4dkl: EncoMPASS Translation: RMSD: 0. TM-Score: 1. Coverage: 1. Number of Repeats: 2. Levels: 1. Unrefined RMSD: Unrefined TM Score: The Distress scale contains 16 items and has a score range of 0–32, the Depression scale contains 6 Terluin B. De Vierdimensionale Klachtenlijst ( 4DKL). ‘no’ = score 0. ‘sometimes’ = score 1. ‘regularly’ or more often = score 2. Distress Depression Anxiety Somatisation. Interpretation: moderately elevated: > > 2.
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Table 3 Means and standard deviations of the 4DSQ scores across the study samples. However, since psychological symptoms tend to 4djl with each other [ 26 ], finding significant positive correlations is little informative. Manual for the State-Trait Anxiety Inventory.
Optimised PDB entry 4dkl
De 4DKL is voortgekomen uit onderzoek naar psychosociale problemen in de eerstelijns-gezondheidszorg. The Distress scale had the highest correlations with the other scales. This indicated that some depression and anxiety inventories measured a lot of distress in 4DSQ terms.
The Four-Dimensional Symptom Questionnaire 4DSQ is a self-report questionnaire that has been developed in primary care to distinguish non-specific general distress from depression, anxiety and somatization.
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.
Replication of this model in the test set yielded a CFI of 0. ROC analyses and logistic regression analyses were used to examine the associations. Strengths of the study include the amount of data analysed, scoreljjst the fact that many results have been confirmed in different samples.
4dkl – PDB_REDO optimisation results
The same phenomenon, but to a lesser degree, was visible in the scatterplot of Somatization and Distress. Met behulp van de 4DKL kan derhalve een goed onderscheid worden gemaakt tussen ongecompliceerde stressgerelateerde problematiek en psychiatrische stoornissen. We used data from studies C, D, F and H to compare the 4DSQ scales with other questionnaires measuring distress, depression, anxiety or somatization.
In order to investigate whether the 4-factor model could be further improved, we tried some adjustments of the 4-factor model as well as a 5-factor model in which items that were cross-loading on the distress and depression factors were handled as a fifth factor. Relationships of stress-related measures, personality and social functioning with the 4DSQ scales; standardised Beta-coefficients and explained variance R 2 results from multiple regression analysis. J Health Soc Behav.
The distinction between distress on the one hand, and depression, anxiety and somatization on the other hand, implies a distinction between “normal” reactions to stress and “abnormal” — psychiatric — disorders. The Anxiety scale measures free floating anxiety, panic, and phobic anxiety, symptoms that are specific to the anxiety disorders.
Reliability, precision and smallest detectable change. The 4DSQ Depression scale was found to correlate with other depression scales, particularly with the BDI, which focuses on depressive cognitions [ 49 ]. These symptoms are considered to represent the core symptomatology of major depression [ 89 ].
The Somatization scale measures a range of common physical symptoms, known to be related to distress or psychopathology. New York, Guilford Press; In retrospect, we suspect that study E was not ideal for investigating the criterion validity of the Anxiety scale because the patients were highly selected for anxietyleaving little contrast between patients with and without an anxiety disorder.
Table 11 Differences in 4DSQ scores in patients with a somatic diagnosis between patients with definite, possible and no somatization according to the GP; study A.
De 4DKL heeft als doel stresssymptomen te onderscheiden van depressie, angst en somatisatie. Social functioning was mainly associated with Distress and Somatization. Sick leave was primarily associated with the 4DSQ Distress score.
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 ]. J Score,ijst Res ; online first. Study H was designed to test the reliability and validity of the 4DSQ in physiotherapy patients [ 59 ]. De vragen betreffen de periode van de afgelopen week en worden beantwoord 4dl een 5-puntsschaal: The association between ‘vital exhaustion’ and past, present and future coronary heart disease.
The 4DSQ seems to be a valid self-report questionnaire to measure distress, depression, anxiety and somatization in primary care patients.
Pearson correlation coefficients were calculated between the 4DSQ scales in three samples: General Health Questionnaire GP: Note that the Distress score did not have any additional value with respect to the prediction of major depression with the Depression score already in the equation. Conceptually, as mentioned above, distress represents the most general expression of any psychological problem.
Beschrijving De 4DKL meet vier dimensies van psychopathologie: Relationships between the 4DSQ dimensions We found a special relationship between Distress, on the one hand, and Depression and Anxiety and Somatization to a lesser extent on the other hand: Uitgeverij van Psychologische Tests. The Depression score was the best discriminator between patients with and without a major depression, the AUC of the Depression score 0. Treatment of anxiety disorders in primary care practice: Table 10 Logistic regression analysis with any anxiety disorder diagnosis as dependent variable and the 4DSQ scores as independent variables; study E.
Functional somatic symptoms and syndromes. Table 9 Differences in 4DSQ scores between patients with no, one or two and more anxiety disorders; study E. The 4DSQ does not contain any positive affect questions, nor any other “reversed” worded questions. Somatization Somatization is a tendency to experience medically unexplained somatic symptoms, to attribute them to physical illness, and to seek medical help for them [ 12 ].
The associations between personality and the 4DSQ scores were quite large, considering the R 2 values between 0. As expected, all correlations were positive, and almost all were statistically significant.
Zwangerschap Onder invloed van de zwangerschap blijken vrouwen een andere respons te hebben op de 4DKL. One of the practical applications of the 4DSQ in general practice is to obtain Somatization scores for patients who the GP suspects of having complaints with a psychological background. CAvB acquired the data of study E.