The subscale structure of the Inventory of Depressive Symptomatology Self Report (IDS-SR) in older persons

Autor: Hannie C. Comijs, R.C. van der Mast, Klaas J. Wardenaar, Rob M. Kok, Johanna M Hegeman, M.W.M. de Waal
Přispěvatelé: Psychiatry, EMGO - Mental health
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: Journal of Psychiatric Research, 46(10), 1383-1388. Elsevier Limited
Hegeman, J M, Wardenaar, K J, Comijs, H C, de Waal, M W M, Kok, R M & van der Mast, R C 2012, ' The subscale structure of the Inventory of Depressive Symptomatology Self Report (IDS-SR) in older persons ', Journal of Psychiatric Research, vol. 46, no. 10, pp. 1383-1388 . https://doi.org/10.1016/j.jpsychires.2012.07.008
ISSN: 0022-3956
DOI: 10.1016/j.jpsychires.2012.07.008
Popis: Background Using symptom dimensions may be more effective than using categorical subtypes when investigating clinical outcome and underlying mechanisms of late-life depression. Therefore, this study aims to identify both the factor and subscale structure of late-life depression underlying the Inventory of Depressive Symptomatology Self Report (IDS-SR) in older persons. Method IDS-SR data of 423 participants in the Netherlands Study of Depression in Older Persons (NESDO) were analyzed by exploratory (EFA) and confirmatory factor analysis (CFA). The best-fitting factor solution in a group of older persons with a major depressive disorder diagnosis in the last month ( n = 229) was replicated in a control group of older persons with no or less severe depression ( n = 194). Multiple group (MG-CFA) was performed to evaluate generalizability of the best-fitting factor solution across subgroups, and internal consistency coefficients were calculated for each factor. Results EFA and CFA show that a 3-factor model fits best to the data [comparative fit index (CFI) = 0.98; Tucker Lewis Index (TLI) = 0.99; and root mean square error of approximation (RMSEA) = 0.052], consisting of a ‘mood’, ‘motivation’ and ‘somatic’ factor with adequate internal consistencies (alpha coefficient 0.93, 0.83 and 0.70, respectively). MG-CFA shows a structurally similar factor model across subgroups. Conclusion The IDS-SR can be used to measure three homogeneous symptom dimensions that are specific to older people. Application of these dimensions that may serve as subscales of the IDS-SR may benefit both clinical practice and scientific research.
Databáze: OpenAIRE