Capturing the Severity and Impairment Associated With Depression: The Overall Depression Severity and Impairment Scale (ODSIS) Validation in a Spanish Clinical Sample

Adriana Mira, Alberto González-Robles, Guadalupe Molinari, Clara Miguel, Amanda Díaz-García, Juana Bretón-López, Azucena García-Palacios, Soledad Quero, Rosa Baños, Cristina Botella, Adriana Mira, Alberto González-Robles, Guadalupe Molinari, Clara Miguel, Amanda Díaz-García, Juana Bretón-López, Azucena García-Palacios, Soledad Quero, Rosa Baños, Cristina Botella

Abstract

Background: The Overall Depression Severity and Impairment Scale (ODSIS) is a self-report scale designed to evaluate the severity and functional impairment associated with depression. Objective: This study evaluated the psychometric properties of the online version of the ODSIS in Spanish outpatients with depression and anxiety disorders. Method: Patients with a main diagnosis of a depressive (n = 283) or anxiety disorder (n = 191) and a mean age of 38.15 (SD = 12.06) were evaluated with a clinical diagnostic interview and measures assessing depression, anxiety, positive and negative affect, and quality of life. Factorial structure, internal consistency, convergent, and discriminant validity and cutoff scores were analyzed. Results: Consistent with previous validations of the instrument, Confirmatory Factor Analysis showed a unidimensional factor structure. Furthermore, the results obtained supported the internal consistency and construct validity of the ODSIS scores. A score of 5 was found to meet the criteria used in this study for the optimal cutoff score. Conclusion: The results obtained in this study show that the Spanish version of the ODSIS delivered online is an adequate tool to assess the depression-related severity and impairment in a brief and easy fashion.

Keywords: depression; impairment; online; psychometric properties; severity.

Figures

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Figure 1
ROC curve.

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