Web-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depression
<strong>Background:</strong> Given the criticisms of life event checklists and the costs associated with interviews, life event research requires a sophisticated but easy-to-use measure for research and clinical practice. Therefore, the Computerized Life Events and Assessment Record (CLE...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
JMIR Publications
2019
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| _version_ | 1826278938466320384 |
|---|---|
| author | Bifulco, A Spence, R Nunn, S Kagan, L Bailey-Rodriguez, D Hosang, GM Taylor, M Fisher, HL |
| author_facet | Bifulco, A Spence, R Nunn, S Kagan, L Bailey-Rodriguez, D Hosang, GM Taylor, M Fisher, HL |
| author_sort | Bifulco, A |
| collection | OXFORD |
| description | <strong>Background:</strong>
Given the criticisms of life event checklists and the costs associated with interviews, life event research requires a sophisticated but easy-to-use measure for research and clinical practice. Therefore, the Computerized Life Events and Assessment Record (CLEAR), based on the Life Events and Difficulties Schedule (LEDS), was developed.
<br>
<strong>Objective:</strong>
The objective of our study was to test CLEAR’s reliability, validity, and association with depression.
<br>
<strong>Methods:</strong>
CLEAR, the General Health Questionnaire, and the List of Threatening Experiences Questionnaire (LTE-Q) were completed by 328 participants (126 students; 202 matched midlife sample: 127 unaffected controls, 75 recurrent depression cases). Test-retest reliability over 3-4 weeks was examined and validity determined by comparing CLEAR with LEDS and LTE-Q. Both CLEAR and LTE-Q were examined in relation to depression.
<br>
<strong>Results:</strong>
CLEAR demonstrated good test-retest reliability for the overall number of life events (0.89) and severe life events (.60). Long-term problems showed similar findings. In terms of validity, CLEAR severe life events had moderate sensitivity (59.1%) and specificity (65.4%) when compared with LEDS. CLEAR demonstrated moderate sensitivity (43.1%) and specificity (78.6%) when compared with LTE-Q. CLEAR severe life events and long-term problems were significantly associated with depression (odds ratio, OR 3.50, 95% CI 2.10 to 5.85, P<.001; OR 3.38, 95% CI 2.02 to 5.67, P<.001, respectively), whereas LTE-Q events were not (OR 1.06, 95% CI 0.43 to 2.60, P=.90).
<br>
<strong>Conclusions:</strong>
CLEAR has acceptable reliability and validity and predicts depression. It, therefore, has great potential for effective use in research and clinical practice identifying stress-related factors for the onset and maintenance of depression and related disorders. |
| first_indexed | 2024-03-06T23:51:24Z |
| format | Journal article |
| id | oxford-uuid:72b8f87a-e6b5-4291-a0ee-80a3fa2c39ca |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T23:51:24Z |
| publishDate | 2019 |
| publisher | JMIR Publications |
| record_format | dspace |
| spelling | oxford-uuid:72b8f87a-e6b5-4291-a0ee-80a3fa2c39ca2022-03-26T19:52:01ZWeb-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depressionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:72b8f87a-e6b5-4291-a0ee-80a3fa2c39caEnglishSymplectic ElementsJMIR Publications2019Bifulco, ASpence, RNunn, SKagan, LBailey-Rodriguez, DHosang, GMTaylor, MFisher, HL<strong>Background:</strong> Given the criticisms of life event checklists and the costs associated with interviews, life event research requires a sophisticated but easy-to-use measure for research and clinical practice. Therefore, the Computerized Life Events and Assessment Record (CLEAR), based on the Life Events and Difficulties Schedule (LEDS), was developed. <br> <strong>Objective:</strong> The objective of our study was to test CLEAR’s reliability, validity, and association with depression. <br> <strong>Methods:</strong> CLEAR, the General Health Questionnaire, and the List of Threatening Experiences Questionnaire (LTE-Q) were completed by 328 participants (126 students; 202 matched midlife sample: 127 unaffected controls, 75 recurrent depression cases). Test-retest reliability over 3-4 weeks was examined and validity determined by comparing CLEAR with LEDS and LTE-Q. Both CLEAR and LTE-Q were examined in relation to depression. <br> <strong>Results:</strong> CLEAR demonstrated good test-retest reliability for the overall number of life events (0.89) and severe life events (.60). Long-term problems showed similar findings. In terms of validity, CLEAR severe life events had moderate sensitivity (59.1%) and specificity (65.4%) when compared with LEDS. CLEAR demonstrated moderate sensitivity (43.1%) and specificity (78.6%) when compared with LTE-Q. CLEAR severe life events and long-term problems were significantly associated with depression (odds ratio, OR 3.50, 95% CI 2.10 to 5.85, P<.001; OR 3.38, 95% CI 2.02 to 5.67, P<.001, respectively), whereas LTE-Q events were not (OR 1.06, 95% CI 0.43 to 2.60, P=.90). <br> <strong>Conclusions:</strong> CLEAR has acceptable reliability and validity and predicts depression. It, therefore, has great potential for effective use in research and clinical practice identifying stress-related factors for the onset and maintenance of depression and related disorders. |
| spellingShingle | Bifulco, A Spence, R Nunn, S Kagan, L Bailey-Rodriguez, D Hosang, GM Taylor, M Fisher, HL Web-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depression |
| title | Web-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depression |
| title_full | Web-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depression |
| title_fullStr | Web-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depression |
| title_full_unstemmed | Web-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depression |
| title_short | Web-based measure of life events using computerized life events and assessment record (CLEAR): Preliminary Cross-Sectional Study of reliability, validity, and association with depression |
| title_sort | web based measure of life events using computerized life events and assessment record clear preliminary cross sectional study of reliability validity and association with depression |
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