Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale

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Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale. / Vindbjerg, Erik; Makransky, Guido; Mortensen, Erik Lykke; Carlsson, Jessica.

I: The Canadian Journal of Psychiatry, Bind 64, Nr. 1, 2019, s. 39–46.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Vindbjerg, E, Makransky, G, Mortensen, EL & Carlsson, J 2019, 'Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale', The Canadian Journal of Psychiatry, bind 64, nr. 1, s. 39–46. https://doi.org/10.1177/0706743718772516

APA

Vindbjerg, E., Makransky, G., Mortensen, E. L., & Carlsson, J. (2019). Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale. The Canadian Journal of Psychiatry, 64(1), 39–46. https://doi.org/10.1177/0706743718772516

Vancouver

Vindbjerg E, Makransky G, Mortensen EL, Carlsson J. Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale. The Canadian Journal of Psychiatry. 2019;64(1):39–46. https://doi.org/10.1177/0706743718772516

Author

Vindbjerg, Erik ; Makransky, Guido ; Mortensen, Erik Lykke ; Carlsson, Jessica. / Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale. I: The Canadian Journal of Psychiatry. 2019 ; Bind 64, Nr. 1. s. 39–46.

Bibtex

@article{21fdad40eecc41f6b45191e98d86ac97,
title = "Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale",
abstract = "Objective: The Hamilton Depression Rating Scale (HDRS) is considered the gold standard measure of depression. The factor structure of the HDRS is generally unstable, but 4 to 8 items appear to form a general depression factor. As transcultural studies of the HDRS have received little attention, and as most of the studies have taken a data-driven approach with a tendency to yield fragmented results, it is not clear if an HDRS general depression factor can also be found in non-Western populations. This is an important issue in deciding on the appropriateness of the scale as a gold standard in transcultural psychiatry.Method: A systematic review was carried out to compare previously reported factor structures of the HDRS in non-Western cultures. Overlapping clusters across studies were identified and subsequently tested with confirmatory factor analysis (CFA) of responses from an independent sample.Results: Fourteen relevant studies were identified, 12 of which were obtained. A general depression factor was identified, consisting of the following symptoms: depressed mood, guilt, loss of interests, retardation, suicide, and psychological anxiety. The subsequent CFA analysis supported the fit of this model.Conclusions: This study indicates that a general depression cluster is manifest in responses to the HDRS across cultures. While psychometric properties of the full-length HDRS are still debated, the general depression cluster appears pertinent to the assessment of depression across cultures. We recommend that cross-cultural clinicians and researchers focus on the use of unidimensional depression scales, which are in agreement with this cluster.",
keywords = "Faculty of Social Sciences, factor structure, depression, Hamilton Depression Rating Scale, cross-cultural",
author = "Erik Vindbjerg and Guido Makransky and Mortensen, {Erik Lykke} and Jessica Carlsson",
year = "2019",
doi = "10.1177/0706743718772516",
language = "English",
volume = "64",
pages = "39–46",
journal = "Canadian Journal of Psychiatry",
issn = "0706-7437",
publisher = "Canadian Psychiatric Association",
number = "1",

}

RIS

TY - JOUR

T1 - Cross-Cultural Psychometric Properties of the Hamilton Depression Rating Scale

AU - Vindbjerg, Erik

AU - Makransky, Guido

AU - Mortensen, Erik Lykke

AU - Carlsson, Jessica

PY - 2019

Y1 - 2019

N2 - Objective: The Hamilton Depression Rating Scale (HDRS) is considered the gold standard measure of depression. The factor structure of the HDRS is generally unstable, but 4 to 8 items appear to form a general depression factor. As transcultural studies of the HDRS have received little attention, and as most of the studies have taken a data-driven approach with a tendency to yield fragmented results, it is not clear if an HDRS general depression factor can also be found in non-Western populations. This is an important issue in deciding on the appropriateness of the scale as a gold standard in transcultural psychiatry.Method: A systematic review was carried out to compare previously reported factor structures of the HDRS in non-Western cultures. Overlapping clusters across studies were identified and subsequently tested with confirmatory factor analysis (CFA) of responses from an independent sample.Results: Fourteen relevant studies were identified, 12 of which were obtained. A general depression factor was identified, consisting of the following symptoms: depressed mood, guilt, loss of interests, retardation, suicide, and psychological anxiety. The subsequent CFA analysis supported the fit of this model.Conclusions: This study indicates that a general depression cluster is manifest in responses to the HDRS across cultures. While psychometric properties of the full-length HDRS are still debated, the general depression cluster appears pertinent to the assessment of depression across cultures. We recommend that cross-cultural clinicians and researchers focus on the use of unidimensional depression scales, which are in agreement with this cluster.

AB - Objective: The Hamilton Depression Rating Scale (HDRS) is considered the gold standard measure of depression. The factor structure of the HDRS is generally unstable, but 4 to 8 items appear to form a general depression factor. As transcultural studies of the HDRS have received little attention, and as most of the studies have taken a data-driven approach with a tendency to yield fragmented results, it is not clear if an HDRS general depression factor can also be found in non-Western populations. This is an important issue in deciding on the appropriateness of the scale as a gold standard in transcultural psychiatry.Method: A systematic review was carried out to compare previously reported factor structures of the HDRS in non-Western cultures. Overlapping clusters across studies were identified and subsequently tested with confirmatory factor analysis (CFA) of responses from an independent sample.Results: Fourteen relevant studies were identified, 12 of which were obtained. A general depression factor was identified, consisting of the following symptoms: depressed mood, guilt, loss of interests, retardation, suicide, and psychological anxiety. The subsequent CFA analysis supported the fit of this model.Conclusions: This study indicates that a general depression cluster is manifest in responses to the HDRS across cultures. While psychometric properties of the full-length HDRS are still debated, the general depression cluster appears pertinent to the assessment of depression across cultures. We recommend that cross-cultural clinicians and researchers focus on the use of unidimensional depression scales, which are in agreement with this cluster.

KW - Faculty of Social Sciences

KW - factor structure

KW - depression

KW - Hamilton Depression Rating Scale

KW - cross-cultural

U2 - 10.1177/0706743718772516

DO - 10.1177/0706743718772516

M3 - Journal article

C2 - 29719964

VL - 64

SP - 39

EP - 46

JO - Canadian Journal of Psychiatry

JF - Canadian Journal of Psychiatry

SN - 0706-7437

IS - 1

ER -

ID: 196473107