Format

Send to

Choose Destination
See comment in PubMed Commons below
Aging Ment Health. 2009 Nov;13(6):899-904. doi: 10.1080/13607860903046479.

Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients.

Author information

1
Department of Psychiatry, Faculty of Medicine, Thammasat University, Klong Luang, Pathumthani, Thailand. tawanchaij@gmail.com

Abstract

OBJECTIVES:

To assess the concurrent and the construct validity of the Euro-D in older Thai persons.

METHOD:

Eight local psychiatrists used the major depressive episode section of the Mini International Neuropsychiatric Interview to interview 150 consecutive psychiatric clinic attendees. A trained interviewer administered the Euro-D. We used receiver operating characteristic (ROC) analysis to assess the overall discriminability of the Euro-D scale and principal components factor analysis to assess its construct validity.

RESULTS:

The area under the ROC curve for the Euro-D with respect to major depressive episode was 0.78 [95% confidence interval (CI) 0.70-0.90] indicating moderately good discriminability. At a cut-point of 5/6 the sensitivity for major depressive episodes is 84.3%, specificity 58.6%, and kappa 0.37 (95% CI 0.22-0.52) indicating fair concordance. However, at the 3/4 cut-point recommended from European studies there is high sensitivity (94%) but poor specificity (34%). The principal components analysis suggested four factors. The first two factors conformed to affective suffering (depression, suicidality and tearfulness) and motivation (interest, concentration and enjoyment). Sleep and appetite constituted a separate factor, whereas pessimism loaded on its own factor.

CONCLUSION:

Among Thai psychiatric clinic attendees Euro-D is moderately valid for major depression. A much higher cut-point may be required than that which is usually advocated. The Thai version also shares two common factors as reported from most of previous studies.

PMID:
19888710
PMCID:
PMC2851122
DOI:
10.1080/13607860903046479
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Taylor & Francis Icon for PubMed Central
    Loading ...
    Support Center