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Inter-rater reliabi...
Inter-rater reliability among psychiatrists when assessing depression according to the Montgomery–Åsberg Depression Rating Scale
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Geijer, J. (författare)
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- Baigi, Amir, 1953 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- Aiff, Harald (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi,Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry
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(creator_code:org_t)
- 2021-06-22
- 2021
- Engelska.
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725.
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction: Montgomery–Åsberg Depression Rating Scale (MADRS) is a validated tool for rating the depth of depression. The structured interview guide for the MADRS (SIGMA) is an interview guide that has been developed in order to increase the inter-rater reliability. Patients often meet more than one psychiatrists during their hospitalization for depression. A divergent rating of depression between psychiatrists could affect both the treatment and the outcome. This makes knowledge of the inter-rater reliability among psychiatrists important. Aim: The primary aim of this study was to measure the inter-rater reliability between psychiatrists when rating depression using the MADRS. Methods: Ten in-patients, who were diagnosed with depression, were filmed while being interviewed using the SIGMA. The patients were after that instructed to rate themselves using the self-rating version of the MADRS. Ten psychiatrists rated the pre-recorded interviews according to the MADRS. The inter-rater reliability was measured using intra-class correlation (ICC). Results: The mean ICC for the total MADRS score was 0.952 (95% CI 0.891–0.986; p<.001) and Cronbach’s alpha 0.961. ICC values for each item ranged between 0.866 and 0.978 (p<.001). Cronbach’s alpha ranged between 0.905 and 0.984. The ICC values, when comparing the psychiatrists rating to the patients rating, ranged between 0.307 and 0.809 (p<.001). Conclusion: All of the ICC values in the study, except when comparing the psychiatrists rating to the patients self-rating, were considered to be excellent. This study confirms the findings of reliability found in similar studies which involved fewer raters and not exclusively psychiatrists. © 2021 The Nordic Psychiatric Association.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Nyckelord
- depression
- MADRS
- psychiatry
- Psychometry
- reliability
- adult
- article
- clinical article
- controlled study
- Cronbach alpha coefficient
- female
- hospital patient
- human
- interrater reliability
- male
- Montgomery Asberg Depression Rating Scale
- psychiatrist
- structured interview
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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