Health-related self-report (HRSR) scale: the diagnostic screening test for depression in Thai population.
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.
Kasantikul
D
D
Department of Psychiatry, Chulalongkorn Hospital, Phatumvan, Bangkok.
Karnjanathanalers
N
N
Limsuwan
N
N
Thongtang
O
O
Vuthiganond
S
S
Khuangsirikul
V
V
Tantipiwatanakul
P
P
Theeramoke
V
V
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D016009:Chi-Square Distribution; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006304:Health Status; D006801:Humans; D015994:Incidence; D008297:Male; D008403:Mass Screening / Q000295:instrumentation*; D008875:Middle Aged; D010358:Patient Participation; D010865:Pilot Projects; D012016:Reference Values; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013785:Thailand / Q000453:epidemiology