title: The performance of diagnostic measures of depression in alexithymic and nonalexithymic subjects.
abstract: OBJECTIVE
  The objective of this study was to examine how the outcomes of a structured diagnostic interview for depression are related to the results of a self-report scale in alexithymic and nonalexithymic groups.
  
  
  METHODS
  Subjects (N=389) recruited from primary care and psychiatric care completed the Depression Scale (DEPS) and the 20-item Toronto Alexithymia Scale. Major depression was diagnosed using the Composite International Diagnostic Interview-Short-Form by telephone.
  
  
  RESULTS
  In the group without major depression, the DEPS scores of the alexithymic subjects were significantly higher than those of the nonalexithymic subjects. In the group with major depression, the ideal cutoff points of the DEPS, assessed by receiver operating characteristic analyses, were essentially higher for the alexithymic patients.
  
  
  CONCLUSIONS
  Alexithymic subjects without major depression may be rated as depressive if the only criterion is the score on a self-report scale. Furthermore, alexithymic patients may require higher cutoff points in a self-report depression scale.
authors.affiliation: Tampere School of Public Health, University of Tampere, FIN-33014 Tampere, Finland. aino.mattila@uta.fi <aino.mattila@uta.fi>
authors.forename: Aino K
authors.initials: AK
authors.lastname: Mattila
authors.forename: Outi
authors.initials: O
authors.lastname: Poutanen
authors.forename: Anna-Maija
authors.initials: AM
authors.lastname: Koivisto
authors.forename: Raimo K R
authors.initials: RK
authors.lastname: Salokangas
authors.forename: Matti
authors.initials: M
authors.lastname: Joukamaa
mesh_terms: D000328:Adult; D000342:Affective Symptoms; D003863:Depression / Q000175:diagnosis*; D005260:Female; D005387:Finland; D006801:Humans; D007406:Interview, Psychological / Q000592:standards*; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires / Q000592:standards*