Differential reporting of depressive symptoms across distinct clinical subpopulations: What DIFference does it make?

Autor: Peter de Jonge, Brenda W.J.H. Penninx, Ronald C. Kessler, Rob B.K. Wanders, Klaas J. Wardenaar, Rob R. Meijer
Přispěvatelé: EMGO+ - Mental Health, Psychiatry, EMGO - Mental health, Psychometrics and Statistics, Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), Life Course Epidemiology (LCE), Clinical Cognitive Neuropsychiatry Research Program (CCNP)
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Psychosomatic Research, 78(2), 130-136. Elsevier Inc.
Journal of Psychosomatic Research, 78(2), 130-136. PERGAMON-ELSEVIER SCIENCE LTD
Wanders, R B, Wardenaar, K J, Kessler, R C, Penninx, B W, Meijer, R R & de Jonge, P 2015, ' Differential reporting of depressive symptoms across distinct clinical subpopulations: What DIFference does it make? ', Journal of Psychosomatic Research, vol. 78, no. 2, pp. 130-136 . https://doi.org/10.1016/j.jpsychores.2014.08.014
ISSN: 1879-1360
0022-3999
DOI: 10.1016/j.jpsychores.2014.08.014
Popis: OBJECTIVE: To investigate the impact of differences in depressive symptom reporting across clinical groups (healthcare setting, chronic illness, depression diagnosis and anxiety diagnosis) on clinical interpretability and comparability of depression scores.METHODS: Participants from the Netherlands Study of Depression and Anxiety (n=2981) completed the self-report Inventory of Depressive Symptomatology (IDS-SR). Differences in depressive symptom reporting between distinct clinical subpopulations were assessed using a Differential Item Functioning (DIF) analysis. The effects of DIF on symptom level were evaluated by examining whether DIF-adjustment had clinically relevant effects.RESULTS: Significant DIF was detected across all tested clinical subpopulation groupings. Clinically relevant DIF was found on the symptom level for 13 IDS-SR items. However, impact of DIF on the aggregate level ranged from small to negligible: adjustment for DIF only led to salient changes in aggregate scores for 0.2-12.7% of individuals across tested sources of DIF.CONCLUSION: Differences in endorsement patterns of depressive symptoms were observed across clinical populations, challenging the assumptions regarding the measurement properties of self-reported depression. However, effects of DIF on the aggregate level of IDS-SR total scores were found to be minimal and not clinically important. The IDS-SR thus seems robust against DIF across clinical populations.
Databáze: OpenAIRE