Rating depression and anxiety after mastectomy: observer versus self-rating scales.
Paykel's Clinical Interview for Depression (CID), an observer-rated scale, and Kellner's Symptom Questionnaire (SQ), a self-rating inventory, were administered to twenty-six patients with breast cancer: 1) the day prior to discharge after mastectomy or lumpectomy, 2) after six months, during a follow-up outpatient visit. There were no significant changes in depression and anxiety (except for self-rated anxiety) and, indeed, there were very high test-retest correlations. Observer and self-rated assessments were significantly related, and these correlations improved on outpatient follow-up. DSM-III-R diagnoses of affective illness (mood and anxiety disorders) based on pre-established cut-offs of the CID, showed considerable stability, particularly as to major depressive illness.
Department of Psychology, University of Bologna.
S
S
Grandi
G A
GA
Fava
A
A
Cunsolo
F M
FM
Saviotti
M
M
Ranieri
G
G
Trombini
G
G
Gozzetti
D000275:Adjustment Disorders / Q000175:diagnosis / Q000523:psychology*; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology*; D001943:Breast Neoplasms / Q000523:psychology*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D015409:Mastectomy, Radical / Q000523:psychology*; D015412:Mastectomy, Segmental / Q000523:psychology*; D008875:Middle Aged; D010552:Personality Assessment; D010555:Personality Inventory