Die Eignung der HoNOS (Health of the Nation Outcome Scales) zur Erfassung des Verlaufs und des Schweregrads depressiver Symptomatik im stationären Setting

Sonja Fankhauser; Barbara Hochstrasser; Marcus Sievers; Michael Soyka

doi:10.1055/s-0043-105482

PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie, Table of Contents

Psychother Psychosom Med Psychol 2017; 67(09/10): 391-400
DOI: 10.1055/s-0043-105482

Originalarbeit

Die Eignung der HoNOS (Health of the Nation Outcome Scales) zur Erfassung des Verlaufs und des Schweregrads depressiver Symptomatik im stationären Setting

Assessing Change of Depressive Symptoms and Severity of Depression in an Inpatient Setting : Performance of the HoNOS (Health of the Nation Outcome Scales)

Authors

Sonja Fankhauser

¹Privatklinik Meiringen, Bern, Schweiz
Barbara Hochstrasser

¹Privatklinik Meiringen, Bern, Schweiz
Marcus Sievers

¹Privatklinik Meiringen, Bern, Schweiz
Michael Soyka

¹Privatklinik Meiringen, Bern, Schweiz

²Psychiatrische Klinik, Universität München

³Medical Park Chiemseeblick, Fachklinik für Psychosomatik, Bernau am Chiemsee

Abstract

Zusammenfassung

Ziel Diese Studie untersuchte die Eignung der „Health of the Nation Outcome Scales“ (HoNOS) zur Erfassung des Verlaufs depressiver Symptomatik und des Schweregrads der Depression im stationären Setting.

Methode Die Stichprobe umfasste 132 depressive Patienten (F32: n=102; F33: n=30). Die HoNOS wurden mittels bivariaten Korrelationen mit der selbstbeurteilten (BDI) und fremdbeurteilten Depressivität (HAMD) verglichen. Die prädiktive Validität wurde mit linearen Regressionsanalysen untersucht.

Ergebnisse Die HoNOS differenzierten zwischen Patienten mit einer mittelgradigen versus schweren Depression (p<0,05) und korrelierten mit der Veränderung der fremdbeurteilten (r=0,25, p<0,008), jedoch nicht mit derjenigen der selbstbeurteilten Depressivität (r=0,19, p>0,008). Die HoNOS sagten die Depressivität bei Austritt nicht voraus (β=0,03, p>0,05).

Schlussfolgerung Da die HoNOS den Verlauf und Schweregrad depressiver Symptomatik nur teilweise erfassen, sollten sie nur kombiniert mit anderen depressionsspezifischen Messinstrumenten angewendet werden.

Abstract

Objectives This study investigates the assessment of change of depressive symptoms and severity of depression with the „Health of the Nation Outcome Scales“ (HoNOS) in an inpatient setting.

Method Participants were 132 adults diagnosed with depressive disorder (F32: n=102; F33: n=30). Bivariate correlations were used to determine the correlation of the HoNOS with self-reported (BDI) and observer-rated depressive symptoms (HAMD). The predictive validity of the HoNOS was analysed with linear regression models.

Results The HoNOS differentiated significantly between patients with moderate versus severe depression at baseline (p<0,05). It correlated with the HAMD change score (r=0,25, p<0,008), but not with the BDI change score (r=0,19, p>0,008).The HoNOS was not a significant predictor of observer-rated depression at discharge (β=0,03, p>0,05).

Conclusion As the HoNOS only partially seems to assess the change and severity of depressive symptoms, it should only be used in combination with depression-specific instruments.

Schlüsselwörter

Depression - Validität - HoNOS - HAMD

Key words

Depression - validity - HoNOS - HAMD

Full Text

References

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