Cross-sectional validation of the Rasch-based Depression Screening (DESC) in a mixed sample of patients with mental and somatic diseases

Vehren, Thomas; Boecker, Maren; Norra, Christine; Wirtz, Markus; Gauggel, Siegfried; Forkmann, Thomas

doi:10.1016/j.comppsych.2013.05.001

Cited by 9 publications

(8 citation statements)

References 20 publications

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“…The DESC has good psychometric properties with excellent internal consistency in prior studies (Cronbach's α ≥ 0.92). 28,30 Internal consistency in the present sample was Cronbach's α = 0.92 (s.e. = 0.01; 95% CI 0.91-0.94).…”

Section: Rasch-based Depression Screening (Desc-i)mentioning

confidence: 76%

Interpersonal theory of suicide: prospective examination

et al. 2020

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Background The interpersonal theory of suicide (IPTS) is one of the most intensively researched contemporary theories on the development of suicidal ideation and behaviour. However, there is a lack of carefully conducted prospective studies. Aims To evaluate the main predictions of the IPTS regarding the importance of perceived burdensomeness, thwarted belongingness and capability for suicide in predicting future suicide attempts in a prospective design. Method Psychiatric in-patients (n = 308; 53.6% (n = 165) female; mean age 36.82 years, s.d. = 14.30, range 18–81) admitted for severe suicidal ideation (n = 145, 47.1%) or a suicide attempt completed self-report measures of thwarted belongingness, perceived burdensomeness, capability for suicide, hopelessness, depression and suicidal ideation as well as interviews on suicide intent and suicide attempts and were followed up for 12 months. Logistic regression and receiver operating characteristics (ROC) analysis were conducted. Results The interaction of perceived burdensomeness, thwarted belongingness and capability for suicide was not predictive of future suicide attempts, but perceived burdensomeness showed a significant main effect (z = 3.49, P < 0.01; OR = 2.34, 95% CI 1.59–3.58) and moderate performance in screening for future suicide attempts (area under the curve AUC = 0.729, P < 0.01). Conclusions The results challenge the theoretical validity of the IPTS and its clinical utility – at least within the methodological limitations of the current study. Yet, findings underscore the importance of perceived burdensomeness in understanding suicidal ideation and behaviour.

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Section: Rasch-based Depression Screening (Desc-i)mentioning

confidence: 76%

Interpersonal theory of suicide: prospective examination

et al. 2020

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“…Depressive symptoms were assessed using the Rasch-based Depression Screening [DESC-I [20, 25, 26];]. The DESC-I comprises 10 items referring to the last two weeks, which are answered on a five point Likert scale ranging from 0 to 4.…”

Section: Methodsmentioning

confidence: 99%

Sense it and use it: interoceptive accuracy and sensibility in suicide ideators

et al. 2019

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BackgroundInteroceptive deficits have been found to be associated with suicidal ideation and behavior. However, an objective measure of interoceptive accuracy has not been investigated in participants with suicide ideation, by now. This study aimed at investigating interoceptive accuracy and sensibility in persons with and without suicide ideation (SI) while controlling for severity of depressive symptoms.MethodNinety-five participants (age: M = 34.8, SD = 11.6, n = 56 female [58.9%]; n = 51 patients with a Major Depressive Disorder and n = 44 healthy participants) were assessed for interoceptive accuracy and sensibility, depression and SI.ResultsTwenty-five participants (26%) reported SI. They showed interoceptive accuracy comparable to persons without SI (t = −.81, p = .422), but significantly lower interoceptive sensibility. After controlling for severity of depressive symptoms in a hierarchical linear regression analysis, most associations between interoceptive sensibility and SI disappeared.ConclusionResults suggest that suicide ideators do not lack the ability to perceive their own bodily signals but they feel less able to use them in a way that is advantageous for them. Differences between suicide ideators and non-ideators appear to be largely driven by depressive symptoms (depression bias).

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“…The 10 items of the DESC refer to the last two weeks. Participants are asked to indicate how often they experienced each symptom on a 5-point Likert-scale ranging from “never” (0) to “always” (4) with higher scores indicating more symptoms of depression and total scores of ≥ 12 suggesting the presence of a depressive episode (Forkmann et al 2009; Vehren et al 2013). …”

Section: Methodsmentioning

confidence: 99%

A mediation model of mindfulness and decentering: sequential psychological constructs or one and the same?

et al. 2014

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BackgroundMindfulness and decentering are closely related processes both assumed to promote well-being. While some researchers claim that mindfulness and decentering can be clearly differentiated others suggest to use these concepts interchangeably. The precise relation between mindfulness and decentering remains unclear and therefore the present study aims to determine the relation between mindfulness and decentering.MethodsIn a structural equation modeling framework, a mediation model was tested among a sample group of 495 university students (average age 20.8 years, 30.3% female).ResultsThe identified model shows an acceptable fit to the data and illustrates the role of decentering as a mediator of the relationship between mindfulness and depressive symptoms by complementary mediation and indirect-only mediation.ConclusionThe present results cannot sustain previous research, which converted mindfulness and decentering into one single variable. Rather the data suggests to treat mindfulness and decentering as two separable concepts and to regard decentering as an important working mechanism of mindfulness.

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Cross-sectional validation of the Rasch-based Depression Screening (DESC) in a mixed sample of patients with mental and somatic diseases

Cited by 9 publications

References 20 publications

Interpersonal theory of suicide: prospective examination

Interpersonal theory of suicide: prospective examination

Sense it and use it: interoceptive accuracy and sensibility in suicide ideators

A mediation model of mindfulness and decentering: sequential psychological constructs or one and the same?

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