title: The subscale structure of the Inventory of Depressive Symptomatology Self Report (IDS-SR) in older persons.
abstract: BACKGROUND
  Using symptom dimensions may be more effective than using categorical subtypes when investigating clinical outcome and underlying mechanisms of late-life depression. Therefore, this study aims to identify both the factor and subscale structure of late-life depression underlying the Inventory of Depressive Symptomatology Self Report (IDS-SR) in older persons.
  
  
  METHODS
  IDS-SR data of 423 participants in the Netherlands Study of Depression in Older Persons (NESDO) were analyzed by exploratory (EFA) and confirmatory factor analysis (CFA). The best-fitting factor solution in a group of older persons with a major depressive disorder diagnosis in the last month (n = 229) was replicated in a control group of older persons with no or less severe depression (n = 194). Multiple group (MG-CFA) was performed to evaluate generalizability of the best-fitting factor solution across subgroups, and internal consistency coefficients were calculated for each factor.
  
  
  RESULTS
  EFA and CFA show that a 3-factor model fits best to the data [comparative fit index (CFI) = 0.98; Tucker Lewis Index (TLI) = 0.99; and root mean square error of approximation (RMSEA) = 0.052], consisting of a 'mood', 'motivation' and 'somatic' factor with adequate internal consistencies (alpha coefficient 0.93, 0.83 and 0.70, respectively). MG-CFA shows a structurally similar factor model across subgroups.
  
  
  CONCLUSIONS
  The IDS-SR can be used to measure three homogeneous symptom dimensions that are specific to older people. Application of these dimensions that may serve as subscales of the IDS-SR may benefit both clinical practice and scientific research.
authors.affiliation: Department of Psychiatry, St. Antoniusziekenhuis, Utrecht, The Netherlands. j.m.hegeman@lumc.nl
authors.forename: J M
authors.initials: JM
authors.lastname: Hegeman
authors.forename: K J
authors.initials: KJ
authors.lastname: Wardenaar
authors.forename: H C
authors.initials: HC
authors.lastname: Comijs
authors.forename: M W M
authors.initials: MW
authors.lastname: de Waal
authors.forename: R M
authors.initials: RM
authors.lastname: Kok
authors.forename: R C
authors.initials: RC
authors.lastname: van der Mast
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000175:diagnosis* / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D005853:Geriatrics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011569:Psychiatric Status Rating Scales; D057566:Self Report