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Table 3.5.39 continued<br />

Author<br />

Year<br />

Ref number<br />

Country<br />

Study design<br />

Setting<br />

Population<br />

Inclusion & exclusion criteria<br />

Prevalence<br />

Index test<br />

Reference test<br />

Number of patients<br />

Drop-out rate<br />

Rater<br />

Rater training<br />

Interobserver reliability<br />

Outcome measure<br />

Main findings<br />

(Correlations, p-value)<br />

Study quality<br />

Comments<br />

Rush et al<br />

2006<br />

[171]<br />

USA<br />

Design<br />

Cross sectional<br />

Setting<br />

18 primary and 23 speciality<br />

care settings participating<br />

in the STAR*D clinical trial<br />

Population<br />

n=1 500 consecutive outpatients<br />

with non-psychotic<br />

major depressive disorder<br />

Inclusion criteria<br />

Age 18–75 years<br />

Index test<br />

QIDS-16-SR<br />

Reference test<br />

QIDS-16-C<br />

Number of patients<br />

Exit: n=582<br />

(63.1% females)<br />

Mean age:<br />

42.6±13.1 years<br />

Drop-out rate<br />

Not reported<br />

Rater<br />

Clinical research coordinators<br />

independent from<br />

clinicians without knowledge<br />

of treatment<br />

Rater training<br />

Research outcome assessors<br />

trained and certified<br />

Outcome measure<br />

Pearson correlations between<br />

self vs clinician ratings<br />

Pearson r: 0.89<br />

Moderate<br />

Structured interview<br />

before instrument<br />

QIDS-sr at clinic<br />

visit, all three QIDS<br />

measures within<br />

2 days or less<br />

Exclusion criteria<br />

Patient with psychotic<br />

and compulsive disorders,<br />

bulimia nervosa, intolerance<br />

to protocol treatment and<br />

medical conditions such as<br />

seizures<br />

Test situation, period<br />

between performance<br />

Tests at baseline or after<br />

first treatment step<br />

Tests at same time, clinical<br />

rating by blinded assessors<br />

by telephone before collection<br />

of clinician and self<br />

rating tests<br />

CI = Confidence interval; ICC = Intraclass correlation; IDS-C = Inventory of depressive<br />

symptomatology, clinician rated; IDS-SR = Inventory of depressive symptomatology,<br />

self report; MDD = Major depressive disorder; QIDS = Quick inventory of depressive<br />

symptomatology<br />

434 diagnostik och uppföljning av förstämningssyndrom<br />

KAPITEL 3 • Systematisk litteraturgenomgång<br />

435

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