely to occur when depressive episodes are recurrent and to abate to some degree during periods of remission. However, with accumulating frequency and duration of depressive episodes, cognitive deficits can become enduring, being evident even when mood improves. Such changes in cognitive functioning give depression links to mild cognitive impairment and thereby with neurodegenerative conditions, including Alzheimer’s disease, Parkinson’s disease, schizophrenia, and multiple sclerosis. Depression may then be conceptualized on a dimension of depression – mild cognitive impairment – dementia. The biological underpinnings of depression have substantial overlaps with those of neurodegenerative conditions, including reduced neurogenesis, increased apoptosis, reactive oxygen species, tryptophan catabolites, autoimmunity, and immune-inflammatory processes, as well as decreased antioxidant defenses. These evolving changes over the course of depressive episodes drive the association of depression with neurodegenerative conditions. As such, the changes in cognitive functioning in depression have important consequences for the treatment of depression and in reconceptualizing the role of depression in wider neuroprogressive conditions. Here we review the data on changes in cognitive functioning in recurrent major depression and their association with other central conditions.

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Discrepancy between self- and observer-rated depression severities as a predictor of vulnerability to suicide in patients with mild depression

Cited by 19 publications

References 43 publications

Role of depression severity and impulsivity in the relationship between hopelessness and suicidal ideation in patients with major depressive disorder

Role of depression severity and impulsivity in the relationship between hopelessness and suicidal ideation in patients with major depressive disorder

Die Eignung der HoNOS (Health of the Nation Outcome Scales) zur Erfassung des Verlaufs und des Schweregrads depressiver Symptomatik im stationären Setting

Mechanisms Underlying Neurocognitive Dysfunctions in Recurrent Major Depression

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