Using the responses of 250 Navy health care providers, we considered the sensitivity and specificity of the SCL-90-R Depression subscale and the Global Severity Index in predicting mild, moderate, and severe depression in a deployed military sample. Using the 90th percentile norms to identify caseness for both measures, each performs with 100% certainty in ascertaining severe depression and with less certainty in pinpointing a nonevent (specificity). Results are further considered by sex.
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References
1.
BakerM. S.StrunkH. K. (1991) Medical aspects of Persian Gulf operations: Environmental hazards. Military Medicine, 156. 381–385.
2.
BlackerC. V. R.ClareA. W. (1987) Depressive disorder in primary care. British Journal of Psychiatry, 150, 737–751.
3.
BonyngeE. R. (1993) Unidimensionality of SCL-90-R scales in adult and adolescent crisis samples. Journal of Clinical Psychology, 49, 212–215.
4.
BroadheadW. E.BlazerD. G.GeorgeL. K.TseC. K. (1990) Depression, disability days and days lost from work in a prospective epidemiologic survey. Journal of the American Medical Association, 264, 2524–2528.
5.
CyrJ. J.McKenna-FoleyJ. M.PeacockE. (1985) Factor structure of the SCL-90-R: Is there one?Journal of Personality Assessment, 49, 571–578.
6.
DerogatisL. R. (1983) SCL-90-R administration, scoring and procedures manual: II. Towson, MD: Clinical Psychometric Research.
7.
DerogatisL. R.ClearyP. A. (1977) Confirmation of the dimensional structure of the SCL-90: A study in construct validation. Journal of Clinical Psychiatry, 33, 981–989.
8.
DinneenM. P.PentzienR. J.MateczunJ. M. (1994) Stress and coping with the trauma of war in the Persian Gulf: The Hospital Ship USNS Comfort. In UrsanoR. J.McGaugheyB. G.FullertonC. S. (Eds.), Individual and community responses to trauma and disaster. London: Cambridge Univer. Press. Pp. 306–329.
9.
FerrerC. F.BissonR. U.FrenchJ. (1995) Circadian rhythm desynchronosis in military deployments: Review of current strategies. Aviation, Space and Environmental Medicine, 66,571–578.
10.
HolmesE. K.MateczunJ. M.LallR.WilcoveG. L. (1998) Pilot study of suicide risk factors among personnel in the United States Marine Corps (Pacific Forces). Psychological Reports, 83, 3–11.
11.
JohnsonJ.WeissmanM. M.KlermanG. L. (1992) Service utilization and social morbidity associated with depressive symptoms in the community. Journal of the American Medical Association, 267, 1478–1483.
12.
KesslerR. C.McGonagleK. A.ZhaoS.NelsonC. B.HughesM.EshlemanS.WittchenH-U.KendlerK. S. (1994) Lifetime and 12-month prevalence of DSM-III–R psychiatric disorders in the United States: Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8–19.
13.
MaloneJ. D.Paige-DobsonB.OhlC.DiGiovanniC.CunnionS.RoyM. J. (1996) Possibilities for unexplained chronic illnesses among reserve units deployed to Operation Desert Shield/Desert Storm. Southern Medical Journal, 89, 147–155.
14.
MausnerJ. S.BahnA. K. (1974) Epidemiology: An introductory text. Philadelphia, PA: Saunders.
15.
MurphyJ. M. (1995) Diagnostic schedules and rating scales in adult psychiatry. In TsuangM. T.TohenM.ZahnerG. E. (Eds.), Textbook in psychiatric epidemiology. New York: Wiley-Liss Pp. 253–271.
16.
PerconteS. T.WilsonA. T.PontiusE. B.DietrickA. L.SpiroK. J. (1993) Psychological and war stress symptoms among deployed and non-deployed reservists following the Persian Gulf War. Military Medicine, 158, 516–521.
17.
RichC. L.FowlerR. C.FogartyL. A.YoungD. (1988) San Diego Suicide Study III Relationships between diagnoses and stressors. Archives of General Psychiatry, 45, 589–592.
18.
RitchieE. C. (1994) Psychiatric medications for deployment. Military Medicine, 159, 647–649.
19.
RobinsL. N.LockeB. Z.RegierD. A. (1991) An overview of psychiatric disorders in America. In RobinsL. N.RegierD. A. (Eds.), Psychiatric disorders in America. New York: Free Press. Pp. 328–366.
20.
SlusarcickA. L.UrsanoR. J.FullertonC. S.DinneenM. P. (1999) Stress and coping in male and female health care providers during the Persian Gulf War: The USNS Comfort Hospital Ship. Military Medicine, 164, 166–173.
21.
SutkerP. B.UddoM.BraileyK.AllainA. N.ErreraP. (1994) Psychological symptoms and psychiatric diagnoses in Operation Desert Storm troops serving graves registration duty. Journal of Traumatic Stress, 7, 159–171.
22.
VaitkusM. A.MartinJ. A. (1992) Correlates of anxiety and depression among U.S. soldiers awaiting combat in the Gulf War. Presented to The World Congress of the International Traumatic Stress Society, Amsterdam, The Netherlands.
23.
WeathersF. W.LitzB.KeaneT. M.HermanD. S.SteinbergH. R.HuskaJ. A.KraemerH. C. (1996) The utility of the SCL-90-R for the diagnosis of war-zone related posttraumatic stress disorder. Journal of Traumatic Stress, 9, 111–128.
24.
WinfieldD. A.LaffertyP. (1997) Mental health problems on Operation Resolute (Bosnia). Journal of the Royal Army Medical Corps, 143, 103–106.
25.
WolfeJ.BrownP. J.BucselaM. L. (1992) Symptom responses of female Vietnam veterans in Operation Desert Storm. American Journal of Psychiatry, 149, 676–679.
26.
ZungW. W. K. (1965) A self-rating depression scale. Archives of General Psychiatry, 12, 63–70.
27.
ZungW. W. K. (1974) The measurement of depression. Summit, NJ: CIBA Geigy Corp.
28.
ZungW. W. K.WonnacottT. H. (1970) Treatment prediction in depression using a self-rating scale. Biological Psychiatry, 2, 321–329.
