Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I).
Abstract Background: Depression assessment in population studies is usually based on depressive symptoms scales. However, the use of scales could lead to the choice of an arbitrary cut-off point depending on the sample characteristics and on the patient diagnosis. Thus,...
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Format: | info:eu-repo/semantics/article |
Language: | eng |
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Biomed Central
2010
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Online Access: | https://hdl.handle.net/10171/7261 |
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author | Sanchez-Villegas, A. (Almudena) Schlatter, J. (Javier) Ortuño-Sanchez-Pedreño, F. (Felipe) Lahortiga, F. (Francisca) Pla-Vidal, J. (Jorge) Benito-Corchon, S. (Silvia) Martinez-Gonzalez, M.A. (Miguel Ángel) |
author_facet | Sanchez-Villegas, A. (Almudena) Schlatter, J. (Javier) Ortuño-Sanchez-Pedreño, F. (Felipe) Lahortiga, F. (Francisca) Pla-Vidal, J. (Jorge) Benito-Corchon, S. (Silvia) Martinez-Gonzalez, M.A. (Miguel Ángel) |
author_sort | Sanchez-Villegas, A. (Almudena) |
collection | DSpace |
description | Abstract
Background: Depression assessment in population studies is usually based on depressive
symptoms scales. However, the use of scales could lead to the choice of an arbitrary cut-off
point depending on the sample characteristics and on the patient diagnosis. Thus, the use of a
medical diagnosis of depression could be a more appropriate approach.
Objective: To validate a self-reported physician diagnosis of depression using the Structured
Clinical Interview for DSM-IV (SCID-I) as Gold Standard and to assess the factors associated to
a valid self-reported diagnosis.
Methods: The SUN Project is a cohort study based on university graduates followed-up through
postal questionnaires. The response to the question included in the questionnaire: Have you
ever been diagnosed of depression by a physician? was compared to that obtained through the
SCID-I applied by a psychiatrist or a clinical psychologist. The percentages of confirmed
depression and non-depression were assessed for the overall sample and according to several
characteristics. Logistic regression models were fitted to ascertain the association between
different factors and a correct classification regarding depression status.
Results: The percentage of confirmed depression was 74.2%; 95% confidence interval (95%
CI) =63.3-85.1. Out of 42 participants who did not report a depression diagnosis in the
questionnaire, 34 were free of the disease (%confirmed non-depression=81.1%; 95% CI=69.1-
92.9). The probability of being a true positive was higher among ex- smokers and non-smokers
and among those overweight or obese but the differences were not statistically significant.
Conclusion: The validity of a self-reported diagnosis of depression in the SUN cohort is
adequate. Thus, this question about depression diagnosis could be used in further
investigations regarding this disease in this graduate cohort study. |
format | info:eu-repo/semantics/article |
id | oai:dadun.unav.edu:10171-7261 |
institution | Universidad de Navarra |
language | eng |
publishDate | 2010 |
publisher | Biomed Central |
record_format | dspace |
spelling | oai:dadun.unav.edu:10171-72612022-06-29T09:41:38Z Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). Sanchez-Villegas, A. (Almudena) Schlatter, J. (Javier) Ortuño-Sanchez-Pedreño, F. (Felipe) Lahortiga, F. (Francisca) Pla-Vidal, J. (Jorge) Benito-Corchon, S. (Silvia) Martinez-Gonzalez, M.A. (Miguel Ángel) Materias Investigacion::Ciencias de la Salud::Psiquiatría y psicología Materias Investigacion::Ciencias de la Salud::Medicina preventiva Abstract Background: Depression assessment in population studies is usually based on depressive symptoms scales. However, the use of scales could lead to the choice of an arbitrary cut-off point depending on the sample characteristics and on the patient diagnosis. Thus, the use of a medical diagnosis of depression could be a more appropriate approach. Objective: To validate a self-reported physician diagnosis of depression using the Structured Clinical Interview for DSM-IV (SCID-I) as Gold Standard and to assess the factors associated to a valid self-reported diagnosis. Methods: The SUN Project is a cohort study based on university graduates followed-up through postal questionnaires. The response to the question included in the questionnaire: Have you ever been diagnosed of depression by a physician? was compared to that obtained through the SCID-I applied by a psychiatrist or a clinical psychologist. The percentages of confirmed depression and non-depression were assessed for the overall sample and according to several characteristics. Logistic regression models were fitted to ascertain the association between different factors and a correct classification regarding depression status. Results: The percentage of confirmed depression was 74.2%; 95% confidence interval (95% CI) =63.3-85.1. Out of 42 participants who did not report a depression diagnosis in the questionnaire, 34 were free of the disease (%confirmed non-depression=81.1%; 95% CI=69.1- 92.9). The probability of being a true positive was higher among ex- smokers and non-smokers and among those overweight or obese but the differences were not statistically significant. Conclusion: The validity of a self-reported diagnosis of depression in the SUN cohort is adequate. Thus, this question about depression diagnosis could be used in further investigations regarding this disease in this graduate cohort study. 2010-05-26T16:53:29Z 2010-05-26T16:53:29Z 2008 info:eu-repo/semantics/article https://hdl.handle.net/10171/7261 eng info:eu-repo/semantics/openAccess application/pdf Biomed Central |
spellingShingle | Materias Investigacion::Ciencias de la Salud::Psiquiatría y psicología Materias Investigacion::Ciencias de la Salud::Medicina preventiva Sanchez-Villegas, A. (Almudena) Schlatter, J. (Javier) Ortuño-Sanchez-Pedreño, F. (Felipe) Lahortiga, F. (Francisca) Pla-Vidal, J. (Jorge) Benito-Corchon, S. (Silvia) Martinez-Gonzalez, M.A. (Miguel Ángel) Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). |
title | Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). |
title_full | Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). |
title_fullStr | Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). |
title_full_unstemmed | Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). |
title_short | Validity of a self-reported diagnosis of depression among participants in a cohort study using the Structured Clinical Interview for DSM-IV (SCID-I). |
title_sort | validity of a self-reported diagnosis of depression among participants in a cohort study using the structured clinical interview for dsm-iv (scid-i). |
topic | Materias Investigacion::Ciencias de la Salud::Psiquiatría y psicología Materias Investigacion::Ciencias de la Salud::Medicina preventiva |
url | https://hdl.handle.net/10171/7261 |
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