Comparison of Depression Inventories in a Clinical Population

Summary Using a general hospital psychiatric population (CN =158) the following psychometric measures of depression were assessed: Minnesota Multiphasic Personality Inventory, D. Scale; Hamilton Rating Scale for Depression; Beck Inventory for Measuring Depression; Wechsler Depression Rating Scale; and Zung Self-Rating Depression Scale. The patients were grouped according to diagnoses in The Diagnostic and Statistical Manual of Mental Disorders (DSM II): Depressive Neurosis; Severe Depression (Manic-Depressive, Depressed and Psychotic Depressive Reaction); Schizophrenia and Organic Brain Syndrome; Personality Disorder; and Neuroses other than Depressive (mainly anxiety). A group comprising those who attempted suicide was also formed from the above groups. All the measures correlated well with one another. Younger patients tended to score higher on the Zung SDS and the Beck. Females scored higher on the D Scale (MMPI) and males scored higher on the Beck. The group of suicidal patients were predominantly young females. The Hamilton and the D Scale differentiated the groups clinically. These two scales and the Wechsler may be the inventories of choice, expecially since the Hamilton and Wechsler have the advantage of being completed by a psychiatrist.