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Systematic review of patient-reported depression measures in rheumatoid arthritis

Kowoll, S.L. (2018) Systematic review of patient-reported depression measures in rheumatoid arthritis.

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Abstract:Psychological well-being is often disturbed in physical chronic disease conditions like rheumatoid arthritis [RA]. The purpose of this study was to assess the extent to which patient-reported outcome measures for depression are valid and reliable in this specific population, to gather evidence on measurement properties, and to give recommendations concerning the applicability of valid depression measures for different purposes. A systematic and comprehensive search of literature on the development or psychometric evaluation of patient-reported depression measures in RA was done and the included studies were reviewed. Content validity was assessed through examination of relevance and comprehensiveness of the items, items were linked to DSM-5 criteria for major depression. Further measurement property analyses were conducted with the COSMIN checklist and corresponding criteria. The included studies concerned two depression measures, Beck’s Depression Inventory [BDI] and the Center for Epidemiologic Studies Depression Scale [CES-D]. Evaluation of relevance and comprehensiveness revealed the BDI to be closer associated with DSM-5 criteria for major depression than the CES-D. The results of this review revealed that both measures consist of more than one factor and calculations of separate factor scores may be more informative than a total score. Besides, both measures are suspected to be contaminated by somatic items which may be caused by the rheumatic disease rather than by depressive symptomatology. Also, strong associations with measures of disability and anxiety were reported, limiting the measures’ ability to assess specific depressive symptomatology. All these aspects and recommendations for the use of these measures for different purposes are described and discussed in detail.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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