Depression among acute spinal cord injury patients: A study utilizing the Zung Self-Rating Depression Scale.

Administered the Self-Rating Depression Scale (SRDS) an average of 63 days post-injury to 58 acute spinal cord injury (SCI) patients (aged 18–55 yrs) and 51 age-matched healthy controls (CTLs). Mean SRDS scores were 37.1 for CTLs and 49.0 for SCI Ss. Several factors, including age, yrs of education, level of injury (paraplegic vs quadriplegic), etiology of injury (violent vs nonviolent), presence of acute closed head injury, or recent history of alcohol or substance abuse, had no association with SRDS scores. Since undiagnosed and untreated depression may compromise an SCI patient's adaptation to injury and motivation during rehabilitation, abnormally elevated SRDS scores may help to determine which patients might require more focused psychological assessment and treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Brief Symptom Inventory: Measuring psychological distress in spinal cord injury.

Explored the appropriateness of the Brief Symptom Inventory (BSI) as a measure of psychological distress among 79 traumatic spinal cord injured (SCI) patients (aged 18–70 yrs) and emphasized the limitations of using the BSI as a replacement for the SCL-90—Revised (SCL-90—R). Ss' BSI scores were compared with a nonpatient normative group (N?=?974). Ss were significantly more psychologically distressed in somatization, depression, and phobic anxiety than the normative group. However, several somatization symptoms endorsed by these Ss are common physical effects of SCI rather than psychosomatic complaints. When comparing BSI and SCL-90—R scores of the same Ss, significant statistical differences were found with respect to the level of psychological distress being reported by each test. The BSI may not represent an equivalent abbreviated form of the SCL-90—R for the SCI population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparison of the validities of the Beck, Zung, and MMPI Depression scales.

Compared the validities of 3 widely used self-report depression measures: the Beck Depression Inventory (BDI), the MMPI Depression scale, and the Self-Rating Depression Scale (SRDS). Each inventory was administered to 101 inpatient psychiatric ward patients and to 99 chemical dependency ward patients. All of the Ss were male and less than 60 yrs of age. The 3 scales were correlated with clinicians' global ratings of depression, with scores on 5 DSM-III-based factor-analytic depression scales, and with an overall depression score based on the DSM-III criteria. In general, the SRDS produced better validity coefficients than the BDI, which in turn yielded higher correlations with these criteria than did the MMPI Depression Scale. (5 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Brief Symptom Inventory norms for spinal cord injury.

Investigated the effects of spinal cord injury (SCI) upon a person's response to the Brief Symptom Inventory (BSI) by analyzing differences across item-response distributions from 225 Ss with SCI (aged 17–68 yrs) vs a nonpatient normative sample of 719 Ss. The study also developed more appropriate BSI normative data for persons with SCI. Because Ss' time since injury varied at time of BSI administration, normative scores were provided within 3 groupings: at discharge from the hospital; 0–24 mo post-discharge; and beyond 24 mo. Results show that SCI Ss had higher BSI scores when compared with Ss in the normative sample. These differences were particularly significant across 8 BSI items that reflected actual SCI physical and psychosocial symptoms. SCI Ss reported more distress during the period immediately following discharge to 24 mo. Overall, BSI scores tended to be lower at discharge and after 24 mo post-discharge. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Classifying college students as depressed or nondepressed using the Beck Depression Inventory: An empirical analysis.

In Study 1, the classification of 150 college students as nondepressed or mildly or moderately depressed was compared using Beck Depression Inventory (BDI) scores obtained on 2 occasions, either on the same day or 1 wk later. Whereas the overall test–retest reliability coefficients were acceptable, particularly when both administrations occurred on the same day, the consistency of classification of Ss into the mild and moderate levels of depression was poor. In an attempt to determine the factors contributing to the poor classification consistency, a 2nd study with 207 Ss compared the effect of exposure to the BDI on subsequent BDI responses. Ss who completed the BDI on 2 occasions showed significantly lower BDI scores compared to Ss exposed to an alternate depression inventory (the Self-Rating Depression Scale [SRDS]) or no prior questionnaire. In addition, a large percentage of Ss classified as moderately depressed following the initial BDI administration failed to be classified within the moderate categories on retesting the same day. Ss tested using the SRDS maintained the same depression classification when retested on the BDI. Item analyses failed to reveal significantly different amounts of change among individual BDI items. (39 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Zung, Beck, and Hamilton Rating Scales as measures of treatment outcome: A meta-analytic comparison.

Reviews treatment studies using the Self-Rating Depression Scale (SRDS), the Beck Depression Inventory (BDI), and the Hamilton Rating Scale for Depression (HRSD) as dependent measures. The use of meta-analytic techniques resulted in a comparison of effect sizes, indicating that contrary to some clinicians' beliefs, the SRDS and BDI showed significantly less change in depression following treatment than did the HRSD. Implications for the selection of outcome measures and for the application of meta-analytic techniques to compare dependent measures are discussed. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship of satisfaction to symptom change, follow-up adjustment, and clinical significance.

The relationship of client satisfaction to outcome was investigated for adult outpatients (N? = ?152) from 3 urban community mental health centers. Clients completed a problem self-rating and the Brief Symptom Inventory (BSI) at intake, 10 weeks later, and 5 months later. Therapists' ratings of client adjustment were obtained at intake and termination. Clients' ratings of satisfaction with treatment were obtained at 10-week and 5-month follow-up. Correlations between satisfaction and client measures of outcome (client rating and BSI) based on pre-post changes, posttreatment adjustment, and Jacobson and Truax's (1991) method of measuring clinical significance were not significant. Correlations between satisfaction and therapist outcome ratings were significant but low for pre-post changes and clinical significance. The utility of client satisfaction as an outcome measure is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evaluation of the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER) as a measure of treatment effectiveness in an outpatient training clinic.

This study evaluated the validity of the Computerized Assessment System for Psychotherapy Evaluation and Research (CASPER), a system that identifies target problems and monitors treatment outcomes. Pre- and posttreatment data were obtained from 78 clients and their therapists in an outpatient training clinic. CASPER scales were significantly correlated with the Brief Symptom Inventory (BSI) and with therapist ratings on the Global Assessment Scale (GAS) at both intake and posttreatment. These measures also showed significant pre- to posttreatment changes. The largest effect sizes were found on CASPER individualized outcome measures. Residual change scores and posttreatment improvement ratings derived from CASPER were significantly correlated with BSI and GAS change scores. There was moderate agreement between clients' and therapists' ratings; clients tended to rate their functioning higher than did therapists on several CASPER scales. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Latent variable structure of the Brief Symptom Inventory in a sample of persons with spinal cord injuries.

Investigated the presence of underlying factors which may be helpful in understanding Brief Symptom Inventory (BSI) item responses with 215 inpatientsresponse with spinal cord injuries. BSI scores were analyzed with principal components and maximum-likelihood factor estimation, and 6 factors were retained: anxiety, depression, mental blocks, interpersonal sensitivity, spinal cord injury, and hostile suspiciousness. Examination of factor content indicated their relevance to aspects of the rehabilitation process. Evidence for construct validity was examined by comparing the factor scores of persons who were rehospitalized versus persons who were not rehospitalized in the first year following initial rehabilitation. The rehospitalized group had higher BSI depression, mental blocks, and spinal cord injury factor scores prior to discharge. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-reported suicidal ideation in adolescent psychiatric inpatients.

In an investigation of the psychosocial correlates of suicidal ideation in adolescent inpatients, the Beck Scale for Suicide Ideation (BSI) was administered to 108 inpatients between 12 and 17 yrs of age who were diagnosed with mixed psychiatric disorders. A series of multiple regression analyses that controlled for gender, ethnicity, age, diagnosis of a mood disorder, and a history of a past suicide attempt were then used to examine the relationships of the Beck Depression Inventory, Anxiety Inventory, and Hopelessness Scale (BHS) with the BSI. Regardless of the series, the BHS contributed unique variance to the explanation of the BSI scores. The results are discussed as supporting the use of the BSI with adolescent inpatients and indicating that hopelessness is related to suicidal ideation when depression is controlled for. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

One-session treatment of specific phobias in youth: A randomized clinical trial in the United States and Sweden.

One hundred and ninety-six youth, ages 7–16, who fulfilled Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for various specific phobias were randomized to a one-session exposure treatment, education support treatment, or a wait list control group. After the waiting period, the wait list participants were offered treatment and, if interested, rerandomized to 1 of the 2 active treatments. The phobias were assessed with semistructured diagnostic interviews, clinician severity ratings, and behavioral avoidance tests, whereas fears, general anxiety, depression, and behavior problems were assessed with self- and parent report measures. Assessments were completed pretreatment, posttreatment, and at 6 months following treatment. Results showed that both treatment conditions were superior to the wait list control condition and that 1-session exposure treatment was superior to education support treatment on clinician ratings of phobic severity, percentage of participants who were diagnosis free, child ratings of anxiety during the behavioral avoidance test, and treatment satisfaction as reported by the youth and their parents. There were no differences on self-report measures. Treatment effects were maintained at follow-up. Implications of these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ratings of social support by adolescents and adult informants: Degree of correspondence and prediction of depressive symptoms.

It has been suggested that the personality of the individual influences appraisal processes that determine ratings of both social support and mental health, thus leading to an association between these variables that reflects only their shared self-report bias. To test whether ratings of social support made by someone other than the target individual would significantly predict outcomes, 115 pregnant adolescent girls and 115 adults who knew the adolescents well both completed ratings of the adolescent's social support. Results showed a moderate level of agreement between adolescent and informant support ratings. Both self-report and informant total social support ratings predicted pregnancy depression scores. Only informant social support ratings were significant predictors of postpartum depression scores. The ability of informants' ratings of social support to predict the adjustment of the adolescents to a major life stress was viewed as evidence that the commonly found link between social support and mental health reflects more than self-report biases. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family caregivers of persons with spinal cord injury: Predicting caregivers at risk for probable depression.

Objective: To determine the percentage of family caregivers of persons with spinal cord injury (SCI) with probable depression and to test the hypothesis that dysfunctional problem-solving abilities would be significantly predictive of risk status after taking into account important demographic characteristics and caregiver health. Design: Correlational and logistic regression analyses of data collected in a cross-sectional design. Participants: Eighteen men and 103 women caregivers (mean age of caregivers = 45.66 years, SD = 12.88) of individuals with SCI. Main Outcome Measure: The Inventory to Diagnose Depression. Results: Nineteen caregivers (15.7%) met criteria on the Inventory to Diagnose Depression for a major depressive disorder. A dysfunctional problem-solving style was significantly predictive of caregiver depression, regardless of the severity of physical impairment of the care recipient or the physical health of the caregiver and caregiver demographic variables. Conclusions: The percentage of caregivers with probable depressive disorder may parallel that observed among persons with SCI, using a more conservative self-report measure designed to assess symptoms associated with a depressive syndrome. Family caregivers with a dysfunctional problem-solving style and assisting individuals with more severe injuries may have probable depression. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Communal behaviors and psychological adjustment of family caregivers and persons with spinal cord injury.

Objective: Examined the influence of mutual communal behaviors on the adjustment reported by persons with spinal cord injury (SCI) and their family caregivers. Previous research has found that persons who have a history of mutually communal behaviors in relationships may react differently to relationship changes after an acquired physical disability than dyads with few communal behaviors. Method: Family caregivers and persons with SCI were administered measures of mutual communal behaviors, depression, and life satisfaction. Structural equation modeling was used to test the relations among caregivers' communal behaviors and care recipients' communal behaviors, depression, and life satisfaction. Results: Caregiver and care recipient reports of communal behaviors were not significantly correlated. Significant paths indicated that care recipients' communal behavior scores were positively associated with their life satisfaction, and care recipients' depression was inversely associated with their life satisfaction. Caregivers' communal behavior scores were unrelated to their self-reported adjustment. Conclusions: Caregiver-care recipient dyads may differ in their perceptions of communal behaviors in their relationships. Although care recipient reports of communal behavior may be related to their life satisfaction, communal behaviors may not serve a similar function among caregivers of persons with SCI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A validation study of the Worthington Personal History Blank.

The validity of the Worthington PH blank was compared with the validity of standardized tests (Wonderlic Personnel Test, The Personnel Laboratory's Employment Test, Thurstone Temperament Schedule, and the "Dominance" and "Self-Sufficiency" scales of the Bernreuter PI) for a sample of 47 publishing company employees. The criterion was associates' ratings on traits common to those measured by the PH and the other tests. Neither the PH nor the test results were significantly related to the criterion ratings. However, the difference (in favor of the tests) between the contingency coefficients comparing the tests with the ratings and the coefficients comparing the PH with the ratings was significant at the .06 level of confidence. It was concluded that the objective tests were at least as good as the PH, and that use of the latter is not warranted in terms of cost. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relationship between depression and marital maladjustment in a clinic population: A multitrait-multimethod study.

Took depression and marital maladjustment measures of all 154 couples attending a clinic. Average age for men was 38 yrs, for women 35 yrs; average length of marriage was 19 yrs. A significant correlation between depression and marital maladjustment was found for self-report data and was replicated by therapists' ratings. Women were significantly more depressed than men though similar in average ratings of marital adjustment. Women's depression ratings were minimally related to their own their husbands' marital ratings. Men's depression ratings were related to both their own and their wives' marital ratings. Convergent validity was demonstrated for the Locke and Wallace Marital-Adjustment Test and the Beck Depression Inventory. Clinical implications of findings concerning both depression and marital maladjustment are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Premenstrual depression: A distinct entity.

Premenstrual symptom report of 30- to 45-year-old normal women was assessed retrospectively with the Premenstrual Assessment Form (Halbreich, Endicott, Schacht, & Nee, 1982). Women reporting premenstrual depression (PMD) or no psychological changes (controls) premenstrually completed daily symptom ratings during one menstrual cycle and were assessed pre- and postmenstrually with self-report depression inventories and a test of selective attention. Inspection of daily ratings revealed two distinct subgroups within the PMD group: 39% were confirmed as experiencing PMD and 36% reported intermittent depression throughout the cycle. Both self-report and selective attention data yielded distinctly different response patterns for the three groups, with only the PMD group reporting the classic premenstrual increase in depression. Implications of these findings for the validity and nature of the premenstrual depressive experience are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does pain interference mediate the relationship of independence in ambulation with depressive symptoms after spinal cord injury?

Purpose/Objective: To test a mediational model that hypothesizes pain interference mediates the relationship between ambulatory status and depressive symptoms among participants with traumatic spinal cord injury (SCI). Research Method/Design: Responses to the Brief Pain Index (pain interference) and the Older Adult Health and Mood Questionnaire (depressive symptoms) were obtained from 1,545 adults with SCI. Logistic regression was used to calculate the odds of clinically significant symptomatology and probable major depression as a function of independence in ambulation and to evaluate the extent to which pain interference mediated the relationship between ambulation and a depressive diagnosis. Results: Partially dependent ambulators reported significantly greater odds of clinically significant symptomatology (2.30) and probable major depression (2.00) compared with independent ambulators prior to evaluation of pain interference (comparisons of wheelchair users with independent ambulators were not significant). However, these relationships were no longer significant after controlling for pain interference. Conclusions/Implications: Pain interference appears to mediate the relationship between ambulatory status and depressive symptoms after SCI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cluster Analysis and Chronic Pain: An Empirical Classification of Pain Subgroups in a Spinal Cord Injury Sample.

Objective: To determine the existence of homogeneous spinal cord injury (SCI) pain subgroups. Design: Prospective longitudinal design. Participants: Persons with traumatic onset SCI (N = 1,334) with self-reported pain, pain interference, and depression. Outcome Measures: Pain (Numerical Rating Scale); pain interference (item from the Short Form-12); and depression (Brief Patient Health Questionnaire). Results: Multivariate clustering revealed 4 SCI pain subgroups: low pain (low pain intensity, pain interference, and depression); positive adaptation to pain (high pain intensity, low pain interference and depression); minimal distress (high pain intensity, high pain interference, and low depression); and chronic pain syndrome (high pain intensity, pain interference, and depression). Conclusions: The characteristics of homogeneous SCI pain subgroups may be important for clinicians to consider in treatment planning and research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Utilization of fine-needle aspiration cytology and flow cytometry in the diagnosis and subclassification of primary and recurrent lymphoma

The aim of this study was to assess and compare spinal cord injured (SCI) and traumatic brain injured (TBI) persons and people from the general population concerning partner relationships, functioning, mood and global quality of life. One hundred and sixty seven SCI persons, 92 TBI persons and 264 controls participated in the study. The median age was: SCI persons 33 years (range 19 to 79 years), TBI persons 40 years (range 20 to 70 years), and controls 31 years (range 19 to 79 years). Age at injury ranged among SCI persons from 14 to 76 years (Md 28 years), and among TBI persons from 16 to 56 years (Md 32 years). Half of the SCI group (51%), 58% of the TBI group and 59% of the controls had a stable partner relationship at the time of the investigation. Many of these SCI and TBI relationships (38% and 55% respectively) were established after injury. Both SCI and TBI persons showed significantly more depressive feelings compared with the controls. Perceived quality of life (global QL rating) was significantly lower in the SCI group compared with the controls, whereas the ratings of TBI persons and controls did not differ significantly. SCI and TBI persons did not differ significantly in level of education, perceived quality of life or distress. In all three groups, global quality-of-life ratings were significantly lower among single persons compared to those with a partner relationship. It was concluded that both SCI and TBI appear to affect overall quality of life and mental well-being negatively. The number of partner relationships contracted after injury among both SCI and TBI persons indicates, however, that the injury is not a major barrier to establishing close partner relationships. Being in good spirits, that is, lack of depressive feelings has a profound impact on the perception of a high quality of life in all three groups. For the SCI and TBI persons, a high level of physical and social independence were further positive determinants of a perceived high quality of life.