Cited by 206Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesTreatment of Major DepressionPsychological Testing and Assessment

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Getting What You Ask For: On the Selectivity of Depression Rating Scales

Demyttenaere, Koen, De Fruyt, Jürgen·2003·Psychotherapy and Psychosomatics

DOI 10.1159/000068690

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Abstract

A large number of rating scales has been developed to assess depression severity and change during antidepressant therapy. When reviewing the literature, the choice of the rating scales used in a particular study often seems arbitrary. The most frequently used observer rating scales, the Hamilton Depression Rating Scale (HDRS) and the Montgomery-Asberg Depression Rating Scale (MADRS), and the most frequently used self-rating scale (the Beck Depression Inventory, or BDI) were developed more than 20 years ago. Their historical background is too often forgotten and they are reflections of their origin: the HDRS and the MADRS reflect antidepressant activity while the BDI reflects psychotherapy. Moreover, the HDRS is at risk of putting 'all depressions in one basket', while the MADRS is at risk of putting 'all antidepressants in one basket'. Therefore, the question whether a particular antidepressant could be more effective in a particular subtype of depression cannot be answered. Observer rating scales are more frequently used than self-rating scales, and when scales are used that do exist in an observer rating and a self-rating version, interesting differences are found. The present paper does not suggest that one scale is better than another, but suggests that a better knowledge of their differential background can help the researcher choose the correct scale for his purposes.

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Method

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10.1037//1040-3590.5.3.350 · DOI
10.1037//0022-3514.54.6.1063 · DOI · Paper page

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“A scoring system developed by Demyttenaere and De Fruyt [24] was applied when analyzing the intensity of depressive episode symptoms.”
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“is written by both European and American authors. Hopefully, this is a sign of the beginning of a broader, more comprehensive research on psychological well-being and its significance and contribution to overall mental health. Measuring of PsychopathologyAn interesting article by Demyttenaere and De Fruyt [”
Background
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“This discrepancy between routine clinical response assessment (i.e., CGI) and the low-dimensional measure of mood improvement (PC1 scores) likely stems from the broad range of symptoms captured in the PCA (Demyttenaere & De Fruyt, 2003;Maier & Philipp, 1985 ; Möller, 2001).”
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“All enrolled StD participants were required to have an HDRS score between 8 and 20 points (Demyttenaere & De Fruyt, 2003), a CESD score ≥ 16 points (Buntrock et al., 2016; Jiang et al., 2019), and a YMRS score of <7 points.”
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Authors: Demyttenaere, K., & De Fruyt, J.
Affiliations: Universitair Ziekenhuis Leuven (BE)
ORCID: Demyttenaere, Koen
Venue: Psychotherapy and Psychosomatics
Publisher: S. Karger AG
Published: 2003
Volume: 72
Issue: 2
Pages: 61-70
ISSN: 0033-3190 (ISSN-L)
1423-0348
DOI: 10.1159/000068690
OpenAlex: W2056648954
Cited by: 206
References: 66
Citations by year: 2026: 5 · 2025: 6 · 2024: 2 · 2023: 3 · 2022: 10 · 2021: 7 · 2020: 7 · 2019: 32 · 2018: 18 · 2017: 6 · 2016: 7 · 2015: 10 · 2014: 6 · 2013: 10 · 2012: 11
FWCI: 11.87
Type: journal article
Language: en
Open access: closed
Licence: www.karger.com/Services/SiteLicenses (vor)
www.karger.com/Services/SiteLicenses (tdm)
Locations: Psychotherapy and Psychosomatics (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
Keywords: depression rating scales, Hamilton Depression Rating Scale, Montgomery-Asberg Depression Rating Scale, Beck Depression Inventory, observer rating scale, self-rating scale, antidepressant efficacy, depression subtypes, depression severity assessment
MeSH terms: Antidepressive Agents, Clinical Trials as Topic, Depressive Disorder, Humans, Psychological Tests, Sensitivity and Specificity, Reproducibility of Results, Bias

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Getting What You Ask For: On the Selectivity of Depression Rating Scales

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