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Adaptation and psychometric evaluation of the Italian version of the depression attitude questionnaire (DAQ)

Published online by Cambridge University Press:  08 May 2012

C. Sighinolfi
Affiliation:
Institute of Psychiatry, Bologna University, Bologna, Italy
A. Norcini Pala
Affiliation:
Psychology Department, Milano-Bicocca University, Milan, Italy
F. Casini
Affiliation:
Institute of Psychiatry, Bologna University, Bologna, Italy
M. Haddad
Affiliation:
Section of Primary Care Mental Health Service and Population Research Department, Institute of Psychiatry at King's College London, London SE5 8AF, UK
D. Berardi
Affiliation:
Institute of Psychiatry, Bologna University, Bologna, Italy
M. Menchetti*
Affiliation:
Institute of Psychiatry, Bologna University, Bologna, Italy
*
*Address for correspondence: Dr. Marco Menchetti, Institute of Psychiatry, Viale C. Pepoli 5, 40123 Bologna, Italy. (Email: [email protected])

Abstract

Aims.

To validate the Italian version of the ‘depression attitude questionnaire’ (DAQ), to assess its psychometric properties and to evaluate the primary care physicians' (PCPs) opinion and attitude towards depression.

Methods.

An Italian version of the DAQ was created and then administered to a representative sample of PCPs working in the Emilia-Romagna region.

Results.

The findings derived from the Italian version of the DAQ indicated a three-factor solution (professional confidence, negative viewpoint and biological stance), broadly similar to previous studies and with acceptable fit indices. Our results showed that the PCPs consider depression as an increasingly important issue for their daily clinical practice. A large majority of them believed in the effectiveness of antidepressants and considered psychopharmacological treatment as appropriate for the PCPs to undertake. However, most PCP respondents thought that psychotherapy should be left to the specialists. Our findings suggest a prevalent orientation to the biochemical aspects of depression and the use of antidepressant treatment.

Conclusions.

The PCPs' attitude and opinion towards depression is an important aspect of their understanding and response to this common and disabling condition. The Italian version of the DAQ appears to be an appropriate and useful instrument to assist the understanding of the PCPs' views and potential need for further professional development.

Type
Instruments
Copyright
Copyright © Cambridge University Press 2012

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References

Balestrieri, M, Baldacci, S, Bellomo, A, Bellantuono, C, Conti, L, Perugi, G, Nardini, M, Borbotti, M, Viegi, G (2007). Clinical vs. structured interview on anxiety and affective disorders by primary care physicians. Understanding diagnostic discordance. Epidemiologia e Psichiatria Sociale 16, 144151.CrossRefGoogle ScholarPubMed
Barbui, C, Tansella, M (2006). Identification and management of depression in primary care settings. A meta-review of evidence. Epidemiologia e Psichiatria Sociale 15, 276283.Google Scholar
Bartlett, MS (1954). A note on multiplying factors for various chi-squared approximations. Journal of the Royal Statistical Society, Series B 16, 296298.Google Scholar
Bentler, PM (1990). Comparative fix indexes in structural models. Psychological Bulletin 107, 238246.Google Scholar
Berardi, D, Ferrari, G, Scaramelli, AR, Scardovi, A, Vittorangeli, M (1996). Psichiatria e medicina di base: studi epidemiologici e progetti collaborativi in Italia. Epidemiologia e Psichiatria Sociale 5, 164167.CrossRefGoogle Scholar
Botega, N, Mann, A, Blizard, R, Wilkinson, G (1992). General Practitioners and depression-first use of the depression attitude questionnaire. International Journal of Methods in Psychiatric Research 2, 169180.Google Scholar
Botega, N, Silveira, GM (1996). General practitioners' attitudes towards depression: a study in primary care setting in Brazil. International Journal of Social Psychiatry 42, 230237.CrossRefGoogle ScholarPubMed
Browne, MW, Cudeck, R (1992). Alternative ways of assessing model fit. Sociological Methods and Research 21, 230258.CrossRefGoogle Scholar
Byrne, BM (2001). Structural Equation Modeling with AMOS: Basic Concepts, Applications, and Programming. Lawrence Erlbaum: Mahwah, NJ.Google Scholar
Goldman, LS, Nielsen, NH, Champion, HC, for the Council on Scientific Affairs, American Medical Association (1999). Awareness, diagnosis and treatment of depression. Journal of General Internal Medicine 14, 569580.Google Scholar
Haddad, M, Plummer, S, Taverner, A, Gray, R, Lee, S, Payne, F, Knight, D (2005). District nurses' involvement and attitudes to mental health problems: a three-area cross-sectional study. Journal of Clinical Nursing 14, 976985.Google Scholar
Haddad, M, Walters, P, Tylee, A (2007). District nursing staff and depression: a psychometric evaluation of depression attitude questionnaire findings. International Journal of Nursing Studies 44, 447456.CrossRefGoogle ScholarPubMed
Haddad, M, Butler, GS, Tylee, A (2010). School nurses' involvement, attitudes and training needs for mental health work: a UK-wide cross-sectional study. Journal of Advanced Nursing 66, 2471–80.CrossRefGoogle Scholar
Haddad, M, Menchetti, M, Walters, P, Norton, J, Tylee, A, Mann, A (2011). Clinicians' attitudes to depression in Europe: a pooled analysis of Depression Attitude Questionnaire findings. Family Practice 29, 121130.CrossRefGoogle ScholarPubMed
Hirschfeld, RM, Keller, MB, Panico, S, Arons, BS, Barlow, D, Davidoff, F, Endicott, J, Froom, J, Goldstein, M, Gorman, JM, Marek, RG, Maurer, TA, Meyer, R, Phillips, K, Ross, J, Schwenk, TL, Sharfstein, SS, Thase, ME, Wyatt, RJ (1997). The National Depressive and Manic-Depressive Association consensus statement on the undertreatment of depression. Journal of American Medical Association 277, 333340.Google Scholar
Hooper, D, Coughlan, J, Mullen, M (2008). Structural equation modelling: guidelines for determining model fit. Electronic Journal of Business Research Methods 6, 5360.Google Scholar
Kaiser, HF (1974). An index of factorial simplicity. Psychometrika 39, 3136.Google Scholar
King, M, Nazareth, I, Levy, G, Walker, C, Morris, R, Weich, S, Bellon-Saameno, JA, Moreno, B, Svab, I, Rotar, D, Rifel, J, Maaroos, HI, Aluoja, A, Kalda, R, Neeleman, J, Geerlings, MI, Xavier, M, de Almeida, MC, Correa, B, Torres-Gonzalez, F (2008). Prevalence of common mental disorders in general practice attendees across Europe. British Journal of Psychiatry 192, 362367.Google Scholar
Kline, RB (2005). Principles and Practice of Structural Equation Modeling, 2nd edn.Guilford Press: New York.Google Scholar
Lecrubier, Y (2007). Widespread under recognition and under treatment of anxiety and mood disorders: results from 3 European studies. Journal of Clinical Psychiatry 68(Suppl. 2), 3641.Google Scholar
Leiferman, JA, Dauber, SE, Scott, K, Heisler, K, Paulson, JF (2010). Predictors of maternal depression management among primary care physicians. Depression Research and Treatment 2010, 671279.CrossRefGoogle ScholarPubMed
Marsh, HW, Hocevar, D (1985). Application of confirmatory factor analysis to the study of self-concept: First- and higher order factor models and their invariance across groups. Psychological Bulletin 97, 562582.CrossRefGoogle Scholar
McCall, L, Clarke, DM, Rowley, G (2002). A questionnaire to measure general practitioners' attitudes to their role in the management of patients with depression and anxiety. Australian Family Physician 31, 299303.Google Scholar
Muthén, LK, Muthén, BO (1998–2004). Mplus User's Guide, 3rd edn.Muthén & Muthén: Los Angeles, CA.Google Scholar
Orrell, M, Collins, E, Shergill, S, Katona, C (1995). Management of depression in the elderly by general practitioners: I. Use of antidepressants. Family Practice 12, 511.Google Scholar
Payne, F, Harvey, K, Jessopp, L, Plummer, S, Tylee, A, Gournay, K (2002). Knowledge, confidence and attitudes towards mental health of nurses working in NHS direct and the effects of training. Journal of Advanced Nursing 40, 549559.CrossRefGoogle ScholarPubMed
Richards, JC, Ryan, P, McCabe, MP, Groom, G, Hickie, IB (2004). Barriers to the effective management of depression in general practice. Australian and New Zealand Journal of Psychiatry 38, 795803.Google Scholar
Ross, S, Moffat, K, McConnachie, A, Gordon, J, Wilson, P (1999). Sex and attitude: a randomized vignette study of the management of depression by general practitioners. British Journal of General Practice 49, 1721.Google Scholar
Rucci, P, Piazza, A, Menchetti, M, Berardi, D, Fioritti, A, Mimmi, S, Fantini, MP (2012). Integration between primary care and mental health services in Italy. Determinants of referral and stepped care. International Journal of Family Medicine.Google Scholar
Statistical Package for the Social Sciences (SPSS) (2006). SPSS Statistics, Version 15.0.1. SPSS Inc: Chicago, IL.Google Scholar
Tucker, LR, Lewis, C (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika 38, 110.Google Scholar