PMID: 9646154Jul 1, 1998Paper

Rating depression severity in the elderly physically ill patient: reliability and factor structure of the Hamilton and the Montgomery-Asberg Depression Rating Scales

International Journal of Geriatric Psychiatry
M F Hammond

Abstract

To assess the appropriateness of the Hamilton Depression Rating Scale and the Montgomery-Asberg Depression Rating Scale in depressed elderly physically ill patients. Depression scale scores from depressed medical inpatients were assessed for internal consistency using Cronbach's alpha, and subjected to exploratory principal components factor analyses. 100 medical inpatients, aged 65 years and over (median age 80.5 years, range 66-99), 74 female, with Geriatric Mental State Schedule-AGECAT case level diagnoses of depression. The 17-item Hamilton Depression Rating Scale (HDS) and the Montgomery-Asberg Depression Rating Scale (MADRS). Coefficient alpha for the HDS was 0.46; for the MADRS 0.61. Successive deletion of HDS items to maximize alpha resulted in a six-item scale (alpha = 0.60); after deletion of five MADRS items, alpha was 0.77. Factor analysis of the HDS yielded a four-factor solution accounting for 57% of the variance, the majority due to anxiety and insomnia items; the MADRS yielded a two-factor solution explaining 60% of the variance. Coefficient alpha for both scales is well below the minimum necessary for the total score to be used to represent a single construct. The HDS appears to be an unreliable measure of depr...Continue Reading

References

Apr 1, 1979·The British Journal of Psychiatry : the Journal of Mental Science·S A Montgomery, M Asberg
Apr 1, 1975·The British Journal of Psychiatry : the Journal of Mental Science·H S Moffic, E S Paykel
Aug 1, 1986·The British Journal of Psychiatry : the Journal of Mental Science·R Mayou, K Hawton
Apr 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·W R GoodR A Griffiths
Dec 1, 1967·The British Journal of Social and Clinical Psychology·M Hamilton
Dec 1, 1983·The Journal of Nervous and Mental Disease·D C ClarkR D Gibbons
Sep 1, 1983·Psychosomatics·S CavanaughR D Gibbons
Jul 1, 1982·The British Journal of Psychiatry : the Journal of Mental Science·N P KearnsR P Snaith
Jan 1, 1994·Gerontology·C L Katona
Apr 1, 1994·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·D L Streiner
Oct 1, 1993·International Journal of Epidemiology·P A SaundersA Scott
Mar 1, 1993·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·D L Streiner
Feb 1, 1960·Journal of Neurology, Neurosurgery, and Psychiatry·M HAMILTON

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Citations

May 11, 2005·Depression and Anxiety·Akihito SuzukiKoichi Otani
May 12, 2007·Der Nervenarzt·H-J Möller, J Schnitker
Feb 23, 2012·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Marcia D McNuttDominique L Musselman
Jan 1, 2008·Primary Care Companion to the Journal of Clinical Psychiatry·Maria MagnilCecilia Björkelund
Feb 1, 2011·Psychiatry Research·Goran TrajkovićJelena Marinković
Jul 20, 2010·International Journal of Stroke : Official Journal of the International Stroke Society·Alberto Ramos-SepulvedaTatjana Rundek
May 8, 2009·International Journal of Geriatric Psychiatry·Lasse FarnerKnut Engedal
Apr 25, 2007·Alimentary Pharmacology & Therapeutics·C L RaisonA H Miller
Dec 10, 2009·International Journal of Geriatric Psychiatry·Ondine van de RestJohanna M Geleijnse
Sep 17, 2013·International Journal of Methods in Psychiatric Research·Lena C QuiltyR Michael Bagby
Feb 20, 2013·International Journal of Geriatric Psychiatry·Rebecca A CharltonAnand Kumar
Oct 13, 2011·British Journal of Health Psychology·Jameson K HirschJeffrey M Lyness
Jun 19, 2007·Topics in Stroke Rehabilitation·Katherine SalterRobert Teasell
Aug 4, 2012·Journal of Psychiatric Research·J M HegemanR C van der Mast
Jun 14, 2006·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Thomas J CarmodyMadhukar H Trivedi
Jun 19, 2013·Maturitas·Philip Wilkinson
Mar 19, 2011·Comprehensive Psychiatry·Daniel SoueryAlessandro Serretti
Sep 24, 2015·Journal of Geriatric Psychiatry and Neurology·Tharini KetharanathanVaruni Asanka de Silva
Oct 25, 2000·International Journal of Geriatric Psychiatry·T PulskaS L Kivelä
Nov 9, 2017·International Journal of Psychiatry in Clinical Practice·Jing WangHong-Ran Fu
Sep 5, 2002·International Journal of Geriatric Psychiatry·J R M CopelandB Gurland
Dec 24, 2002·International Journal of Geriatric Psychiatry·R D ParkerDavid C Steffens
Jan 30, 2018·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Danii L S SuijkDidi Rhebergen
Mar 19, 2003·Journal of Geriatric Psychiatry and Neurology·R Antonelli IncalziP U Carbonin
Nov 30, 2011·International Journal of Psychiatry in Clinical Practice·Chizu MimuraYoshinori Watanabe
May 11, 2020·Journal of Clinical Epidemiology·Lorenzo GuizzaroCiro Gallo
Nov 5, 2004·International Journal of Geriatric Psychiatry·T GabryelewiczM Barcikowska
Oct 14, 2021·Molecular Psychiatry·Martino Belvederi MurriGeorge S Alexopoulos

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