| Resemblance of Symptoms for Major Depression Assessed at Interview versus from Hospital Record Review. | |
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MedLine Citation:
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PMID: 22247760 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Diagnostic information for psychiatric research often depends on both clinical interviews and medical records. Although discrepancies between these two sources are well known, there have been few studies into the degree and origins of inconsistencies. PRINCIPAL FINDINGS: We compared data from structured interviews and medical records on 1,970 Han Chinese women with recurrent DSM-IV major depression (MD). Correlations were high for age at onset of MD (0.93) and number of episodes (0.70), intermediate for family history (+0.62) and duration of longest episode (+0.43) and variable but generally more modest for individual depressive symptoms (mean kappa = 0.32). Four factors were identified for twelve symptoms from medical records and the same four factors emerged from analysis of structured interviews. Factor congruencies were high but the correlation of factors between interviews and records were modest (i.e. +0.2 to +0.4). CONCLUSIONS: Structured interviews and medical records are highly concordant for age of onset, and the number and length of episodes, but agree more modestly for individual symptoms and symptom factors. The modesty of these correlations probably arises from multiple factors including i) inconsistency in the definition of the worst episode, ii) inaccuracies in self-report and iii) difficulties in coding medical records where symptoms were recorded solely for clinical purposes. |
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Authors:
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Ying Chen; Haimin Li; Yihan Li; Dong Xie; Zhiyang Wang; Fuzhong Yang; Yuan Shen; Sulin Ni; Yan Wei; Yanhua Liu; Lanfen Liu; Chengge Gao; Jun Liu; Lijuan Yan; Gang Wang; Keqing Li; Qiang He; Tiebang Liu; Jinbei Zhang; Yan Ren; Qunli Du; Jing Tian; Honghui Chen; Yanfang Luo; Fengzhi Zhang; Guangwei Sun; Chunjie Shan; Xueyi Wang; Yutang Zhang; Xiaoqin Weng; Yunchun Chen; Zhen Kang; Jing Guan; Yiping Chen; Shenxun Shi; Kenneth S Kendler; Jonathan Flint; Hong Deng |
Publication Detail:
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Type: Journal Article Date: 2012-01-11 |
Journal Detail:
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Title: PloS one Volume: 7 ISSN: 1932-6203 ISO Abbreviation: PLoS ONE Publication Date: 2012 |
Date Detail:
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Created Date: 2012-01-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101285081 Medline TA: PLoS One Country: United States |
Other Details:
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Languages: eng Pagination: e28734 Citation Subset: IM |
Affiliation:
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Mental Health Center of West China Hospital of Sichuan University, Chengdu, Sichuan, People's Republic of China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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