Rating depression severity in the elderly physically ill patient: reliability and factor structure of the Hamilton and the Montgomery-Asberg Depression Rating Scales

Hammond, Margaret

doi:10.1002/(sici)1099-1166(199804)13:4<257::aid-gps773>3.0.co;2-u

Cited by 70 publications

(50 citation statements)

References 21 publications

(28 reference statements)

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“…However, the clinician rating scale (HDRS) appeared to be inflated by somatic symptoms that reflect medical illness rather than mood -a problem also noted in previous studies that used this instrument with medically ill or older patients. 52,53 Consequently, we view the other measures as providing better estimates of depressive symptoms in this sample. With respect to physical outcomes, 59% of patients scored well below age-adjusted norms for day-to-day physical functioning, 58% reported pain of at least moderate intensity, and over 80% noted at least moderate levels of fatigue.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial adjustment and quality of life among multiple myeloma patients undergoing evaluation for autologous stem cell transplantation

Sherman

Simonton

Latif

et al. 2004

Bone Marrow Transplant

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Summary:Stem cell transplantation has assumed a prominent place in the treatment of multiple myeloma, but relative to patients with other malignancies there is surprisingly little information about the adjustment difficulties and qualityof-life changes that these patients experience. This study examined psychosocial and functional deficits among myeloma patients assessed at a uniform period during their initial diagnostic evaluation, prior to beginning protocols at a transplant center. Validated self-report measures and clinician rating scales were used to assess 213 patients. Outcomes evaluated included emotional distress (Hospital Anxiety and Depression Scale, Brief Symptom Inventory), depression (Hamilton Depression Rating Scale), physical functioning, pain, and energy (SF-12). A significant proportion of patients experienced compromised psychosocial and physical functioning. Roughly one-third reported clinically elevated levels of distress, anxiety, and depression. In all, 59% scored below age-adjusted norms for daily physical functioning, 58% reported at least moderate levels of pain, and over 80% noted at least moderate fatigue. Clinical and demographic correlates of these outcomes were examined. These findings are among the first to characterize quality-of-life outcomes among myeloma patients in the transplant setting, and indicate that many patients experience considerable supportive care needs even prior to beginning aggressive regimens. Results highlight the importance of early screening. Bone Marrow Transplantation (2004) 33, 955-962.

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Section: Discussionmentioning

confidence: 99%

Psychosocial adjustment and quality of life among multiple myeloma patients undergoing evaluation for autologous stem cell transplantation

Sherman

Simonton

Latif

et al. 2004

Bone Marrow Transplant

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“…In physically ill patients the MADRS proved more reliable than the HAM-D (Hammond, 1998). The MADRS therefore appears to be a more suitable instrument for measuring the severity of depressive symptoms in the nursing home setting.…”

Section: Introductionmentioning

confidence: 88%

Screening for depression and assessing change in severity of depression. Is the Geriatric Depression Scale (30-, 15- and 8-item versions) useful for both purposes in nursing home patients?

Smalbrugge

Jongenelis

Pot

et al. 2008

Aging & Mental Health

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The objectives of this study were to determine the ability of the 30-, 15-and 8-item versions of the GDS for screening and assessing change in severity of depression in nursing home patients. The GDS and the MADRS were administered to 350 elderly NH-patients by trained interviewers. The presence of major (MaD) or minor depression (MinD) was evaluated with the Schedules for Clinical Assessment in Neuropsychiatry. Receiver Operator Characteristic (ROC) curves of the GDS-versions were performed to measure the ability to screen on depression. The ability to measure change in severity of depression was measured by differences in mean GDS-scores and mean MADRS-scores between patients with MaD, MinD and no depression, and expressed in terms of effect sizes. It was found that in ROC-curves all three GDS-versions performed well. The MADRS showed larger effect sizes for the differences between MaD, MinD and no depression than the GDS-versions. The effect sizes of the three GDS versions were comparable. We conclude that all three versions of the GDS can be used for screening on depression among NH-patients. The MADRS is superior to the GDS for assessment of (changes in) severity of depression, but the GDS also appears to be an acceptable instrument for this purpose and is less time-consuming.

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“…However, both studies included patients with affective disorders. Craighead and Evans (1996) found four components (cognitivepessimism, affective, cognitive-anxiety and vegetative), while Hammond (1998) found two components (anhedonia and dysphoria).…”

Section: Introductionmentioning

confidence: 97%

Component structure of the Positive And Negative Syndrome Scale (PANSS) in patients with recent-onset schizophrenia and spectrum disorders

et al. 2000

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Rating depression severity in the elderly physically ill patient: reliability and factor structure of the Hamilton and the Montgomery-Asberg Depression Rating Scales

Cited by 70 publications

References 21 publications

Psychosocial adjustment and quality of life among multiple myeloma patients undergoing evaluation for autologous stem cell transplantation

Psychosocial adjustment and quality of life among multiple myeloma patients undergoing evaluation for autologous stem cell transplantation

Screening for depression and assessing change in severity of depression. Is the Geriatric Depression Scale (30-, 15- and 8-item versions) useful for both purposes in nursing home patients?

Component structure of the Positive And Negative Syndrome Scale (PANSS) in patients with recent-onset schizophrenia and spectrum disorders

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