TY  - JOUR
PY  - 2016//
TI  - Evaluating the psychometric properties and responsiveness to change of three depression measures in a sample of persons with traumatic spinal cord injury and major depressive disorder
JO  - Archives of physical medicine and rehabilitation
A1  - Williams, Ryan
A1  - Heinemann, Allen
A1  - Neumann, Holly Demark
A1  - Fann, Jesse R.
A1  - Forchheimer, Martin
A1  - Richardson, Elizabeth
A1  - Bombardier, Charles H.
SP  - 929
EP  - 937
VL  - 97
IS  - 6
N2  - OBJECTIVES: To compare the measurement properties and responsiveness to change of the Patient Health Questionnaire-9 (PHQ-9), the Hopkins Symptom Checklist (HSCL-20) and the Hamilton Depression Rating Scale (HAM-D) in people with spinal cord injury (SCI) diagnosed with major depressive disorder (MDD). <br><br>DESIGN: Secondary analysis of depression symptoms measured at 6 occasions over 12 weeks as part of a randomized control trial of venlafaxine XR for MDD in persons with SCI. SETTING: Outpatient and community settings. PARTICIPANTS: 133 individuals consented and completed the drug trial. Eligibility criteria were age at least 18 years old; traumatic SCI; and diagnosis of MDD. INTERVENTION: venlafaxine XR. MAIN OUTCOME MEASURES: Patients completed the PHQ-9 and the HSCL-20 depression scales; clinical investigators completed the HAM-D and the Structured Clinical Interview for DSM-IV Depression Module (SCID-D), which was used as a diagnostic criterion measure. <br><br>RESULTS: All 3 instruments were improved with rating scale analysis. The HSCL-20 and HAM-D contained items that misfit the underlying construct and that correlated weakly with the total measures. Removing these items improved the internal consistency with floor effects increasing slightly. The HAM-D correlated most strongly with SCID-D diagnoses. Depression improvement was similar on all measures in both treatment and control groups. <br><br>CONCLUSIONS: The psychometric properties of the revised depression instruments are more than adequate for routine use in adults with SCI and are responsive to clinical improvement. The PHQ-9 is the simplest instrument, with measurement properties as good as or better than those of the other instruments and requiring the fewest modifications.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2016.01.017
ID  - ref1
ER  -