Test-retest & familial concordance of MDD symptoms.

Kaiser, Ariela J E; Funkhouser, Carter J; Mittal, Vijay A; Walther, Sebastian; Shankman, Stewart A (2020). Test-retest & familial concordance of MDD symptoms. Psychiatry research, 292, p. 113313. Elsevier 10.1016/j.psychres.2020.113313

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Psychopathology research has increasingly sought to study the etiology and treatment of individual symptoms, rather than categorical diagnoses. However, it is unclear whether commonly used measures have adequate psychometric properties for assessing individual symptoms. This study examined the test-retest reliability and familial concordance (an indicator of validity) of the symptoms of Major Depressive Disorder (MDD), a disorder consisting of nine core symptoms, most of which are aggregated (e.g., symptom 7 of the DSM criteria for MDD is worthlessness or guilt). Lifetime MDD symptoms were measured in 504 young adults (237 sibling pairs) using the Structured Clinical Interview for DSM-5 (SCID). Fifty-one people completed a second SCID within three weeks of their first SCID. Results indicated that aggregated and unaggregated symptoms demonstrated moderate to substantial test-retest reliability and generally significant, but slight to fair familial concordance (with the highest familial concordance being for markedly diminished interest or pleasure and its unaggregated components - decreased interest and decreased pleasure). Given the increasing focus on the differential validity of individual MDD symptoms, the present study suggests that interview-based assessments of depression can assess most individual symptoms with adequate levels of reliability and validity.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center

UniBE Contributor:

Walther, Sebastian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0165-1781

Publisher:

Elsevier

Language:

English

Submitter:

Sebastian Walther

Date Deposited:

24 Aug 2020 17:14

Last Modified:

05 Dec 2022 15:40

Publisher DOI:

10.1016/j.psychres.2020.113313

PubMed ID:

32738552

Uncontrolled Keywords:

Depression Heterogeneity Psychometrics Symptoms

BORIS DOI:

10.7892/boris.146017

URI:

https://boris.unibe.ch/id/eprint/146017

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