The importance of worry across diagnostic presentations: Prevalence, severity and associated symptoms in a partial hospital setting

Kertz, Sarah J.; Bigda-Peyton, Joseph S.; Rosmarin, David H.; Björgvinsson, Thröstur

doi:10.1016/j.janxdis.2011.10.005

Cited by 87 publications

(58 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the present study, the MINI was administered by doctoral practicum students and interns in clinical psychology, who received weekly supervision by a postdoctoral psychology fellow. For the current sample, inter-rater reliability for the MINI and program psychiatrists were within an acceptable range (i.e., .41-1.00; Landis and Koch 1977) for both major depressive disorder (κ=.69) and bipolar disorder-currently depressed (κ=.75; Kertz et al 2012).…”

Section: Methodsmentioning

confidence: 68%

A Comparison of Three Brief Depression Measures in an Acute Psychiatric Population: CES-D-10, QIDS-SR, and DASS-21-DEP

Weiss

Aderka

Lee

et al. 2014

J Psychopathol Behav Assess

Self Cite

View full text Add to dashboard Cite

The CES-D-10, QIDS-SR, and DASS-21-DEP are brief self-report instruments for depression that have demonstrated strong psychometric properties in clinical and community samples. However, it is unclear whether any of the three instruments is superior for assessing depression and treatment response in an acute, diagnostically heterogeneous, treatmentseeking psychiatric population. The present study examined the relative psychometric properties of these instruments in order to inform selection of an optimal depression measure in 377 patients enrolled in a psychiatric partial hospital program. Results indicated that the three measures demonstrated good to excellent internal consistency and strong convergent validity. They also demonstrated fair to good diagnostic utility, although diagnostic cut-off scores were generally higher than in previous samples. The three measures also evidenced high sensitivity to change in depressive symptoms over treatment, with the QIDS-SR showing the strongest effect. The results of this study indicate that any of the three depression measures may satisfactorily assess depressive symptoms in an acute psychiatric population. Thus, selection of a specific assessment tool should be guided by the identified purpose of the assessment. In a partial hospital setting, the QIDS-SR may confer some advantages, such as correspondence with DSM criteria, greater sensitivity to change, and assessment of suicidality.Keywords Depression . Assessment . Psychometric . Center for the epidemiological studies of depression-short form . Quick inventory of depressive symptomatology-self-report version . Depression anxiety and stress scales-21-item versionThe identification of valid, clinically useful, and efficient assessment tools is particularly important in the context of increasing emphasis on evidence-based mental healthcare and outcomes evaluation (Hunsley and Mash 2005). Yet, far less attention has been paid to issues related to the evidence-based assessment of depression in real-world clinical settings, relative to the emphasis placed on evidence-based treatment approaches in these settings (Barlow 2005;Hunsley and Mash 2005). Although there are a number of instruments available (see Joiner et al. 2005), there is a dearth of empirically-based information to guide the selection of depression measures in acute, heterogeneous treatment populations. Assessing treatment progress and outcome in acute treatment settings (e.g., inpatient, residential, or partial hospitals) is just as critical as other settings and warrants its own empirically-based evidence given the unique characteristics of these settings (e.g., very limited time to provide treatment in a population with high levels of symptom severity, comorbidity, functional impairment, and suicide risk).Although the clinical benefits of using evidence based assessments to monitor treatment outcome are clear (e.g., Duffy et al. 2008;Slade et al. 2006), they remain underutilized in psychiatric settings (Weiss et al. 2009;Zimmerman and McGlinchey 2008;Gilbody ...

show abstract

Section: Methodsmentioning

confidence: 68%

A Comparison of Three Brief Depression Measures in an Acute Psychiatric Population: CES-D-10, QIDS-SR, and DASS-21-DEP

Weiss

Aderka

Lee

et al. 2014

J Psychopathol Behav Assess

Self Cite

View full text Add to dashboard Cite

show abstract

“…The MINI has strong reliability and validity in relation to the Structured Clinical Interview for DSM-IV (SCID-IV), with inter-rater reliabilities ranging from kappas of .89–1.0 (Sheehan et al, 1998). For the partial hospital patients, inter-rater reliability between the MINI and program psychiatrists is .69 for MDD and .75 for Bipolar Disorder-Depressed (Kertz et al, 2012). …”

Section: Methodsmentioning

confidence: 99%

Transdiagnostic mechanisms in depression and anxiety: The role of rumination and attentional control

Hsu

Beard

Rifkin

et al. 2015

Journal of Affective Disorders

Self Cite

128

View full text Add to dashboard Cite

Background Deficits in attentional control have been hypothesized to cause rumination, suggesting that the relationships between attentional control and clinical symptoms may be mediated in part by rumination. However, to date, no clinical study has examined these constructs transdiagnostically in a path analysis model. Methods Fifty-one adults presenting for treatment completed measures of self-reported attentional control, rumination, and depression and anxiety symptoms. A bias-corrected path analysis-based approach was employed to test whether indirect (i.e., mediating) effects of rumination were significantly associated with the direct effects of attentional control on depression and anxiety symptoms. Separate models for depression and anxiety symptoms were tested along with reverse models using attentional control as a proposed mediator. Results The relationship between attentional control and clinical symptomatology (i.e., both depression and anxiety symptoms) was mediated by rumination. Poor attentional control was associated with more rumination and consequently more severe symptoms of depression and anxiety. The reverse relationship (i.e., attentional control mediating the relationship between rumination and depression or anxiety symptoms) was not significant. Limitations Study design did not allow testing of temporal precedence for the mediation models. All constructs were assessed via self-report. Conclusions Attentional control appears to impact depression and anxiety symptoms through rumination. The pathway between poor attentional control and emotion dysregulation via rumination suggests that interventions targeting attentional control may decrease maladaptive ruminative processes, leading to improved emotion regulation and reduced clinical symptomatology. Future studies should examine the stability of this mediational relationship over time (and in the face of targeted interventions).

show abstract

“…The MINI has strong reliability and validity with the Structured Clinical Interview for DSM-IV (First, Spitzer, Gibbon, & Williams, 1996), and inter-rater reliabilities range from kappas of .89-1.0 (Sheehan et al, 1998). For the partial hospital patients, inter-rater reliability between the MINI and the program psychiatrists is .69 for MDD and .75 for Bipolar Disorder-Depressed (Kertz, Bigda-Peyton, Rosmarin, & Björgvinsson, 2012). …”

Section: Methodsmentioning

confidence: 99%

Changes in Distress Intolerance and Treatment Outcome in a Partial Hospital Setting

et al. 2014

Self Cite

View full text Add to dashboard Cite

Despite the well-established role of distress intolerance (DI) in a wide range of psychological disorders, few studies have examined whether DI improves during treatment and whether these changes are associated with symptom outcomes. Patients (N = 626) enrolled in a brief cognitive-behavioral partial hospital program completed pre- and post-treatment measures of DI. Results indicated that DI decreased significantly during treatment, with more than 30% of the sample exhibiting a reduction of more than 2 standard deviations from the mean. Women reported higher DI than men at baseline; however, there were no gender differences in changes in DI over time. Participants also completed a pre- and post-treatment measure of depression and a sub-set completed a measure of anxiety (n = 167). DI was associated with more severe depression and anxiety at pre- and post-treatment, with participants who reported a decrease in DI also reporting lower depression and anxiety symptoms at post-treatment. These results further highlight the transdiagnostic relevance of DI and suggest that DI may be a relevant factor in treatment outcome for depression and anxiety.

show abstract

The importance of worry across diagnostic presentations: Prevalence, severity and associated symptoms in a partial hospital setting

Cited by 87 publications

References 41 publications

A Comparison of Three Brief Depression Measures in an Acute Psychiatric Population: CES-D-10, QIDS-SR, and DASS-21-DEP

A Comparison of Three Brief Depression Measures in an Acute Psychiatric Population: CES-D-10, QIDS-SR, and DASS-21-DEP

Transdiagnostic mechanisms in depression and anxiety: The role of rumination and attentional control

Changes in Distress Intolerance and Treatment Outcome in a Partial Hospital Setting

Contact Info

Product

Resources

About