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Reliability and validity of the Symptoms of Depression Questionnaire (SDQ)

Published online by Cambridge University Press:  02 October 2014

Paola Pedrelli*
Affiliation:
Psychology Department, Massachussetts General Hospital, Boston, Massachusetts, USA
Mark A. Blais
Affiliation:
Psychology Department, Massachussetts General Hospital, Boston, Massachusetts, USA
Jonathan E. Alpert
Affiliation:
Depression Clinical and Research Program, Massachussetts General Hospital, Boston, Massachusetts, USA
Richard C. Shelton
Affiliation:
Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
Rosemary S. W. Walker
Affiliation:
Depression Clinical and Research Program, Massachussetts General Hospital, Boston, Massachusetts, USA
Maurizio Fava
Affiliation:
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
*
*Address for correspondence: Paola Pedrelli, Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Bowdoin Square, 6th Fl, Boston, MA 02114, USA. (Email: [email protected])

Abstract

Current measures for major depressive disorder focus primarily on the assessment of depressive symptoms, while often omitting other common features. However, the presence of comorbid features in the anxiety spectrum influences outcome and may effect treatment. More comprehensive measures of depression are needed that include the assessment of symptoms in the anxiety–depression spectrum. This study examines the reliability and validity of the Symptoms of Depression Questionnaire (SDQ), which assesses irritability, anger attacks, and anxiety symptoms together with the commonly considered symptoms of depression. Analysis of the factor structure of the SDQ identified 5 subscales, including one in the anxiety–depression spectrum, with adequate internal consistency and concurrent validity. The SDQ may be a valuable new tool to better characterize depression and identify and administer more targeted interventions.

Type
Original Research
Copyright
© Cambridge University Press 2014 

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References

1.Centers for Disease Control and Prevention. Current depression among adults—United States, 2006 and 2008. MMWR Morb Mortal Wkly Rep. 2010; 59(38): 12291235.Google Scholar
2.World Health Organization. The Global Burden of Disease: 2004 Update. Geneva: World Health Organization; 2008.Google Scholar
3.Uher, R, Payne, JL, Pavlova, B, Perlis RH. Major depressive disorder in DSM-5: implications for clinical practice and research of changes from DSM-IV. Depress Anxiety. 2014; 31(6): 459471.Google Scholar
4.Stein, MB, Kirk, P, Prablin, V, Grott, M, Terepa, M. Mixed anxiety depression in primary care clinic. J Affect Disord. 1995; 34(2): 7989.Google Scholar
5.Vollebergh, WA, Ledema, J, Biji, RV, de Graaf, R, Smit, F, Ormel, J. The structure and stability of common mental disorders: the NEMESIS study. Arch Gen Psychiatry. 2001; 58(6): 597603.Google Scholar
6.Lowe, B, Spitzer, RL, Williams, JB, Mussell, M, Schellberg, D, Kroenke, K. Depression, anxiety and somatization in primary care: syndrome overlap and functional impairment. Gen Hosp Psychiatry. 2008; 30(3): 191199.Google Scholar
7.Kendler, KS, Prescott, CA, Myers, J, Neale, MC. The structure of genetic and environmental risk factors for common psychiatric and substance use disorders in men and women. Arch Gen Psychiatry. 2003; 60(9): 929937.Google Scholar
8.Perlis, RH, Fava, M, Trivedi, MH, et al. Irritability is associated with anxiety and greater severity, but not bipolar spectrum features, in major depressive disorder. Acta Psychiatr Scand. 2009; 119(4): 282289.CrossRefGoogle Scholar
9.Fava, M, Nierenberg, AA, Quitkin, FM, et al. A preliminary study on the efficacy of sertraline and imipramine on anger attacks in atypical depression and dysthymia. Psychopharmacol Bull. 1997; 33(1): 101103.Google Scholar
10.Sayar, K, Guzelhan, Y, Solmaz, M, et al. Anger attacks in depressed Turkish outpatients. Ann Clin Psychiatry. 2000; 12(4): 213218.Google Scholar
11.Fava, M, Alpert, JE, Carmin, CN, et al. Clinical correlates and symptom patterns of anxious depression among patients with major depressive disorder in STAR*D. Psychol Med. 2004; 34(7): 12991308.Google Scholar
12.Fava, M, Rush, AJ, Alpert, JE, et al. Difference in treatment outcome in outpatients with anxious versus nonanxious depression: a STAR*D report. Am J Psychiatry. 2008; 165(3): 342351.Google Scholar
13.Nock, MK, Hwang, I, Sampson, NA, Kessler, RC. Mental disorders, comorbidity and suicidal behavior: results from the National Comorbidity Survey Replication. Mol Psychiatry. 2010; 15(8): 868876.Google Scholar
14.Ionescu, DF, Niciu, MJ, Mathews, DC, Richards, EM, Zarate, CA. Neurobiology of anxious depression: a review. Depress Anxiety. 2013; 30(4): 374385.Google Scholar
15.Lecrubier, Y. Refinement of diagnosis and disease classification in psychiatry. Eur Arch Psychiatry Clin Neurosci. 2008; 258(1): 611.Google Scholar
16.Guidi, J, Pender, M, Schwartz, HF, et al. The prevalence of compulsive eating and exercise among college students: an exploratory study. Psychiatry Res. 2009; 165(1): 154162.CrossRefGoogle ScholarPubMed
17.Beck, AT, Ward, CH, Mendelson, M, Mock, J, Erbaugh, J. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4: 561571.Google Scholar
18.Beck, AT, Epstein, N, Brown, G, Steer, R. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988; 56(6): 893897.Google Scholar
19.Osman, A, Bagge, CL, Gutierrez, PM, Konick, LC, Kopper, BA, Barrios, FX. The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples. Assessment. 2001; 8(4): 443454.Google Scholar
20.Beck, AT, Steer, RA, Garbin, MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988; 8(1): 77100.Google Scholar
21.Kabacoff, RI, Segal, DL, Hersen, M, Van Hasselt, VB. Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. J Anxiety Disord. 1997; 11(1): 3347.Google Scholar
22.O’Connor, BP. SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test. Behavior Research Methods, Instruments, & Computers. 2000; 32(3): 396402.Google Scholar
23.Watkins, MW. Determining parallel analysis criteria. Journal of Modern Applied Statistical Methods. 2006; 5(2): 344346.Google Scholar
24.Nunnally, J, Bornstein, I. Psychometric Theory, 3rd ed.New York: McGraw-Hill; 1994.Google Scholar
25.Hamilton, M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960; 23(1): 5662.Google Scholar
26.Rush, AJ, Trivedi, MH, Ibrahim, HM, et al. The 16-item Quick Inventory of Depressive Symptomatology (QIDS) Clinician Rating (QIDS-C) and Self-Report (QIDS-SR): a psychometric evaluation in patients with chronic major depression. Biol Psychiatry. 2003; 54(5): 573583.Google Scholar
27.Sherbourne, CD, Wells, KB. Course of depression in patients with comorbid anxiety disorders. J Affect Disord. 1997; 43(3): 245250.Google Scholar