Discrepancy between Clinician-rated and Self-reported Depression Severity is Associated with Adverse Childhood Experience, Autistic-like Traits, and Coping Styles in Mood Disorders

• DOI: 10.9758/cpn.2023.21.2.296
• Publication Date: 2023-04-29T14:01:57Z
• Authors: Risa Yamada; Takeshi Fujii; Kotaro Hattori; Hiroaki Hori; Ryo Matsumura; Tomoko Kurashimo; Naoko Ishihara; Sumiko Yoshida; Tomiki Sumiyoshi; Hiroshi Kunugi
• Keywords: CTQ tree

This study aimed to determine if the discrepancy between depression severity rated by clinicians and that reported patients depends on key behavioral/psychological features in with mood disorders.Participants included 100 disorders. First, we examined correlations regressions scores Hamilton Depression Rating Scale (HAMD) Beck Inventory (BDI). Second, divided participants into those who provided 1) greater ratings for BDI compared HAMD (BDI relative- overrating, BO) group, 2) comparable relatively concordant, BC) or 3) less relative-underrating, BU) group. Adverse childhood experiences, autistic-like traits, coping styles were evaluated a six-item short version of Childhood Trauma Questionnaire (CTQ-6), Social Responsiveness Adults (SRS-A), Ways Coping Checklist (WCCL), respectively.A significant correlation was found scores. Total emotional abuse subscale from CTQ-6, self-blame WCCL significantly higher BO group BU The also elicited SRS-A total than did other groups.These findings suggest adverse perceive distress objectively clinicians. results indicate need inclusion subjective assessments effectively evaluate depressive symptoms deemed have these psycho- behavioral concerns.