The Relations Between Observer-Rating and Self-Report of Depressive Symptomatology

Sources of discrepancy between the Hamilton Rating Scale for Depression (HRSD) and the Beck Depression Inventory (BDI) were investigated in 114 depressed inpatients treated with electroconvulsive therapy. Three previously reported observations were found to occur within the same sample: (a) There wa...

Full description

Saved in:
Bibliographic Details
Published in:Psychological assessment 1993-09, Vol.5 (3), p.350-360
Main Authors: Sayer, Nina A, Sackeim, Harold A, Moeller, James R, Prudic, Joan, Devanand, D. P, Coleman, Eliza A, Kiersky, Judith E
Format: Article
Language:English
Subjects:
Beck Depression Inventory
Biological and medical sciences
Human
Major Depression
Medical sciences
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Rating Scales
Techniques and methods
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Sources of discrepancy between the Hamilton Rating Scale for Depression (HRSD) and the Beck Depression Inventory (BDI) were investigated in 114 depressed inpatients treated with electroconvulsive therapy. Three previously reported observations were found to occur within the same sample: (a) There was only a moderate baseline correlation between the measures; (b) this correlation improved markedly at later assessment; (c) the HRSD had a greater effect size for change. The modest baseline correlation was largely due to patients who rated themselves as substantially less depressed than clinicians had rated them. Improvement in the correlation with repeated assessment was due to the representation of clinical responders. The larger effect size with the HRSD was mainly attributable to a small subgroup that showed marked deterioration on the BDI, a phenomenon not observed with clinician evaluation.
ISSN:1040-3590
1939-134X
DOI:10.1037/1040-3590.5.3.350