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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Main Authors: 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)
Format: info:eu-repo/semantics/article
Language:eng
Published: Biomed Central 2010
Subjects:
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.
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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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