Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with Depression

The heterogeneity of symptoms in young patients with major depression disorder makes it difficult to properly identify and diagnose. Therefore, the appropriate evaluation of mood symptoms is important in early intervention. The aim of this study was to (a) establish dimensions of the Hamilton Depres...

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Main Authors: Aleksandra Rajewska-Rager, Monika Dmitrzak-Weglarz, Natalia Lepczynska, Pawel Kapelski, Joanna Pawlak, Aleksandra Szczepankiewicz, Marcin Wilczynski, Maria Skibinska
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/5/1744
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author Aleksandra Rajewska-Rager
Monika Dmitrzak-Weglarz
Natalia Lepczynska
Pawel Kapelski
Joanna Pawlak
Aleksandra Szczepankiewicz
Marcin Wilczynski
Maria Skibinska
author_facet Aleksandra Rajewska-Rager
Monika Dmitrzak-Weglarz
Natalia Lepczynska
Pawel Kapelski
Joanna Pawlak
Aleksandra Szczepankiewicz
Marcin Wilczynski
Maria Skibinska
author_sort Aleksandra Rajewska-Rager
collection DOAJ
description The heterogeneity of symptoms in young patients with major depression disorder makes it difficult to properly identify and diagnose. Therefore, the appropriate evaluation of mood symptoms is important in early intervention. The aim of this study was to (a) establish dimensions of the Hamilton Depression Rating Scale (HDRS-17) in adolescents and young adults and (b) perform correlations between the identified dimensions and psychological variables (impulsivity, personality traits). This study enrolled 52 young patients with major depression disorder (MDD). The severity of the depressive symptoms was established using the HDRS-17. The factor structure of the scale was studied using the principal component analysis (PCA) with varimax rotation. The patients completed the self-reported Barratt Impulsiveness Scale (BIS-11) and Temperament and Character Inventory (TCI). The three dimensions of the HDRS-17 identified as core in adolescent and young patients with MDD were (1) psychic depression/motor retardation, (2) disturbed thinking, and (3) sleep disturbances/anxiety. In our study, dimension 1 correlated with reward dependence and cooperativeness; dimension 2 correlated with non-planning impulsivity, harm avoidance, and self-directedness; and dimension 3 correlated with reward dependence. Conclusions: Our study supports the previous findings, which indicate that a certain set of clinical features (including the HDRS-17 dimensions, not only total score) may represent a vulnerability pattern that characterizes patients with depression.
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spelling doaj.art-c56d2181646b495db35ac98ce1118dbc2023-11-17T07:57:44ZengMDPI AGJournal of Clinical Medicine2077-03832023-02-01125174410.3390/jcm12051744Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with DepressionAleksandra Rajewska-Rager0Monika Dmitrzak-Weglarz1Natalia Lepczynska2Pawel Kapelski3Joanna Pawlak4Aleksandra Szczepankiewicz5Marcin Wilczynski6Maria Skibinska7Department of Psychiatric Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60-806 Poznan, PolandDepartment of Psychiatric Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60-806 Poznan, PolandDepartment of Child and Adolescent Psychiatry, Karol Jonscher Clinical Hospital, Poznan University of Medical Sciences, Szpitalna 27/33 St, 60-572 Poznan, PolandDepartment of Psychiatric Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60-806 Poznan, PolandDepartment of Psychiatric Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60-806 Poznan, PolandMolecular and Cell Biology Unit, Poznan University of Medical Sciences, 60-572 Poznan, PolandDepartment of Psychiatric Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60-806 Poznan, PolandDepartment of Psychiatric Genetics, Poznan University of Medical Sciences, Rokietnicka 8, 60-806 Poznan, PolandThe heterogeneity of symptoms in young patients with major depression disorder makes it difficult to properly identify and diagnose. Therefore, the appropriate evaluation of mood symptoms is important in early intervention. The aim of this study was to (a) establish dimensions of the Hamilton Depression Rating Scale (HDRS-17) in adolescents and young adults and (b) perform correlations between the identified dimensions and psychological variables (impulsivity, personality traits). This study enrolled 52 young patients with major depression disorder (MDD). The severity of the depressive symptoms was established using the HDRS-17. The factor structure of the scale was studied using the principal component analysis (PCA) with varimax rotation. The patients completed the self-reported Barratt Impulsiveness Scale (BIS-11) and Temperament and Character Inventory (TCI). The three dimensions of the HDRS-17 identified as core in adolescent and young patients with MDD were (1) psychic depression/motor retardation, (2) disturbed thinking, and (3) sleep disturbances/anxiety. In our study, dimension 1 correlated with reward dependence and cooperativeness; dimension 2 correlated with non-planning impulsivity, harm avoidance, and self-directedness; and dimension 3 correlated with reward dependence. Conclusions: Our study supports the previous findings, which indicate that a certain set of clinical features (including the HDRS-17 dimensions, not only total score) may represent a vulnerability pattern that characterizes patients with depression.https://www.mdpi.com/2077-0383/12/5/1744depressionfactor analysisHamilton Depression Rating Scale (HDRS-17)affective dimensionsadolescentsyoung adults
spellingShingle Aleksandra Rajewska-Rager
Monika Dmitrzak-Weglarz
Natalia Lepczynska
Pawel Kapelski
Joanna Pawlak
Aleksandra Szczepankiewicz
Marcin Wilczynski
Maria Skibinska
Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with Depression
Journal of Clinical Medicine
depression
factor analysis
Hamilton Depression Rating Scale (HDRS-17)
affective dimensions
adolescents
young adults
title Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with Depression
title_full Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with Depression
title_fullStr Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with Depression
title_full_unstemmed Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with Depression
title_short Dimensions of the Hamilton Depression Rating Scale Correlate with Impulsivity and Personality Traits among Youth Patients with Depression
title_sort dimensions of the hamilton depression rating scale correlate with impulsivity and personality traits among youth patients with depression
topic depression
factor analysis
Hamilton Depression Rating Scale (HDRS-17)
affective dimensions
adolescents
young adults
url https://www.mdpi.com/2077-0383/12/5/1744
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