Publication: Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients
Issued Date
2009
Resource Type
Language
eng
ISSN
1364-6915 (Online)
1360-7863 (Print)
1360-7863 (Print)
Rights
BioMed Central
Bibliographic Citation
Aging and Mental Health. Vol.13, No.6 (2009), 899-904
Suggested Citation
Tawanchai Jirapramukpitak, Niphon Darawuttimaprakorn, Sureeporn Punpuing, Abas, Melanie Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients. Aging and Mental Health. Vol.13, No.6 (2009), 899-904. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/2922
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Title
Validation and factor structure of the Thai version of the EURO-D scale for depression among older psychiatric patients
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Abstract
Objectives: To assess the concurrent and the construct validity of the Euro-D in older Thai persons. Method: Eight local psychiatrists used the major depressive episode section of the Mini International Neuropsychiatric Interview to interview 150 consecutive psychiatric clinic attendees. A trained interviewer administered the Euro-D. We used receiver operating characteristic (ROC) analysis to assess the overall discriminability of the Euro-D scale and principal components factor analysis to assess its construct validity. Results: The area under the ROC curve for the Euro-D with respect to major depressive episode was 0.78 [95% confidence interval (CI) 0.70-0.90] indicating moderately good discriminability. At a cut-point of 5/6 the sensitivity for major depressive episodes is 84.3%, specificity 58.6%, and kappa 0.37 (95% CI 0.22-0.52) indicating fair concordance. However, at the 3/4 cut-point recommended from European studies there is high sensitivity (94%) but poor specificity (34%). The principal components analysis suggested four factors. The first two factors conformed to affective suffering (depression, suicidality and tearfulness) and motivation (interest, concentration and enjoyment). Sleep and appetite constituted a separate factor, whereas pessimism loaded on its own factor. Conclusion: Among Thai psychiatric clinic attendees Euro-D is moderately valid for major depression. A much higher cut-point may be required than that which is usually advocated. The Thai version also shares two common factors as reported from most of previous studies.