The DOI matches its Crossref record.
The Value of Self-Report Assessment in Studies of Anxiety Disorders
Abstract
This review compares the sensitivities of a physician-rated scale, the Hamilton Anxiety Scale (HAS), and a patient-rated scale, the Hopkins Symptom Checklist (HSCL), in detecting the anti-anxiety effects of benzodiazepines in a large sample of placebo-controlled trials. Scales and subscales were compared within the same study, a methodologic feature unique to this review. The total score, psychic factor, and somatic factor of the HAS were equally sensitive to the effects of benzodiazepines. The total score, anxiety factor, and somatization factor of the HSCL also were equally sensitive. The HAS total score, however, was consistently more sensitive than any of the HSCL scores. There was no evidence that physicians used side effects to make their ratings more sensitive. Sedative side effects, however, adversely affected the sensitivity of patient ratings. The data suggest that patient ratings reflect a cost-benefit computation taking account of both antianxiety and sedative effects.
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Self-ratings are typically subject to biases and misinterpretations.
“However, their inclusion is recommended, as self-ratings are typically subject to biases and misinterpretations (Glass et al., 1987; Möller, 2009).”
From Virtual Reality exposure therapy in the treatment of public speaking anxiety and social anxiety disorder (2024) · cites this paper as Glass et al., 1987
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Pariente, P., & Guelfi, J. (1990) · Psychiatry and Psychobiology · doi:10.1017/s0767399x00003370 · Cited by 63
Psychological Factors Associated with Chronic Dizziness in Patients Aged 60 and Older
Sloane, P. D., Hartman, M., & Mitchell, C. M. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb06556.x · Cited by 60
Evaluation of the psychometric properties of the Social Phobia Inventory in university students
Osório, F. D. L., Crippa, J. A. S., & Loureiro, S. R. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.03.004 · Cited by 55
“instruments for SP self-assessment were superior to the values obtained in the present study, supporting the hypothesis that the way of assessing the symptoms (self or hetero) implies differences in the final score of the instruments, especially in individuals identified as SAD cases [35].”
ResultBenasi, G., Fava, G. A., & Rafanelli, C. (2020) · Psychotherapy and Psychosomatics · doi:10.1159/000506110 · Cited by 50
Mohamed, S., Osatuke, K., Aslam, M., & Kasckow, J. (2006) · The American Journal of Geriatric Pharmacotherapy · doi:10.1016/j.amjopharm.2006.08.001 · Cited by 31
Seuling, P. D., Czernin, N. S., & Schiele, M. A. (2024) · Neuroscience Applied · doi:10.1016/j.nsa.2024.104074 · Cited by 28
“However, their inclusion is recommended, as self-ratings are typically subject to biases and misinterpretations (Glass et al., 1987; M ¨ oller, 2009).”
Osório, F. D. L., Crippa, J. A. S., & Loureiro, S. R. (2010) · Perspectives In Psychiatric Care · doi:10.1111/j.1744-6163.2010.00261.x · Cited by 28
Avaliação de um Treinamento de Habilidades Sociais (THS) com universitários e recém-formados
Bolsoni-Silva, A. T., Leme, V. B. R., Lima, A. M. A. D., et al. (2009) · Interação em Psicologia · doi:10.5380/psi.v13i2.13597 · Cited by 21
The Rating and Self-rating of Anxiety
Kellner, R., & UHLENHUTH, E. H. (1991) · The British Journal of Psychiatry · doi:10.1192/s0007125000296207 · Cited by 21
“Uhlenhuth et al (1982) and Glass et al (1987) surveyed drug trials in which a benzodiazepine was compared with placebo and in which more than one outcome measure was used, and carried out metaanalyses; only those pairs of scales were considered which had been used in an adequate number of drug…”
MethodSelf-citationDesenvolvimento da versão em português do Social Phobia and Anxiety Inventory (SPAI)
Picon, P., Gauer, G. J. C., Fachel, J. M. G., & Manfro, G. G. (2005) · Revista de Psiquiatria do Rio Grande do Sul · doi:10.1590/s0101-81082005000100005 · Cited by 18
Self- and observer assessment in anxiolytic drug trials: A comparison of their validity
Maier, W., Albus, M., Buller, R., Nutzinger, D. O., Shera, D. M., & Bech, P. (1990) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf02189979 · Cited by 11
Review of Self-Report Depression and Anxiety Measures
Leserman, J., & Koch, G. G. (1993) · Drug Information Journal · doi:10.1177/009286159302700245 · Cited by 10
“One excellent review of anxiety disorder treatment studies found that the total HSCL (precursor to the SCL-90), the anx iety scale, and the somatization scale were all less sensitive than the HAS in detecting anti-anxiety effects of benzodiazepines (52).”
BackgroundMeasuring the Efficacy of Psychotropic Drugs: Clinical Symptoms and Rating Scales
Maier, W., & Bech, P. (1990) · Springer eBooks · doi:10.1007/978-3-642-75370-1_8 · Cited by 2
Psychometrie, Rating-Skalen, Evaluation
Philipp, M. (1992) · Springer eBooks · doi:10.1007/978-3-7091-6674-1_4 · Cited by 1
Metadata
- Authors
- GLASS, R. M., UHLENHUTH, E. H., & KELLNER, R.
- Affiliations
- University of Chicago (US)
- University of New Mexico (US)
- Venue
- Journal of Clinical Psychopharmacology
- Published
- 1987-08
- Volume
- 7
- Issue
- 4
- Pages
- 215???221
- ISSN
- 0271-0749 (ISSN-L)
- OpenAlex
- W4300797178
- Cited by
- 14
- References
- 0
- Citations by year
- 2024: 1 · 2020: 1
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Psychopharmacology (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- self-report measures, anxiety disorders, Hamilton Anxiety Rating Scale, Hopkins Symptom Checklist, benzodiazepines, anxiolytic effects, sedative side effects, scale sensitivity
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