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Clinical Utility of the Inventory of Depression and Anxiety Symptoms (IDAS)
Abstract
Depressive and anxiety disorders are severe and disabling conditions that result in substantial cost and global societal burden. Accurate and efficient identification is thus vital to proper diagnosis and treatment of these disorders. The Inventory of Depression and Anxiety Symptoms (IDAS) is a reliable and well-validated measure that provides dimensional assessment of both mood and anxiety disorder symptoms. The current study examined the clinical utility of the IDAS by establishing diagnostic cutoff scores and severity ranges using a large mixed sample (N = 5,750). Results indicated that the IDAS scales are good to excellent predictors of their associated Structured Clinical Interview for DSM-IV diagnoses. These findings were replicated using Diagnostic and Statistical Manual of Mental Disorders–Fifth edition (DSM-5) criteria assessed via the Mini-International Neuropsychiatric Interview. We provide three cutoff scores for each scale that can be used differentially depending on the goal of their use: screening, efficiency, or diagnosis confirmation. The identified severity ranges allow users to characterize individuals as mild, moderate, or severe, providing clinical information beyond diagnostic status. Finally, the 10-item IDAS Dysphoria scale and 20-item General Depression scale demonstrate strong ability to predict internalizing diagnoses and may represent an efficient way to screen for the presence of internalizing psychopathology.
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“Recently, severity (mild, moderate, severe) thresholds have been introduced for 12 of the subscales including general depression, dysphoria, lassitude, insomnia, suicidality, appetite loss, appetite gain, well-being, ill-temper, panic, social anxiety, and traumatic intrusions [258].”
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Metadata
- Authors
- Stasik-O’Brien, S. M., Brock, R. L., Chmielewski, M., Naragon-Gainey, K., Koffel, E., McDade-Montez, E., O’Hara, M. W., & Watson, D.
- Affiliations
- Knox College (US)
- University of Nebraska–Lincoln (US)
- Southern Methodist University (US)
- The State University of New York, Buffalo, NY, USA
- Minneapolis VA Health Care System (US)
- ETR Associates, Scotts Valley, CA, USA
- University of Iowa (US)
- University of Notre Dame (US)
- Corresponding author
- Stasik-O’Brien, Sara M.
- ORCID
- Venue
- Assessment
- Publisher
- SAGE Publications
- Published
- 2018-07-25
- Volume
- 26
- Issue
- 5
- Pages
- 944-960
- ISSN
- 1073-1911 (ISSN-L)
- 1552-3489
- OpenAlex
- W2884815064
- Cited by
- 106
- References
- 57
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 15 · 2023: 21 · 2022: 19 · 2021: 17 · 2020: 6 · 2019: 9 · 2018: 1
- FWCI
- 11.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Assessment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R01-MH068472)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- depression, anxiety disorders, diagnostic thresholds, screening, internalizing psychopathology, dysphoria, depression severity, DSM-IV, DSM-5
- MeSH terms
- Anxiety Disorders, Depression, Female, Humans, Male, Psychiatric Status Rating Scales, Severity of Illness Index
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