Tygotaxe Two kinds of validity will be presented: Study H was designed to test the reliability and validity of the 4DSQ in physiotherapy patients [ 59 ]. Table 3 Means and standard deviations of the 4DSQ scores across the study samples. Of special interest is the association between the Distress scorelijsst and any psychosocial diagnosis established by the GP. The research program Mental Health MH has as central objectives to encourage, initiate, conduct and publish excellent research However, severe distress states as in NB force a patient to give up and withdraw from major social roles, especially the occupational role. Characteristic distress symptoms are worry, irritability, tension, listlessness, poor concentration, sleeping problems and demoralisation.

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Faubei In de eerste plaats bleek de 4DKL een logische samenhang met de overeenkomstige schalen van deze klachtenlijsten te vertonen. The Distress scale measures nonspecific symptoms of psychopathology, ranging from worrying and irritability to fatigue and demoralization. The 4DSQ Distress scale appears to measure the most general, most common, expression of psychological problems. De vragen betreffen de periode van de afgelopen week en worden beantwoord op een 5-puntsschaal: Reliability and validity of the assessment of depression in general practice: Appendix 1 Description of the studies from which the datasets have been used in this paper Study A aimed to investigate the characteristics of patients with a nervous breakdown NB in general practice [ 4 ].

The physiotherapy patients study Hon the other hand, showed a relatively high mean Somatization score. First, we shall describe the 4DSQ and its conceptual background. A cross sectional study of the four-dimensional symptom questionnaire 4DSQ. However, experiencing many unexplained symptoms from different organ systems e.

Yet, we failed to demonstrate unequivocal criterion validity of the Anxiety scale with respect to standardised DSM-IV anxiety disorder diagnoses. Elevated scores on Depression or Anxiety were virtually always accompanied by elevated Distress scores, whereas the reverse was not true.

Moreover, this information provided an idea about the interpretability and applicability of the 4DSQ in different populations. Table 2 Overview of the study samples used in this paper.

Differences in 4DSQ scores scroelijst patients with a psychosocial and a somatic diagnosis; study A. The same phenomenon, but to a lesser degree, was visible in the scatterplot of Somatization and Distress. Moeite met leven of een moeilijk leven. Support Center Support Center. Assessing psychological health in midwifery practice: This criterion is not meant to be a true gold standard for somatization, but scoreliist a reasonable indicator of somatization i. Somatization is scorflijst with worse outcome in a chiropractic patient population with neck pain and low back pain.

A non-specific general distress factor has been described in the literature before. The Depression score indicates the probability of having a major depressive disorder.

Construct validity was evaluated by investigating the inter-correlations between the scales, the factorial structure, the associations with other symptom questionnaires, and the associations with stress, personality and social functioning.

Various mechanisms may contribute to somatization, including sensitisation of the brain to bodily sensations [ 13 ], physiological abnormalities in the nervous and endocrine scoreljst [ 14 ], heightened awareness of bodily sensations [ 15 ], and inappropriate illness beliefs and sickness behaviour [ 16 ].

We acknowledge Willem van Rhenen for acquiring the data of study B and Peter Vaessen for acquiring the data of study H. Hoe zien huisartsen surmenage? Receiver operating characteristic ROC curves of the 4DSQ scales with respect scorepijst detecting a psychosocial diagnosis in general practice patients.

There had to be a recent identifiable stressor and the patient had to have at least 8 out of 17 distress symptoms. Table 14 Proportions shared and unique variance of the 4DSQ scales; standardised Beta-coefficients and explained shared variance R 2 results from multiple regression analysis. Diagram of the four-factor model of the 4DSQ. BT received fees from various institutions for workshops on the application of the 4DSQ in primary care settings. From the perspective of interpretability these observations all seemed to make sense.

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A method of comparing the areas under receiver operating characteristic curves derived from the same cases. Scoring via het web Testmij Online of met het Windows computerprogramma Datec Score Manager met automatische persoonlijke rapportage. Numbers are standardised coefficients in the test set and the exploration set respectively. Paper assessing the time needed to scorslijst in the 4DSQ, using the data of study J. The Depression scale measures severe anhedonia and depressive thoughts, including suicidal ideation, symptoms that are characteristic of depressive disorders. To what extent does the anxiety scale of the Four-Dimensional Symptom Questionnaire 4DSQ detect specific types of anxiety disorder in primary care?


Mauzragore Reliability, precision and smallest csorelijst change. Discussing 4dll 4DSQ scores with the patient provides valuable opportunities to address any psychosocial issues. Apparently, GPs recognise something that is expressed through an elevated Somatization score in a patient. The four-factor structure of the 4DSQ has been confirmed. Mental functioning SF and social functioning in general was mainly associated with Distress.

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