Examination of the Hamilton scales in assessment of anxious older adults: A replication and extension

被引:21
作者
Diefenbach, GJ
Stanley, MA
Beck, JG
Novy, DM
Averill, PM
Swann, AC
机构
[1] Univ Texas, Sch Med, Mental Sci Inst, Dept Psychiat & Behav Sci, Houston, TX 77030 USA
[2] SUNY Coll Buffalo, Dept Psychol, Buffalo, NY 14222 USA
[3] Univ Texas, Sch Med, Dept Anesthesiol, Houston, TX 77030 USA
[4] Univ Texas, Sch Med, Dept Psychiat, Houston, TX 77030 USA
[5] Univ Texas, Sch Med, Dept Behav Sci, Houston, TX 77030 USA
[6] Univ Texas, Sch Med, Harris Cty Psychiat Ctr, Dept Psychiat & Behav Sci, Houston, TX USA
关键词
Hamilton scales; anxiety; depression; elderly;
D O I
10.1023/A:1010967725849
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study examined the original and reconstructed Hamilton scales in the assessment of anxiety and depression in a sample of older adults diagnosed with GAD (n = 82). Internal consistency of all scales appeared adequate. Results indicated improved construct validity with the reconstructed scales, which demonstrated reduced shared variance. However, construct validity examined through intercorrelations of the Hamilton scales with self-report measures of anxiety and depression was generally poor. Discriminant function analysis indicated that the reconstructed scales might have some clinical utility in differentiation of patients with and without coexistent depressive diagnosis (67% correct classification). In addition, two items from the Hamilton rating scale for depression (Work and Activities; Hopelessness) correctly classified patients with and without depression at a similar level as the Hamilton scale total scores (64-65% correct classification). These results suggest that the Work and Activities, and Hopelessness items may provide clinicians with useful screening questions for depression in anxious older adults.
引用
收藏
页码:117 / 124
页数:8
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