Measuring Depression at the End of Life: Is the Hamilton Depression Rating Scale a Valid Instrument?

Autor/inn/en	Olden, Megan; Rosenfeld, Barry; Pessin, Hayley; Breitbart, William
Titel	Measuring Depression at the End of Life: Is the Hamilton Depression Rating Scale a Valid Instrument?
Quelle	In: Assessment, 16 (2009) 1, S.43-54 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1073-1911
DOI	10.1177/1073191108320415
Schlagwörter	Quality of Life; Validity; Suicide; Rating Scales; Patients; Factor Analysis; Depression (Psychology); Mental Disorders; Mental Health; Decision Making; Test Validity; Test Reliability; Psychometrics; Cancer; Terminal Illness; Hospitals; Clinical Diagnosis; Psychological Patterns; Death; Anxiety; Emotional Response; Symptoms (Individual Disorders); Sleep; Psychomotor Skills; Behavior Disorders; Correlation; Hamilton Rating Scale for Depression + Suchen Sie Ihr Suchwort? Lebensqualität; Gültigkeit; Selbstmord; Rating-Skala; Patient; Faktorenanalyse; Mental illness; Geisteskrankheit; Psychohygiene; Decision-making; Entscheidungsfindung; Testvalidität; Testreliabilität; Psychometry; Psychometrie; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Krankengymnast; Krankenhaus; Sterbefall; Tod; Todesfall; Angst; Emotionales Verhalten; Psychiatrische Symptomatik; Schlaf; Psychomotorische Aktivität; Korrelation
Abstract	Depression at the end of life is a common mental health issue with serious implications for quality of life and decision making. This study investigated the reliability and validity of one of the most frequently used measures of depression, the Hamilton Depression Rating Scale (HAM-D) in 422 patients with terminal cancer admitted to a palliative care hospital. The HAM-D demonstrated high reliability and concurrent validity with depression diagnosis, based on Structured Clinical Interview for DSM-IV Axis I Disorders, non-patient research version (SCID-I/NP Depression Module). Receiver Operating Characteristic (ROC) analyses generated an area under the curve of .91, indicating high sensitivity and specificity. The HAM-D strongly correlated with several measures of distress (e.g., hopelessness, desire for hastened death, and suicidal ideation). Factor analysis generated 4 factors (anxiety, depressed mood, insomnia, and somatic symptoms), accounting for 42% of the variance. Implications for assessing depression in this population are discussed. (Contains 5 tables, 2 figures, and 2 notes.) (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10