Health-related self-report (HRSR) scale: the diagnostic screening test for depression in Thai population
Kasantikul, D.; Karnjanathanalers, N.; Limsuwan, N.; Thongtang, O.; Vuthiganond, S.; Khuangsirikul, V.; Tantipiwatanakul, P.; Theeramoke, V.
Journal of the Medical Association of Thailand 80(10): 647-657
1997
ISSN/ISBN: 0125-2208 PMID: 10904568 Document Number: 6880
In this study we introduced a health-related self-report (HRSR) diagnostic scale for detecting depression in Thai population. The scale composed of 20 symptom items including two objective signs (people said I look worried or sad) and previous suicidal attempt both of which were helpful in detecting and confirming depression and suicidal risk. There were 3 positive items (feel well, life is pleasant and meaningful and feel self-worth) which clearly distinguished normal subjects and depressed patients. The reliability coefficient (Chronbach's alpha) of the HRSR scale was 0.91 and was found to possess a clear factorial structure and clinical validity. The cut-off score at 30 gave 90.2 per cent specificity and 85.3 per cent sensitivity for major depression. Score > or = 25 provided higher specify (93.4%) but lower sensitivity (75.1%) and could detect probable cases of depression or other mental illnesses in the community. Thus it can be used as a diagnostic screening instrument.
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