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Compr Psychiatry. 2014 May;55(4):866-9. doi: 10.1016/j.comppsych.2013.12.019. Epub 2013 Dec 30.

Comparison of self-report and structured clinical interview in the identification of depression.

Author information

  • 1Deakin University, School of Medicine, Geelong, Australia. Electronic address: amandh@barwonhealth.org.au.
  • 2Deakin University, School of Medicine, Geelong, Australia; NorthWest Academic Centre, The University of Melbourne, Sunshine Hospital, St Albans, Australia; Barwon Health, Geelong, Australia. Electronic address: juliep@barwonhealth.org.au.
  • 3Deakin University, School of Medicine, Geelong, Australia; The University of Melbourne, Department of Psychiatry, Parkville, Australia. Electronic address: felice@barwonhealth.org.au.
  • 4Deakin University, School of Medicine, Geelong, Australia; NorthWest Academic Centre, The University of Melbourne, Sunshine Hospital, St Albans, Australia; Australian Institute for Musculoskeletal Sciences, St Albans, Australia. Electronic address: sharob@barwonhealth.org.au.
  • 5Deakin University, School of Medicine, Geelong, Australia; The University of Melbourne, Department of Psychiatry, Parkville, Australia; Orygen Youth Health Research Centre, Parkville, Australia; Florey Institute for Neuroscience and Mental Health, Parkville, Australia. Electronic address: mikebe@barwonhealth.org.au.
  • 6Deakin University, School of Medicine, Geelong, Australia; The University of Melbourne, Department of Psychiatry, Parkville, Australia. Electronic address: lanaw@barwonhealth.org.au.

Abstract

BACKGROUND:

A self-report method seeking a binary response for assessing depression is a cost-effective and time-efficient way to obtain a psychiatric history, yet the reliability of this method is largely unknown. The aim of the study was to compare and assess the validity of two methods for identifying a past history of depression in a population-based study.

METHODS:

This study examined data collected from 891 men and 1086 women participating in the Geelong Osteoporosis Study. Self-reports of depression were compared with results obtained using the Structured Clinical Interview for DSM-IV-TR Research Version, Non-patient edition (SCID-I/NP).

RESULTS:

Using the SCID-I/NP, 146 (16.4%) men and 285 (26.2%) women met criteria for a lifetime depression. Of those participants, 61.0% (n=263) self-reported a history of depression. The level of agreement between self-reporting depression and the SCID-I/NP depression module was reasonably high; 61% sensitivity, 89.5% specificity and the overall level of agreement (kappa) was 0.5.

LIMITATIONS:

Results may not be generalizable to other self-report instruments or be suitable for use in clinical samples.

CONCLUSION:

The SCID-I/NP remains the gold standard for identifying depression; however, given the moderate level of agreement between the self-report questionnaire and SCID-I/NP in our current study, we conclude that simple self-report methods can be used to identify depression with some degree of confidence.

Copyright © 2014 Elsevier Inc. All rights reserved.

PMID:
24467941
[PubMed - indexed for MEDLINE]
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