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What Do Depression Rating Scales Measure?

  • Philip Snaith (a1)

A large number of rating scales have been devised to assess the clinical construct of ‘depression’. These scales have been universally used in research with little consideration of their content, or how they relate to accepted definitions of depressive disorder. The scales are often arbitrarily selected and used for the study on the assumption that all measure the same construct. The item analysis of a number of the most widely used depression scales reveals a variation in the areas of psychopathology they cover; some scales place greater emphasis upon the assessment of anxiety than upon depressed mood. Since disturbance in neurobiological systems is manifest by specific aspects of affective and behavioural malfunction, and since psychodynamic factors lead to particular cognitive sets, the advancement of research will depend upon the construction and validation of more refined measures than are provided by the present approach.

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American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.
Bech, P., Gram, L. F., Dein, E., et al (1975) Quantitative rating of depressive states. Acta Psychiatrica Scandinavica, 51, 161170.
Bech, P., Gram, L. F., Dein, E., & Rafaelsen, O. J. (1980) The use of rating scales exemplified by a comparison of the Hamilton and the Bech-Rafaelsen Melancholia Scale. Acta Psychiatrica Scandinavica, 62 (suppl. 285), 128131.
Bech, P., Gram, L. F., Dein, E., & Rafaelsen, O. J. (1986) The Melancholia Scale: development consistency, validity and utility. In Assessment of Depression (eds Sartorius, N. & Ban, T. A.). Berlin: Springer-Verlag.
Bech, P., Gram, L. F., Dein, E., & Rafaelsen, O. J., Allerup, P. Gram, L., et al (1981) The Hamilton Depression Scale: evaluation of objectivity using logistic models. Acta Psychiatrica Scandinavica, 63, 290299.
Beck, A. T., Ward, C. H., Mendelson, M., et al (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.
Beck, A. T., Ward, C. H., Mendelson, M., Weissman, A., Lester, D., et al (1974) The measurement of pessimism: the hopelessness scale. Journal of Consulting and Clinical Psychology, 41, 861865.
Birley, J. L. T. (1990) DSM-III; from left to right or from right to left? British Journal of Psychiatry, 157, 116118.
Carroll, B. J., Fielding, J. M. & Blashki, T. G. (1973) Depression rating scales. Archives of General Psychiatry, 28, 361366.
Carroll, B. J., Fielding, J. M. & Blashki, T. G., Feinberg, M., Smouse, P. E., et al (1981) The Carroll Rating Scale for Depression (CRS). British Journal of Psychiatry, 138, 194200.
Cooper, P. J. & Fairburn, C. G. (1986) The depressive symptoms of bulimia nervosa. British Journal of Psychiatry, 148, 268274.
Costello, C. G. (1992) Research on symptoms versus research on syndromes. British Journal of Psychiatry, 160, 304308.
Cox, J. L., Holden, J. M. & Sagovsky, R. (1987) Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. British Journal of Psychiatry, 150, 782786.
Cronholm, M. B. & Ottosson, J. O. (1960) Experimental studies of the therapeutic action of electroconvulsive therapy in endogenous depression. Acta Psychiatrica Neurologica Scandinavica, 35 (suppl. 145), 69101.
Derogatis, L. R., Lipman, R. S. & Covi, L. (1973) The SCL-90: an out-patient psychiatric rating scale. Psychopharmacology Bulletin, 9, 1328.
Endicott, J. & Spitzer, R. L. (1978) The diagnostic interview: the Schedule for Affective Disorders and Schizophrenia (SADS). Archives of General Psychiatry, 35, 837844.
Feighner, J. P., Robbins, E., Guze, S. B., et al (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.
Hamilton, M. (1960) A rating scale for depression. Journal of Neurology, Neurosurgery and Psychiatry, 23, 5662.
Hamilton, M. (1967) Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278296.
Hamilton, M. & White, J. M. (1959) Clinical syndromes in depressive states. Journal of Mental Science, 105, 985998.
Hedlund, J. L. & Vieweg, B. W. (1980) The Brief Psychiatric Rating scale: a comprehensive review. Journal of Operational Psychiatry, 11, 4865.
Kazdin, A. E. & Petti, T. A. (1982) Self-report and interview measures of childhood and adolescent depression. Journal of Child Psychology and Psychiatry, 23, 437457.
Katz, M. M., Koslow, S. H., Berman, N., et al (1984) A multiadvantaged approach to measurement of behavioural and affect states for clinical and psychobiological research. Psychological Reports, 55, 619671.
Lingjaerde, O. (1986) Standardised instruments used in the assessment of depression in Scandinavian countries. In Assessment of Depression (eds Sartorius, N. & Ban, T. A.). Berlin: Springer-Verlag.
Lipman, R. S. (1986) Depression scales derived from the Hopkins symptom checklist. In Assessment of Depression (eds Sartorius, N. & Ban, T. A.). Berlin: Springer-Verlag.
Marsella, A. J., Hirschfeld, R. M. A. & Katz, M. M. (1987) The Measurement of Depression. Chichester: Wiley.
Meyer, A. (1905) Discussant in the classification of melancholias. Journal of Nervous And Mental Disease, 32, 112117.
Montgomery, S. A. & Asberg, M. A. (1979) A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382389.
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale (BPRS). Psychological Reports, 10, 799812.
Rabkin, J. G. & Klein, D. F. (1987) The clinical measurement of depressive disorders. In The Measurement of Depression (eds Marsella, A. J., Hirschfeld, R. M. A. & Katz, M.), pp. 3083. Chichester: Wiley.
Rehm, L. P. (1988) Assessment of depression. In Behavioural Assessment: Practical Handbook (3rd edn) (eds Bellack, A. S. & Hersen, M.). New York: Pergamon Press.
Radloff, L. S. (1977) The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurements, 1, 385401.
Sartorius, R. P. (1987) The concepts of mild depression. British Journal of Psychiatry, 150, 387393.
Sartorius, R. P., Constantopoulos, A. A., Jardine, M., et al (1978) A clinical scale for self-assessment of irritability, anxiety, and depression. British Journal of Psychiatry, 132, 164171.
Spitzer, R. L., Endicott, J. & Robbins, E. (1978) Research Diagnostic Criteria (RDC) rationale and reliability. Archives of General Psychiatry, 35, 773782.
Thase, M. E., Hersen, M., Bellack, A. S., et al (1983) Validation of a Hamilton subscale for endogenomorphic depression. Journal of Affective Disorders, 5, 267278.
van Praag, H. M. (1990) The DSM-IV (depression) classification: to be or not to be? Journal of Nervous and Mental Disease, 178, 147149.
van Praag, H. M. (1992) Reconquest of the subjective: against the waning of psychiatric diagnosis. British Journal of Psychiatry, 160, 266271.
von Zerssen, D. (1986) Clinical self-rating scales of the Munich Psychiatric Information System (PSYCHIS München). In Assessment of Depression (eds Sartorius, N. & Ban, T. A.). Berlin: Springer-Verlag.
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Diseases. Geneva: WHO.
Yesavage, J. R., Rose, T. L. & Lum, O. (1983) Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 3749.
Zigmond, A. S. & Snaith, R. P. (1983) The Hospital Anxiety and Depression Scale (HAD). Acta Psychiatrica Scandinavica, 67, 361370.
Zimmerman, M. (1983) Self-report depression scales. Archives of General Psychiatry, 40, 1035.
Zitman, F. G., Mennen, M. F. G., Greiz, E., et al (1990) Different versions of the Hamilton Depression Scale. In The Hamilton Scales (eds Beech, P. & Coppen, A.). Berlin: Springer-Verlag.
Zung, W. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 6370.
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What Do Depression Rating Scales Measure?

  • Philip Snaith (a1)
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