A validation analysis of two self-reported HAM-D6 versions

P Bech1, P Wilson, T Wessel

  • 1Psychiatric Research Unit, Frederiksborg General Hospital, Copenhagen University Hospitals, Hilleroed, Denmark. pebe@noh.regionh.dk

Insights

The six-item Hamilton Depression Scale (HAM-D(6)) is a valid unidimensional self-rating scale for measuring depression. Both Interactive Voice Recording System and paper-and-pencil versions demonstrated psychometric validity.

Area of Science:

  • Psychiatry
  • Psychometrics
  • Clinical Psychology

Background:

  • The clinician-administered Hamilton Depression Scale (HAM-D(6)) assesses core depressive symptoms.
  • Self-reported versions offer potential for wider accessibility and efficiency in assessing antidepressive effects.

Purpose of the Study:

  • To psychometrically validate two self-reported versions of the HAM-D(6) for unidimensionality.
  • To confirm the suitability of these self-rated scales for patients with mild-to-moderate depression.

Main Methods:

  • Mokken item response theory analysis was employed.
  • Unidimensionality was tested for the Interactive Voice Recording System (IVRS)-HAM-D(6) and paper-and-pencil S-HAM-D(6).
  • Patients with major depression and seasonal affective disorder were included.

Main Results:

  • Both IVRS-HAM-D(6) and S-HAM-D(6) achieved coefficients of homogeneity above 0.40, indicating unidimensionality.
  • These results are comparable to the clinician-rated HAM-D(6).
  • In contrast, full HAM-D(17) versions (self-rated and clinician-rated) showed coefficients below 0.40, suggesting multidimensionality.

Conclusions:

  • The IVRS-HAM-D(6) and S-HAM-D(6) are validated as unidimensional self-rating scales.
  • These versions are suitable for measuring depressive states.
Abstract

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