Dysphoria: A major symptom factor in persons with disability or chronic illness
Depression frequently is diagnosed in persons with chronic illness or following the onset of disability. The overlap of symptoms of many chronic illnesses and disabling conditions with depression may lead to an overestimation of depression in such populations. Some investigators have proposed revise...
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| Veröffentlicht in: | Psychiatry research 1992-09, Vol.43 (3), p.231-241 |
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| creator | Frank, Robert G. Chaney, John M. Clay, Daniel L. Shutty, Michael S. Niels C., Beck Kay, Donald R. Elliott, Timothy R. Grambling, Sandy |
| description | Depression frequently is diagnosed in persons with chronic illness or following the onset of disability. The overlap of symptoms of many chronic illnesses and disabling conditions with depression may lead to an overestimation of depression in such populations. Some investigators have proposed revised criteria for diagnosing depression in these conditions without an understanding of the contribution of diagnostic criteria in disabling conditions. This study investigated the nature of depressive symptom criteria constellations by individually factor analyzing the Inventory to Diagnose Depression (based on
DSM-III diagnostic criteria) in spinal cord injury (
n = 134), rheumatoid arthritis (
n = 78), student (
n = 140), and community (
n = 150) groups. A four-factor solution emerged, with the first factor labeled “dysphoria” being represented by symptoms of negative self-evaluations, depressed affect, and suicidal ideation. The results indicate that a core element of the syndrome of depression is dysphoria, which suggests that the contribution of somatic items may be less important to the identification of the depressive syndrome in chronic illness. |
| doi_str_mv | 10.1016/0165-1781(92)90056-9 |
| format | Article |
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DSM-III diagnostic criteria) in spinal cord injury (
n = 134), rheumatoid arthritis (
n = 78), student (
n = 140), and community (
n = 150) groups. A four-factor solution emerged, with the first factor labeled “dysphoria” being represented by symptoms of negative self-evaluations, depressed affect, and suicidal ideation. The results indicate that a core element of the syndrome of depression is dysphoria, which suggests that the contribution of somatic items may be less important to the identification of the depressive syndrome in chronic illness.</description><identifier>ISSN: 0165-1781</identifier><identifier>EISSN: 1872-7123</identifier><identifier>DOI: 10.1016/0165-1781(92)90056-9</identifier><identifier>PMID: 1438622</identifier><identifier>CODEN: PSRSDR</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Arthritis, Rheumatoid - psychology ; Arthritis, Rheumatoid - rehabilitation ; Biological and medical sciences ; Chronic Disease - psychology ; Chronic Disease - rehabilitation ; Depression ; Depression - diagnosis ; Depression - psychology ; diagnosis ; Disabled Persons - psychology ; Factor Analysis, Statistical ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Mood disorders ; Personality Inventory - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Rehabilitation - psychology ; Rehabilitation Centers ; rheumatoid arthritis ; Sick Role ; Spinal Cord Injuries - psychology ; Spinal Cord Injuries - rehabilitation ; spinal cord injury</subject><ispartof>Psychiatry research, 1992-09, Vol.43 (3), p.231-241</ispartof><rights>1992</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-8386912e7449faecfa8e97668e24f15da48f7a6f170ad7fb834f8358940132463</citedby><cites>FETCH-LOGICAL-c386t-8386912e7449faecfa8e97668e24f15da48f7a6f170ad7fb834f8358940132463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0165178192900569$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4340356$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1438622$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frank, Robert G.</creatorcontrib><creatorcontrib>Chaney, John M.</creatorcontrib><creatorcontrib>Clay, Daniel L.</creatorcontrib><creatorcontrib>Shutty, Michael S.</creatorcontrib><creatorcontrib>Niels C., Beck</creatorcontrib><creatorcontrib>Kay, Donald R.</creatorcontrib><creatorcontrib>Elliott, Timothy R.</creatorcontrib><creatorcontrib>Grambling, Sandy</creatorcontrib><title>Dysphoria: A major symptom factor in persons with disability or chronic illness</title><title>Psychiatry research</title><addtitle>Psychiatry Res</addtitle><description>Depression frequently is diagnosed in persons with chronic illness or following the onset of disability. The overlap of symptoms of many chronic illnesses and disabling conditions with depression may lead to an overestimation of depression in such populations. Some investigators have proposed revised criteria for diagnosing depression in these conditions without an understanding of the contribution of diagnostic criteria in disabling conditions. This study investigated the nature of depressive symptom criteria constellations by individually factor analyzing the Inventory to Diagnose Depression (based on
DSM-III diagnostic criteria) in spinal cord injury (
n = 134), rheumatoid arthritis (
n = 78), student (
n = 140), and community (
n = 150) groups. A four-factor solution emerged, with the first factor labeled “dysphoria” being represented by symptoms of negative self-evaluations, depressed affect, and suicidal ideation. The results indicate that a core element of the syndrome of depression is dysphoria, which suggests that the contribution of somatic items may be less important to the identification of the depressive syndrome in chronic illness.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - psychology</subject><subject>Arthritis, Rheumatoid - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease - psychology</subject><subject>Chronic Disease - rehabilitation</subject><subject>Depression</subject><subject>Depression - diagnosis</subject><subject>Depression - psychology</subject><subject>diagnosis</subject><subject>Disabled Persons - psychology</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Rehabilitation - psychology</subject><subject>Rehabilitation Centers</subject><subject>rheumatoid arthritis</subject><subject>Sick Role</subject><subject>Spinal Cord Injuries - psychology</subject><subject>Spinal Cord Injuries - rehabilitation</subject><subject>spinal cord injury</subject><issn>0165-1781</issn><issn>1872-7123</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVISbdJ_0EKOoTSHtzoy5bUQyGknxDIpT0LrTxiFWzL0Xhb9t9X212SWw8jId5nRsNDyCVnHzjj3XWttuHa8HdWvLeMtV1jT8iKGy0azYU8Jasn5CV5hfjAGBPc2jNyxpU0nRArcv95h_Mml-Q_0hs6-odcKO7GeckjjT4s9ZkmOkPBPCH9k5YN7RP6dRrSsqM1DZuSpxRoGoYJEC_Ii-gHhNfH-5z8-vrl5-335u7-24_bm7sm1I-XxtTTcgFaKRs9hOgNWN11BoSKvO29MlH7LnLNfK_j2kgVjWyNVYxLoTp5Tt4e5s4lP24BFzcmDDAMfoK8Rael5LV0BdUBDCUjFohuLmn0Zec4c3uPbi_J7SU5K9w_j87WtjfH-dv1CP1z00Fcza-Oucfgh1j8FBI-YUoqJtv9mp8OGFQXvxMUhyHBFKBPBcLi-pz-v8dfG-iN0Q</recordid><startdate>19920901</startdate><enddate>19920901</enddate><creator>Frank, Robert G.</creator><creator>Chaney, John M.</creator><creator>Clay, Daniel L.</creator><creator>Shutty, Michael S.</creator><creator>Niels C., Beck</creator><creator>Kay, Donald R.</creator><creator>Elliott, Timothy R.</creator><creator>Grambling, Sandy</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920901</creationdate><title>Dysphoria: A major symptom factor in persons with disability or chronic illness</title><author>Frank, Robert G. ; Chaney, John M. ; Clay, Daniel L. ; Shutty, Michael S. ; Niels C., Beck ; Kay, Donald R. ; Elliott, Timothy R. ; Grambling, Sandy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-8386912e7449faecfa8e97668e24f15da48f7a6f170ad7fb834f8358940132463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Arthritis, Rheumatoid - psychology</topic><topic>Arthritis, Rheumatoid - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease - psychology</topic><topic>Chronic Disease - rehabilitation</topic><topic>Depression</topic><topic>Depression - diagnosis</topic><topic>Depression - psychology</topic><topic>diagnosis</topic><topic>Disabled Persons - psychology</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Rehabilitation - psychology</topic><topic>Rehabilitation Centers</topic><topic>rheumatoid arthritis</topic><topic>Sick Role</topic><topic>Spinal Cord Injuries - psychology</topic><topic>Spinal Cord Injuries - rehabilitation</topic><topic>spinal cord injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frank, Robert G.</creatorcontrib><creatorcontrib>Chaney, John M.</creatorcontrib><creatorcontrib>Clay, Daniel L.</creatorcontrib><creatorcontrib>Shutty, Michael S.</creatorcontrib><creatorcontrib>Niels C., Beck</creatorcontrib><creatorcontrib>Kay, Donald R.</creatorcontrib><creatorcontrib>Elliott, Timothy R.</creatorcontrib><creatorcontrib>Grambling, Sandy</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Psychiatry research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frank, Robert G.</au><au>Chaney, John M.</au><au>Clay, Daniel L.</au><au>Shutty, Michael S.</au><au>Niels C., Beck</au><au>Kay, Donald R.</au><au>Elliott, Timothy R.</au><au>Grambling, Sandy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dysphoria: A major symptom factor in persons with disability or chronic illness</atitle><jtitle>Psychiatry research</jtitle><addtitle>Psychiatry Res</addtitle><date>1992-09-01</date><risdate>1992</risdate><volume>43</volume><issue>3</issue><spage>231</spage><epage>241</epage><pages>231-241</pages><issn>0165-1781</issn><eissn>1872-7123</eissn><coden>PSRSDR</coden><abstract>Depression frequently is diagnosed in persons with chronic illness or following the onset of disability. The overlap of symptoms of many chronic illnesses and disabling conditions with depression may lead to an overestimation of depression in such populations. Some investigators have proposed revised criteria for diagnosing depression in these conditions without an understanding of the contribution of diagnostic criteria in disabling conditions. This study investigated the nature of depressive symptom criteria constellations by individually factor analyzing the Inventory to Diagnose Depression (based on
DSM-III diagnostic criteria) in spinal cord injury (
n = 134), rheumatoid arthritis (
n = 78), student (
n = 140), and community (
n = 150) groups. A four-factor solution emerged, with the first factor labeled “dysphoria” being represented by symptoms of negative self-evaluations, depressed affect, and suicidal ideation. The results indicate that a core element of the syndrome of depression is dysphoria, which suggests that the contribution of somatic items may be less important to the identification of the depressive syndrome in chronic illness.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>1438622</pmid><doi>10.1016/0165-1781(92)90056-9</doi><tpages>11</tpages></addata></record> |
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| subjects | Adaptation, Psychological Adolescent Adult Adult and adolescent clinical studies Aged Arthritis, Rheumatoid - psychology Arthritis, Rheumatoid - rehabilitation Biological and medical sciences Chronic Disease - psychology Chronic Disease - rehabilitation Depression Depression - diagnosis Depression - psychology diagnosis Disabled Persons - psychology Factor Analysis, Statistical Female Humans Male Medical sciences Middle Aged Mood disorders Personality Inventory - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Rehabilitation - psychology Rehabilitation Centers rheumatoid arthritis Sick Role Spinal Cord Injuries - psychology Spinal Cord Injuries - rehabilitation spinal cord injury |
| title | Dysphoria: A major symptom factor in persons with disability or chronic illness |
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