Disability and perceived stress in primary care patients with major depression

  1. Jesús Santolaya Prego de Oliver 1
  2. Roger Muñoz-Navarro 2
  3. César González-Blanch 3
  4. Ana Llorca-Mestre 4
  5. Elisabeth Malonda 4
  6. Leonardo Medrano 5
  7. Paloma Ruiz-Rodríguez 6
  8. Juan Antonio Moriana 7
  9. Antonio Cano-Vindel 8
  1. 1 Universidad Europea de Valencia
    info

    Universidad Europea de Valencia

    Valencia, España

  2. 2 Universidad de Zaragoza
    info

    Universidad de Zaragoza

    Zaragoza, España

    ROR https://ror.org/012a91z28

  3. 3 Hospital Universitario “Marqués de Valdecillas” (Santander)
  4. 4 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

  5. 5 Pontificia Universidad Católica Madre y Maestra (República Dominicana)
  6. 6 Servicio Madrileño de Salud
    info

    Servicio Madrileño de Salud

    Madrid, España

  7. 7 Universidad de Córdoba
    info

    Universidad de Córdoba

    Córdoba, España

    ROR https://ror.org/05yc77b46

  8. 8 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

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Revista:
Psicothema

ISSN: 0214-9915,  1886-144X

Any de publicació: 2020

Volum: 32

Número: 2

Pàgines: 167-175

Tipus: Article

DOI: 10.7334/PSICOTHEMA2019.319 DIALNET GOOGLE SCHOLAR lock_openAccés obert editor

Altres publicacions en: Psicothema

Resum

Background: Major depressive disorder (MDD) is highly prevalent in the Spanish primary care (PC) setting and the leading cause of disability in Spain. The aim of this study was to evaluate several key psychometric properties of the Sheehan Disability Scale (SDS) in patients with or without MDD and varying degrees of symptom severity using the Patient Health Questionnaire-9 (PHQ-9). Method: A total of 1,704 PC patients participating in the PsicAP clinical trial completed the SDS and PHQ-9. We evaluated the factor structure, measurement invariance across gender, internal consistency, and the discriminative and predictive validity. Results: Confirmatory factor analyses revealed a unifactorial model of the SDS containing 4 items (SDS-4) with the best model fit (CFI: .99; GFI: .99; TLI: 96; RMSEA: .10). This model contained the three life domain items (work, family, and social life) plus perceived stress (PS) with significant loadings. The internal consistency of the SDS-4 was acceptable in patients with or without MDD, regardless of symptom severity. The SDS-4 also showed good discriminative capacity and acceptable predictive validity in all subsamples. Conclusions: These findings support the use of the SDS-4 to assess depression-related disability in patients at Spanish primary care centres.

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Informació de finançament

This work has been supported by the Fundación Española para la Promoción y el Desarrollo Científico y Profesional de la Psicología to Antonio Cano-Vindel; by the Agencia Estatal de Investigación (PSI2012-36589) to Antonio Cano-Vindel; by the IDIVAL, INNVAL (ref.: 16/08) and PRIMVAL (ref.: 18/03) to César González-Blanch; and by the Agencia Estatal de Investigación (SI2014-56368-R) to Juan A. Moriana We thank all the PsicAP Research Group members who kindly participated in this large project.

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Fuente de los datos: Dialnet