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The performance of diagnostic measures of depression in alexithymic and nonalexithymic subjects.

https://arctichealth.org/en/permalink/ahliterature159520
Source
Gen Hosp Psychiatry. 2008 Jan-Feb;30(1):77-9
Publication Type
Article
Author
Aino K Mattila
Outi Poutanen
Anna-Maija Koivisto
Raimo K R Salokangas
Matti Joukamaa
Author Affiliation
Tampere School of Public Health, University of Tampere, FIN-33014 Tampere, Finland. aino.mattila@uta.fi
Source
Gen Hosp Psychiatry. 2008 Jan-Feb;30(1):77-9
Language
English
Publication Type
Article
Keywords
Adult
Affective Symptoms
Depression - diagnosis
Female
Finland
Humans
Interview, Psychological - standards
Male
Middle Aged
Questionnaires - standards
Abstract
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.
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.
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.
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.
PubMed ID
18164945 View in PubMed
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