85 0

Is the Psychotic Depression Assessment Scale a useful diagnostic tool?: The CRESCEND study

Title
Is the Psychotic Depression Assessment Scale a useful diagnostic tool?: The CRESCEND study
Author
최준호
Keywords
Psychotic Depression Assessment Scale (PDAS); Psychotic depression (PD); Hallucinatory behavior; Emotional withdrawal; Differential diagnosis
Issue Date
2014-05
Publisher
ELSEVIER SCIENCE BV, PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS
Citation
JOURNAL OF AFFECTIVE DISORDERS, 2014, 166, P.79-85
Abstract
Background: The Psychotic Depression Assessment Scale (PDAS) has been validated as a method of assessing the severity and treatment outcomes of psychotic depression (PD). We aimed to compare the results of the PDAS in PD and non-psychotic depression (non-PD) patients and validate the PDAS as a diagnostic tool for PD.Methods: We included 53 patients with PD and 441 with non-PD who participated in the Clinical Research Center for Depression study in South Korea. In addition to the PDAS, psychometric tools including the HAMD17, HAMA, BPRS, CGI-S, SOFAS, SSI-Beck, WHOQOL-BREF, AUDIT, and FTND were used to assess, respectively, depression, anxiety, overall symptoms, global severity, social functioning, suicidal ideation, quality of life, alcohol use, and nicotine use.Results: After adjusting for age and total HAMD17 score, PD patients had higher scores for depressive mood, hallucinations, unusual thought content, suspiciousness, blunted affect, and emotional withdrawal on the PDAS and higher total scores on the SSI-Beck than non-PD patients. Binary logistic regression identified hallucinatory behavior and emotional withdrawal as predictors of PD. Receiver operating characteristic analysis showed that emotional withdrawal could be used to differentiate psychotic from non-psychotic depression.Limitations: The inter-rater reliability for psychometric assessments was not evaluated.Conclusions: In addition to assessing the severity and treatment outcomes of PD, PDAS can help in the diagnosis of PD. (C) 2014 Elsevier B.V. All rights reserved
URI
http://www.sciencedirect.com/science/article/pii/S0165032714002766http://hdl.handle.net/20.500.11754/54470
ISSN
0165-0327; 1573-2517
DOI
10.1016/j.jad.2014.05.004
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > ETC
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE