Self-rating Depression Scale (Self-rat + depression_scale)

Distribution by Scientific Domains


Selected Abstracts


Correlation between attenuated psychotic experiences and depressive symptoms among Japanese students

EARLY INTERVENTION IN PSYCHIATRY, Issue 3 2010
Hiroyuki Kobayashi
Abstract Aims: To examine the emergence of attenuated psychotic experiences, self-disturbance or affective symptoms among younger subjects in the general population and to investigate the intergroup differences on each symptom between adolescents and post-adolescents. Methods: A total of 781 participants, 496 university students (mean age: 19.3 ± 1.1 years) and 285 high school students (mean age: 16.0 ± 0.3 years), were administered self-reported questionnaires. Psychotic prodromal symptoms were evaluated using the PRIME Screen-Revised (PS-R), a 12-item self-reported questionnaire. To measure the cognitive, emotional and physical symptoms associated with depression, the Zung Self-rating Depression Scale (ZSDS), a 20-item self-reported questionnaire, was administered. Results: There were no intergroup differences on the factor score of the PS-R, except the self-demarcation factor (post-adolescents > adolescents), whereas there were significant differences in the factor score of the ZSDS, except for the anxiety factor. Among the post-adolescents, the factors of the PS-R showed a moderate correlation to the cognitive factor on the ZSDS; among the adolescents, the PS-R factors showed a greater correlation to the anxiety factor on the ZSDS than other factors. There were no differences in the distribution of each item of the PS-R between the two groups. Conclusions: The disturbance of self results in difficulty to precisely objectify, especially among adolescents, which would induce more primitive reactions such as agitation, irritability or anxiety; probably, the self disturbance would become an explicit symptom from an implicit experience with advancing age of the subject. Although these data are only preliminary, they could explain the pathway of progression prior to the onset of psychosis, from disturbance within the self to exaggerated self-absorption. [source]


Estimation of the number of working hours critical for the development of mental and physical fatigue symptoms in Japanese male workers,application of benchmark dose method

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 3 2007
Yasushi Suwazono PhD
Abstract Background To clarify the influence of working hours on subjective fatigue symptoms and obtain the critical dose (number of hours) to determine the number of permissible working hours, we calculated the benchmark dose (BMD) and the 95% lower confidence limit on BMD (BMDL) of working hours for subjective mental and fatigue symptoms using multivariate logistic regression. Methods Self-administered questionnaires were distributed to all 843 male daytime workers aged ,60 years in a single chemical factory, and 715 provided complete replies. The odds ratios of daily working hours were determined using positive findings of the Self-rating Depression Scale and 8 subscales of the Cumulative Fatigue Symptom Index as dependent variables, and other potential covariates as independent variables. Using significant parameters for the working hours and those for other covariates, the BMD and BMDL (BMD/BMDL) values were calculated for corresponding dependent variables. The benchmark response (BMR) was set at 5% or 10%. Results The BMDL with a BMR of 5% was shown to be 9.6,11.6 hr per day, which corresponds to 48,58 working hours per week and 36,78 overtime hours per month. Conclusions These results suggest that special attention should be paid to the workers whose working hours exceed these BMD/BMDL values. Am. J. Ind. Med. 50: 173,182, 2007. © 2007 Wiley-Liss, Inc. [source]


Factors associated with postpartum depression and abusive behavior in mothers with infants

PSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 2 2010
Hyungin Choi md
Aims:, This study was conducted to examine factors associated with postpartum depression and abusive behavior in mothers with infants. Methods:, Data were collected from baby check-ups in Japan and 413 participants were included in an analysis using: (i) an Original Questionnaire; (ii) the Zung Self-rating Depression Scale (ZSDS); (iii) the Parental Bonding Instrument; and (iv) the Childcare Anxiety Scale (CAS). Covariance structural analyses were performed to examine interconnections among the Parental Bonding Instrument subscales, CAS subscales (,worry about parenting', ,burden of nursing time', ,difficulty of bonding'), ZSDS, ,fear of being abusive', and ,abusive behavior'. Results:, Of the 413 mothers, 14.5% showed higher than moderate levels of depression (ZSDS , 50). In covariance structural analyses, ,depression' was strongly influenced by ,worry about parenting' in all variances, but was not associated with ,abusive behavior'. ,Worry about parenting' also had a strong influence on ,fear of being abusive', but did not affect ,abusive behavior'. Low ,maternal care' had most influence on ,difficulty of bonding', and ,difficulty of bonding' only affected ,abusive behavior'. Conclusions:, The outcome of this study suggests that excessive worrying related to postpartum depression, ,fear of being abusive', and bonding difficulty are primary predictors of child abuse. Postpartum depression was not a predictor for abusive behavior after exclusion of the impact of bonding difficulties on abusive behavior. Therefore, the correlation between postpartum depression and abusive behavior identified in previous reports may have been influenced by bonding difficulties. [source]


,Insistence on recovery' as a positive prognostic factor in Japanese stroke patients

PSYCHIATRY AND CLINICAL NEUROSCIENCES, Issue 4 2008
Seiji Hama
Aim:, The present study used two-step analyses to examine the effect of acceptance of disability or ,insistence on recovery' in Japanese stroke patients: first on their functional improvement and second, on their psychological symptoms. Methods:, Disability was assessed using functional independence measurements (FIM), examining the stage of acceptance of disability by observation using Fink's theory (from shock to defensive retreat, acknowledgement, and acceptance/change stage), and estimation of insistence on recovery (on a scale of 1,4) by observation. The differences over time and the effects on the improvement in their FIM were then assessed. Depression was measured using the Zung Self-rating Depression Scale (SDS); apathy was measured using the Apathy Scale (AS), and the correlation with the acceptance stage or insistence on recovery was analyzed. Results:, The acceptance stage and functional improvement progressed significantly, but insistence on recovery did not change significantly during hospitalization. Multiple regression indicated that the insistence on recovery score (but not the acceptance stage) was a good predictor of the degree of improvement in FIM (FIM gain per week) in the elderly group. Post-hoc testing showed that the SDS or AS score decreased from the first stage to the fourth stage (but increased at the third stage) of acceptance; whereas for insistence on recovery score, the SDS and AS scores decreased as insistence on recovery score changed from 1 to 3, and then increased as insistence on recovery score changed from 3 to 4. Conclusions:, The appropriate level of insistence on recovery reduced depression and apathy, resulting in enhanced improvement of disability after a stroke in elderly stroke patients. [source]


The relationship of pain and health-related quality of life in Korean patients with Parkinson's disease

ACTA NEUROLOGICA SCANDINAVICA, Issue 6 2009
J. H. Roh
Background,,, Parkinson's disease (PD) is a chronic progressive neurodegenerative disorder. Increasing attention has been focused on the pain and health-related quality of life (HrQOL) in patients with PD. Objective,,, To evaluate the relationship between pain and the HrQOL in patients with PD. Methods,,, Eighty-two patients with PD were included and classified into two groups according to the presence of pain. The Hoehn and Yahr scale, the Unified Parkinson's Disease Rating Scale (UPDRS), the Modified Somatic Perception Questionnaire (MSPQ), the Zung Depression Inventory , Self-rating Depression Scale (SDS), the Visual Analogue Scale and the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) were administered. The factors influencing the pain, HrQOL and parkinsonian manifestations were evaluated. Results,,, The PD with pain group had higher UPDRS part III scores, lower SF-36 scores, higher SDS scores and higher MSPQ scores than the PD without pain group. The presence of pain, high Hoehn and Yahr stage, advanced age and somatic perception were the factors that had a negative effect on the physical component of the HrQOL. Depression and somatic perception were the most important predictive factors for the mental component of the HrQOL. Depression and poor parkinsonian motor abilities were the leading factors contributing to pain. Conclusion,,, Pain and depression were major detrimental factors affecting the physical and mental aspects of the HrQOL respectively. Therefore, the treatment of pain and depression can be important to improve the HrQOL. [source]


Factors influencing quality of life in multiple sclerosis patients: disability, depressive mood, fatigue and sleep quality

ACTA NEUROLOGICA SCANDINAVICA, Issue 1 2004
I. S. Lobentanz
Objectives , In a series of 504 patients with multiple sclerosis (MS), quality of life (QOL) and its main clinical and demographic determinants were assessed in comparison with healthy individuals. Materials and methods , A postal questionnaire with self-completed measures of disability (Expanded Disability Status Scale, EDSS), QOL (Quality of Life Index, QLI), depressive mood (Self-rating Depression Scale, SDS), fatigue severity (Fatigue Severity Scale, FSS) and sleep quality (Pittsburgh Sleep Quality Index, PSQI) was sent to this sample of MS patients. Results , Most patients were severely disabled; almost half were mildly to severely depressed, suffering from reduced sleep quality and/or fatigue. The multiple sclerosis patients had significantly lower QLI scores than healthy controls. EDSS and SDS scores were found to be predictors of global QLI score. Regarding the different QLI domains, mean SDS scores remained predictive for all QLI items, while mean EDSS, PSQI and FSS scores were only predictive for physical domains. Conclusion , Our study clearly demonstrates that depressive mood is the main factor influencing QOL. The disability status, fatigue and reduced sleep quality have an impact mainly on physical domains of life quality. [source]