Cited by 273Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessPsychological Testing and Assessment

The relationship of self-reported distress to depressive disorders and other psychopathology

Fechner-Bates, Suzanne, Coyne, James C., Schwenk, Thomas L.·1994·Journal of Consulting and Clinical Psychology

Abstract

The relationship between self-reported depression and a clinical diagnosis of depression was investigated. Within 2 weeks of completing the Center for Epidemiologic Studies Depression Scale (CES-D), a stratified sample of 425 primary medical care patients received the structured interview for the DSM-III-R. In the weighted data set, the CES-D was significantly related to a diagnosis of depression but also to other Axis I disorders. Most distressed subjects were not depressed, a fifth of the patients with major depressive disorder (MDD) had low distress, and the CES-D performed as well in detecting anxiety as in detecting depression. MDD, other depression diagnoses, and anxiety and substance use disorders were all significant predictors of CES-D score. Differences in demographic variables, treatment history, and impairment highlight the nonequivalence of the self-report scale and diagnosable depression. The use of a self-report in place of an interview-based diagnostic measure in the study of depression, as well as the use of such a report as a screening device, is discussed.

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Crossref · 10.1037/0022-006x.62.3.550

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Authors
Fechner-Bates, S., Coyne, J. C., & Schwenk, T. L.
Affiliations
University of Michigan (US)
Venue
Journal of Consulting and Clinical Psychology
Published
1994
Volume
62
Issue
3
Pages
550-559
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2054700728
Cited by
273
References
0
Citations by year
2026: 2 · 2025: 1 · 2024: 5 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 8 · 2014: 10 · 2013: 9 · 2012: 17
FWCI
15.21
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R01-MH4376)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Keywords
self-reported distress, depressive disorders, major depressive disorder, CES-D, psychopathology, anxiety disorders, substance use disorders, Axis I disorders, screening, diagnostic validity, DSM-III-R
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Depressive Disorder, Female, Humans, Male, Middle Aged, Patient Care Team, Personality Assessment, Personality Inventory, Primary Health Care, Psychiatric Status Rating Scales, Psychometrics, Reproducibility of Results

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