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Dimensional approach to symptom factors of major depressive disorder in Koreans, using the Brief Psychiatric Rating Scale: The Clinical Research Center for Depression of South Korea Study

Authors
Park, Seon-CheolJang, Eun YoungKim, DaehoJun, Tae-YounLee, Min-SooKim, Jae-MinKim, Jung-BumJo, Sun-JinPark, Yong Chon
Issue Date
1월-2015
Publisher
WILEY
Keywords
Brief Psychiatric Rating Scale; Factor structure; Major depressive disorder
Citation
KAOHSIUNG JOURNAL OF MEDICAL SCIENCES, v.31, no.1, pp.47 - 54
Indexed
SCIE
SCOPUS
Journal Title
KAOHSIUNG JOURNAL OF MEDICAL SCIENCES
Volume
31
Number
1
Start Page
47
End Page
54
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/94873
DOI
10.1016/j.kjms.2014.11.001
ISSN
1607-551X
Abstract
Although major depressive disorder (MDD) has a variety of symptoms beyond the affective dimensions, the factor structure and contents of comprehensive psychiatric symptoms of this disorder have rarely been explored using the 18-item Brief Psychiatric Rating Scale (BPRS). We aimed to identify the factor structure of the 18-item BPRS in Korean MDD patients. A total of 258 MDD patients were recruited from a multicenter sample of the Clinical Research Center for Depression of South Korea study. Psychometric scales were used to assess overall psychiatric symptoms (BPRS), depression (Hamilton Depression Rating Scale), anxiety (Hamilton Anxiety Rating Scale), global severity (Clinical Global Impression of Severity Scale), suicidal ideation (Scale for Suicide Ideation), functioning (Social and Occupational Functioning Assessment Scale), and quality of life (World Health Organization Quality of Life Assessment-abbreviated version). Common factor analysis with oblique rotation was used to yield factor structure. A four-factor structure was designed and interpreted by the symptom dimensions to reflect mood disturbance, positive symptoms/apathy, bipolarity, and thought distortion/ mannerism. These individual factors were also significantly correlated with clinical variables. The findings of this study support the view that the BPRS may be a promising measuring tool for the initial assessment of MDD patients. In addition, the four-factor structure of the BPRS may be useful in understanding the mood and psychotic characteristics of these patients. Copyright (C) 2014, Kaohsiung Medical University. Published by Elsevier Taiwan LLC. All rights reserved.
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