Journal
ACTA PSYCHIATRICA SCANDINAVICA
Volume 119, Issue 4, Pages 298-303Publisher
WILEY
DOI: 10.1111/j.1600-0447.2008.01289.x
Keywords
HAM-D17; paper-and-pencil self-reported HAM-D6; interactive-voice-recording HAM-D6; Mokken's item response theory-model; unidimensionality; validation analysis
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The six items of the clinician-administrated Hamilton Depression Scale (HAM-D-6) cover the core items of depressive states reflecting the antidepressive effect of medication. In this study, the two self-reported versions of the HAM-D-6 have been psychometrically validated to ensure the unidimensionality of this administration form in patients with mild-to-moderate depression. The item response theory analysis of Mokken was used to test the unidimensionality of both the Interactive Voice Recording System (IVRS) version of the HAM-D-6 and a paper-and-pencil self-reported version (S-HAM-D-6). Patients with typical major depression and with seasonal affective disorder were included. The Mokken analysis showed that the two self-reported versions of the HAM-D-6 obtained coefficients of homogeneity above 0.40, similar to the clinician-rated HAM-D-6 and thus implying unidimensionality. By contrast, the full HAM-D-17 versions (self-reported as well as clinician-rated) obtained coefficients of homogeneity below 0.40, implying that the HAM-D-17 is a multidimensional scale. The analysis show that both the IVRS version and the S-HAM-D-6 version are unidimensional self-rating scales for the measurement of depressive states.
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