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Rating Weight Loss on the Hamilton Depression Rating Scale-Reply

Janet B.W Williams, DSW
Arch Gen Psychiatry. 1989;46(5):482-482. doi:10.1001/archpsyc.1989.01810050096020
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In Reply.—  Rausch and Sanchez note an important potential problem with the version of the HDRS used in the development of the Structured Interview Guide for the HDRS. As stated in the original article, I used the version of the HDRS that appears in the ECDEU Manual,1 which appears to be the most widely used in this country. In this version, when weight loss is not assessed, a score of 3 is assigned to that item. Some investigators may wish to adopt Rausch and Sanchez' suggestion and code the item as missing data when weight loss is not assessed, rather than score the item as 3.Many other significant problems exist with this rating scale, such as the restricted content range of its items,2,3 inadequacies in many of its scale point descriptions,2 the poor validity of some of its items,4,5 and difficulties applying it to the physically

REFERENCES

Guy W, ed. ECDEU Assessment Manual for Psychopharmacology . Rockville, Md: US Dept of Health, Education, and Welfare; 1976;. Publication ADM 76-336.
Miller IW, Bishop S, Norman WH, Maddever H.  The Modified Hamilton Rating Scale for Depression: reliability and validity . Psychiatry Res . 1985;;14:131-142.
Rush AJ, Giles DE, Schlesser MA, Fulton CL, Weissenburger J, Burns C.  The Inventory for Depressive Symptomatology (IDS): preliminary findings . Psychiatry Res . 1986;;18:65-87.
Cicchetti DV, Prusoff BA.  Reliability of depression and associated clinical symptoms . Arch Gen Psychiatry . 1983;;40:987-990.
Rehm LP, O'Hara MW.  Item characteristics of the Hamilton Rating Scale for Depression . J Psychiatr Res . 1985;;19:31-41.
Endicott J.  Measurement of depression in patients with cancer . Cancer . 1984;;53( (suppl) ): 2217-2384.
Noyes R, Kathol RG.  Depression and cancer . Psychiatr Dev . 1986;;2:77-100.

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Guy W, ed. ECDEU Assessment Manual for Psychopharmacology . Rockville, Md: US Dept of Health, Education, and Welfare; 1976;. Publication ADM 76-336.
Miller IW, Bishop S, Norman WH, Maddever H.  The Modified Hamilton Rating Scale for Depression: reliability and validity . Psychiatry Res . 1985;;14:131-142.
Rush AJ, Giles DE, Schlesser MA, Fulton CL, Weissenburger J, Burns C.  The Inventory for Depressive Symptomatology (IDS): preliminary findings . Psychiatry Res . 1986;;18:65-87.
Cicchetti DV, Prusoff BA.  Reliability of depression and associated clinical symptoms . Arch Gen Psychiatry . 1983;;40:987-990.
Rehm LP, O'Hara MW.  Item characteristics of the Hamilton Rating Scale for Depression . J Psychiatr Res . 1985;;19:31-41.
Endicott J.  Measurement of depression in patients with cancer . Cancer . 1984;;53( (suppl) ): 2217-2384.
Noyes R, Kathol RG.  Depression and cancer . Psychiatr Dev . 1986;;2:77-100.

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