Journal article
Dysphoria: A major symptom factor in persons with disability or chronic illness
Psychiatry research, Vol.43(3), pp.231-241
09/01/1992
DOI: 10.1016/0165-1781(92)90056-9
PMID: 1438622
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.
Details
- Title: Subtitle
- Dysphoria: A major symptom factor in persons with disability or chronic illness
- Creators
- Robert G. Frank - Virginia Commonwealth UniversityJohn M. Chaney - Virginia Commonwealth UniversityDaniel L. Clay - Virginia Commonwealth UniversityMichael S. Shutty - Virginia Commonwealth UniversityBeck Niels C. - Virginia Commonwealth UniversityDonald R. Kay - University of MissouriTimothy R. Elliott - Virginia Commonwealth UniversitySandy Grambling - Virginia Commonwealth University
- Resource Type
- Journal article
- Publication Details
- Psychiatry research, Vol.43(3), pp.231-241
- Publisher
- Elsevier Ireland Ltd
- DOI
- 10.1016/0165-1781(92)90056-9
- PMID
- 1438622
- ISSN
- 0165-1781
- eISSN
- 1872-7123
- Language
- English
- Date published
- 09/01/1992
- Academic Unit
- Education Administration; Psychological and Quantitative Foundations
- Record Identifier
- 9984371293702771
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