Document Detail


Actors' portrayals of depression to test interrater reliability in clinical trials.
MedLine Citation:
PMID:  15465990     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study determined if actors could portray depressed patients to establish the interrater reliability of raters using the Hamilton Depression Rating Scale (HDRS). METHOD: Actors portrayed depressed patients using scripts derived from HDRS assessments obtained at three points during treatment. Four experienced raters blindly viewed videotapes of two patients and two actors. They guessed if each interviewee was a patient or an actor and rated the certainty of their guesses. For each interview, they also rated the realism of the portrayal and completed the HDRS. RESULTS: Experienced raters could not distinguish actors and patients better than chance and were equally certain of their right and wrong guesses. Actors and patients received high scores on the realism of their portrayals. The HDRS scores of the actor-patient pairs were correlated. CONCLUSIONS: Actors can effectively portray depressed patients. Future studies will determine if actors can accurately portray patients with anxiety and psychosis.
Authors:
Jules Rosen; Benoit H Mulsant; Martha L Bruce; Vikas Mittal; Debra Fox
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of psychiatry     Volume:  161     ISSN:  0002-953X     ISO Abbreviation:  Am J Psychiatry     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-06     Completed Date:  2004-11-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370512     Medline TA:  Am J Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1909-11     Citation Subset:  AIM; IM    
Affiliation:
Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Clinical Trials as Topic / standards
Depressive Disorder / diagnosis*,  psychology*
Feasibility Studies
Female
Humans
Imitative Behavior*
Male
Observer Variation
Patient Simulation*
Psychiatric Status Rating Scales / statistics & numerical data*
Psychometrics
Reproducibility of Results
Videotape Recording
Grant Support
ID/Acronym/Agency:
AG-19088/AG/NIA NIH HHS; HS-11976/HS/AHRQ HHS; MH-01613/MH/NIMH NIH HHS; MH-01634/MH/NIMH NIH HHS; MH-52247/MH/NIMH NIH HHS; MH-61639/MH/NIMH NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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