000089598 001__ 89598
000089598 005__ 20210902121624.0
000089598 0247_ $$2doi$$a10.7334/psicothema2019.319
000089598 0248_ $$2sideral$$a117630
000089598 037__ $$aART-2020-117630
000089598 041__ $$aeng
000089598 100__ $$ade Oliver, J.S.P.
000089598 245__ $$aDisability and perceived stress in primary care patients with major depression
000089598 260__ $$c2020
000089598 5060_ $$aAccess copy available to the general public$$fUnrestricted
000089598 5203_ $$aBackground: Major depressive disorder (MDD) is highly prevalent in the Spanish primary care (PC) setting and the leading cause of disability in Spain. The aim of this study was to evaluate several key psychometric properties of the Sheehan Disability Scale (SDS) in patients with or without MDD and varying degrees of symptom severity using the Patient Health Questionnaire-9 (PHQ-9). 
Method: A total of 1, 704 PC patients participating in the PsicAP clinical trial completed the SDS and PHQ-9. We evaluated the factor structure, measurement invariance across gender, internal consistency, and the discriminative and predictive validity. 
Results: Confirmatory factor analyses revealed a unifactorial model of the SDS containing 4 items (SDS-4) with the best model fit (CFI: .99; GFI: .99; TLI: 96; RMSEA: .10). This model contained the three life domain items (work, family, and social life) plus perceived stress (PS) with significant loadings. The internal consistency of the SDS-4 was acceptable in patients with or without MDD, regardless of symptom severity. The SDS-4 also showed good discriminative capacity and acceptable predictive validity in all subsamples. 
Conclusions: These findings support the use of the SDS-4 to assess depression-related disability in patients at Spanish primary care centres.
000089598 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000089598 590__ $$a3.89$$b2020
000089598 591__ $$aPSYCHOLOGY, MULTIDISCIPLINARY$$b29 / 139 = 0.209$$c2020$$dQ1$$eT1
000089598 592__ $$a1.308$$b2020
000089598 593__ $$aPsychology (miscellaneous)$$c2020$$dQ1
000089598 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000089598 700__ $$0(orcid)0000-0002-7064-3699$$aMuñoz-Navarro, R.$$uUniversidad de Zaragoza
000089598 700__ $$aGonzalez-Blanch, C.
000089598 700__ $$aLlorca-Mestre, A.
000089598 700__ $$aMalonda, E.
000089598 700__ $$aMedranos, L.
000089598 700__ $$aRuiz-Rodriguez, P.
000089598 700__ $$aMoriana, J.A.
000089598 700__ $$aCano-Vindel, A.
000089598 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000089598 773__ $$g32, 2 (2020), 167-175$$pPsicothema$$tPSICOTHEMA$$x0214-9915
000089598 8564_ $$s306438$$uhttps://zaguan.unizar.es/record/89598/files/texto_completo.pdf$$yVersión publicada
000089598 8564_ $$s572499$$uhttps://zaguan.unizar.es/record/89598/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000089598 909CO $$ooai:zaguan.unizar.es:89598$$particulos$$pdriver
000089598 951__ $$a2021-09-02-08:49:07
000089598 980__ $$aARTICLE