ArticleScandinavian journal of primary health care2019
Diagnosing depression in primary care: a Rasch analysis of the major depression inventory.
Article in Scandinavian journal of primary health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Unified Theory of Acceptance and Use of Technology Questionnaire in Swedish Prehospital Care: Translation, Cross-Cultural Adaptation, and Pilot Psychometric Study.JMIR formative research · 2026Article
- Psychometric validation of the Indonesian verbal abuse questionnaire (I-VAQ) for adolescents using rasch analysis.Journal of education and health promotion · 2025Article
- Brief Psychiatric Rating Scale - Expanded version: Construct validity using Rasch model analysis.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Prevalence of anhedonia, anxiety, and their impact on food consumption among postgraduate Qassim University students.Frontiers in nutrition · 2024Article
- The Major Depression Inventory for diagnosing according to DSM-5 and ICD-11: Psychometric properties and validity in a Swedish general population.International journal of methods in psychiatric research · 2023Article
- The Relationship between Social Anhedonia and Perceived Pleasure from Food-An Exploratory Investigation on a Consumer Segment with Depression and Anxiety.Foods (Basel, Switzerland) · 2022Article
- Psychiatric comorbidity in patients with migraine: A standardized interview-based study.Industrial psychiatry journalArticle
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4 authors.
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Abstract
objectiveThis study aims to assess the measurement properties of the Major Depression Inventory (MDI) in a clinical sample of primary care patients.
designGeneral practitioners (GPs) handed out the MDI to patients aged 18-65 years on clinical suspicion of depression.
settingThirty-seven general practices in the Central Denmark Region participated in the study. PATIENTS: Data for 363 patients (65% females, mean age: 49.8 years, SD: 17.7) consulting their GP were included in the analysis.
main outcome measuresThe overall fit to the Rasch model, individual item and person fit, and adequacy of response categories were tested. Statistical tests for local dependency, unidimensionality, differential item functioning, and correct targeting of the scale were performed. The person separation reliability index was calculated. All analyses were performed using RUMM2030 software.
resultsItems 9 and 10 demonstrated misfit to the Rasch model, and all items demonstrated disordered response categories. After modifying the original six-point to a five-point scoring system, ordered response categories were achieved for all 10 items. The MDI items seemed well targeted to the population approached. Model fit was also achieved for core symptoms of depression (items 1-3) and after dichotomization of items according to diagnostic procedure.
conclusionDespite some minor problems with its measurement structure, the MDI seems to be a valid instrument for identification of depression among adults in primary care. The results support screening for depression based on core symptoms and dichotomization of items according to diagnostic procedure. Key points The Major Depression Inventory (MDI) is widely used for screening, diagnosis and monitoring of depression in general practice. This study demonstrates misfit of items 9 and 10 to the Rasch model and a need to modify the scoring system The findings support screening for depression based on core symptoms and dichotomization of items according to diagnostic procedure. Minor problems with measurement structure should be addressed in future revisions of the MDI.
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