Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB study
<p>Abstract</p> <p>Background</p> <p>Depression is a common complication in type 2 diabetes (DM2), affecting 10-30% of patients. Since depression is underrecognized and undertreated, it is important that reliable and validated depression screening tools are available fo...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-08-01
|
| Series: | BMC Psychiatry |
| Online Access: | http://www.biomedcentral.com/1471-244X/11/141 |
| _version_ | 1818379421410656256 |
|---|---|
| author | Pop Victor JM Nefs Giesje Emons Wilco HM de Cock Evi SA Pouwer François |
| author_facet | Pop Victor JM Nefs Giesje Emons Wilco HM de Cock Evi SA Pouwer François |
| author_sort | Pop Victor JM |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Depression is a common complication in type 2 diabetes (DM2), affecting 10-30% of patients. Since depression is underrecognized and undertreated, it is important that reliable and validated depression screening tools are available for use in patients with DM2. The Edinburgh Depression Scale (EDS) is a widely used method for screening depression. However, there is still debate about the dimensionality of the test. Furthermore, the EDS was originally developed to screen for depression in postpartum women. Empirical evidence that the EDS has comparable measurement properties in both males and females suffering from diabetes is lacking however.</p> <p>Methods</p> <p>In a large sample (<it>N </it>= 1,656) of diabetes patients, we examined: (1) dimensionality; (2) gender-related item bias; and (3) the screening properties of the EDS using factor analysis and item response theory.</p> <p>Results</p> <p>We found evidence that the ten EDS items constitute a scale that is essentially one dimensional and has adequate measurement properties. Three items showed differential item functioning (DIF), two of them showed substantial DIF. However, at the scale level, DIF had no practical impact. Anhedonia (the inability to be able to laugh or enjoy) and sleeping problems were the most informative indicators for being able to differentiate between the diagnostic groups of mild and severe depression.</p> <p>Conclusions</p> <p>The EDS constitutes a sound scale for measuring an attribute of general depression. Persons can be reliably measured using the sum score. Screening rules for mild and severe depression are applicable to both males and females.</p> |
| first_indexed | 2024-12-14T02:02:31Z |
| format | Article |
| id | doaj.art-4489e8fc36814ffa9c32519a8cbbf542 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-14T02:02:31Z |
| publishDate | 2011-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-4489e8fc36814ffa9c32519a8cbbf5422022-12-21T23:20:58ZengBMCBMC Psychiatry1471-244X2011-08-0111114110.1186/1471-244X-11-141Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB studyPop Victor JMNefs GiesjeEmons Wilco HMde Cock Evi SAPouwer François<p>Abstract</p> <p>Background</p> <p>Depression is a common complication in type 2 diabetes (DM2), affecting 10-30% of patients. Since depression is underrecognized and undertreated, it is important that reliable and validated depression screening tools are available for use in patients with DM2. The Edinburgh Depression Scale (EDS) is a widely used method for screening depression. However, there is still debate about the dimensionality of the test. Furthermore, the EDS was originally developed to screen for depression in postpartum women. Empirical evidence that the EDS has comparable measurement properties in both males and females suffering from diabetes is lacking however.</p> <p>Methods</p> <p>In a large sample (<it>N </it>= 1,656) of diabetes patients, we examined: (1) dimensionality; (2) gender-related item bias; and (3) the screening properties of the EDS using factor analysis and item response theory.</p> <p>Results</p> <p>We found evidence that the ten EDS items constitute a scale that is essentially one dimensional and has adequate measurement properties. Three items showed differential item functioning (DIF), two of them showed substantial DIF. However, at the scale level, DIF had no practical impact. Anhedonia (the inability to be able to laugh or enjoy) and sleeping problems were the most informative indicators for being able to differentiate between the diagnostic groups of mild and severe depression.</p> <p>Conclusions</p> <p>The EDS constitutes a sound scale for measuring an attribute of general depression. Persons can be reliably measured using the sum score. Screening rules for mild and severe depression are applicable to both males and females.</p>http://www.biomedcentral.com/1471-244X/11/141 |
| spellingShingle | Pop Victor JM Nefs Giesje Emons Wilco HM de Cock Evi SA Pouwer François Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB study BMC Psychiatry |
| title | Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB study |
| title_full | Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB study |
| title_fullStr | Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB study |
| title_full_unstemmed | Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB study |
| title_short | Dimensionality and scale properties of the Edinburgh Depression Scale (EDS) in patients with type 2 diabetes mellitus: the DiaDDzoB study |
| title_sort | dimensionality and scale properties of the edinburgh depression scale eds in patients with type 2 diabetes mellitus the diaddzob study |
| url | http://www.biomedcentral.com/1471-244X/11/141 |
| work_keys_str_mv | AT popvictorjm dimensionalityandscalepropertiesoftheedinburghdepressionscaleedsinpatientswithtype2diabetesmellitusthediaddzobstudy AT nefsgiesje dimensionalityandscalepropertiesoftheedinburghdepressionscaleedsinpatientswithtype2diabetesmellitusthediaddzobstudy AT emonswilcohm dimensionalityandscalepropertiesoftheedinburghdepressionscaleedsinpatientswithtype2diabetesmellitusthediaddzobstudy AT decockevisa dimensionalityandscalepropertiesoftheedinburghdepressionscaleedsinpatientswithtype2diabetesmellitusthediaddzobstudy AT pouwerfrancois dimensionalityandscalepropertiesoftheedinburghdepressionscaleedsinpatientswithtype2diabetesmellitusthediaddzobstudy |