The cudos was also highly correlated with interviewer ratings of the severity of depression. The authors used receiver operating curve analysis to examine the ability of the cudos to identify remission on the hamilton depression scale. Measurementbased treatment of residual symptoms using. Depression is characterized by an extended period of low mood, anhedonia, and reduction in activity. Feb 28, 2017 the clinician rating scale is still widely used for depression studies. The clinically useful depression outcome scale cudos is a selfreport instrument that assesses symptoms and the severity of depression, but its psychometric properties in patients. Clinically useful depression outcome scale cudos 9022 total score. The cudos contains 18 items assessing all of the dsmiv inclusion criteria for major depressive disorder.
In order to use medscape, your browser must be set to accept cookies delivered by the medscape site. Using a selfreport depression scale to identify remission in. Psychometrically sound and timeefficient scales that measure depressive symptoms are essential for research and clinical practice. Webbased assessment of depression in patients treated in clinical practice. The 11item version of the kads presented here is optimized for monitoring outcomes in adolescents 1217 years who are receiving treatment for major depressive disorder.
Codes used to identify adolescents and adults who had a positive depression screening. A high level of agreement was found between the selfreport and hamilton depression scale. This study was aimed at exploring the psychometric properties of the spanish version of the clinically useful depression outcome scale. Use follow up probes or qualifiers at your discretion.
One of the advantages of cudos over the well known beck depression. As this presentation may have important prognostic and treatment implications, the dsm5 codified a new nosological entity, the mixed features specifier, referring to individuals meeting threshold criteria for an mde and subthreshold symptoms of. Depression severity cudos score range nondepressed 010 minimal depression 1120 mild depression 2 moderate depression 3145 severe depression. For each item please indicate how well it describes you during the past week. A clinically useful depression outcome scale request pdf. Clinically useful anxiety outcome scale cuxos psychtools. Accordingly, cudos is thought to be useful in depression studies because it saves time and cost, and its reliability and validity have been verified. One such measure is the cudos, which contains 18 items assessing each of the dsmiv inclusion criteria for major depressive disorder and. Medscape uses cookies to customize the site based on the information we collect at registration. The scale is an adaptation of the hamilton depression rating scale and has a greater sensitivity to change over time. Time frame refers to last two weeks unless stipulated.
Stan kutcher, 2006 3 11item kutcher adolescent depression scale. Objective this study was aimed at evaluating the diagnostic validity of the korean version of the clinically useful depression outcome scale cudos with varying followup in a typical clinical setting in. We modified our previously published depression scale to include a subscale assessing the dsm5 mixed features specifier. To adapt the cudos scale clinically useful depression outcome scale into spanish and to test its psychometrical properties in a sample of patients with major depressive disorder.
Description of the clinically useful anxiety outcome scale cuxos we conceptualized the cuxos as a general measure of psychic and somatic rather than a disorder specific scale. A significant minority of people presenting with a major depressive episode mde experience cooccurring subsyndromal hypomanic symptoms. Dysthymia persistent depressive disorder is characterized by a depressed mood that occurs for most. Center for epidemiologic studies depression scale cesd. One of the advantages of cudos over the well known beck depression inventory bdi is that this one can be used freely for research purposes. The cudos was also highly correlated with interviewer ratings of the severity of depression, and. A high level of agreement was found between the selfreport and hamilton depression scale assessments of remission. Hospital anxiety and depression scale hads tick the box beside the reply that is closest to how you have been feeling in the past week. Kads11 overview the kutcher adolescent depression scale kads is a selfreport scale specifically designed to diagnosis and assess the severity of adolescent depression. An overview of the clinically useful depression outsome scale. Circle the number in the columns next to the item that best describes you. One of the goals of the midas project is to develop instruments for use in routine.
Clinically useful depression outcome scale cudos zimmerman m, chelminski i, mcglinchey jb, posternak ma. The clinically useful anxiety outcome scale cuxos is a brief 20item selfreport measure designed to assess the severity of anxiety symptoms in adults with a diagnosed anxiety disorder or depression. In a large sample of partial hospital patients, the clinically useful depression outcome scale cudosd was a reliable and valid measure of the dsm5 symptoms of major depressive. Clinically useful depression outcome scale cudos this is an 18 item patient rated scale. Because the cudos takes no more than 2 to 3 minutes to complete, it is minimally burdensome for patients to fill out. An overview of the clinically useful depression outsome. This study was aimed at evaluating the diagnostic validity of the korean version of the clinically useful depression outcome scale cudos in a clinical sample. While there are many instruments available to measure depression, the geriatric depression scale gds, first created by yesavage, et al. Mood disorders can be conceptualized as existing along a spectrum that spans from pure unipolar depression.
Cudos depression scale scoring free download as pdf file. Pdf measurementbased treatment of residual symptoms using. In a large sample of psychiatric outpatients, the cudosm was a reliable and valid measure of the dsm5 mixed features specifier for mdd. The gds long form is a brief, 30item questionnaire in which. Cudosa clinically useful depression outcome scale supplemented with questions for the dsm5 anxious distress specifier cusados clinically useful social anxiety disorder outcome scale cuxos clinically useful anxiety outcome scale. Patients 112 outpatients with depression, evaluated at baseline and at a 3month followup. Psychometric properties of the korean version of the. Guidelines for the recognition and management of mixed depression stephen m. Current diagnostic characteristics were evaluated using the structured clinical interview for dsmiv. Cudos clinically useful depression outcome scale zimmerman.
A brief online depression assessment tool is as valid as a paperandpencil version of the questionnaire, a study of 46 psychiatric outpatients showed. Guidelines for the recognition and management of mixed depression. For each item please indicate how well it describes you during the past week, including today. Rating scales full list clinically useful depression outcome scale cudos zimmerman m, chelminski i, mcglinchey jb, posternak ma. A clinically useful depression outcome scale cudos psytoolkit. Depression severity cudos score range nondepressed 010 minimal depression 1120 mild depression 2 moderate depression 3145 severe depression 46 and above. An overview of the clinically useful depression outcome scale. How much does it cost each time the patient completes the scale. Review of the clinically useful depression outcome scale cudos patient acceptability of measurementbased care validity of. Please tell me how often you have felt this way during the past week. The cudos was measured and compared with three clinician rating scales and four selfreport scales.
The cudos m subscale had high internal consistency and testretest reliability, was more highly correlated with another selfreport measure of mania than with measures of depression, anxiety, substance use problems, eating disorders, and anger, and was more highly correlated with clinician severity ratings of agitation and irritability. A clinically useful selfreport measure of the dsm5 mixed. Codes used to identify adolescents and adults who had a positive depression. Outcome scales in psychiatry psych central professional. The scoring scale is at the end of the questionnaire. Cudos is defined as clinically useful depression outcome scale psychology rarely. The scale had high internal consistency and testretest reliability, and was more highly correlated with other selfreport measures of anxiety than with measures of depression. In the present study, we demonstrated that a cutoff on a selfreport depression scale could be derived that corresponded highly to the commonly used definition of remission on the hamilton depression scale. Using a selfreport depression scale to identify remission. Depressed mood gloomy attitude, pessimism about the future, feeling of sadness, tendency to weep 0 absent 1 sadness, etc. Clinically useful anxiety outcome scale cuxos depression. We studied the cudos in more than 1400 psychiatric outpatients and found that the scale had high internal consistency and testretest reliability. Kads11 overview the kutcher adolescent depression scale kads is a selfreport scale specifically designed to diagnosis and assess the severity of adolescent depression, and versions include a 16item, a 11item and an abbreviated 6item scale. Psychological assessment scales and measures psychology.
Zung selfrating depression scale patients initials date of assessment please read each statement and decide how much of the time the statement describes how you have been feeling during the past several days. A psychometric analysis of the clinically useful depression outcome scale cudos in spanish patients article in journal of affective disorders 15 august 20 with reads. Calgary depression scale for schizophrenia cdss interviewer. Cudos a clinically useful depression outcome scale supplemented with questions for the dsm5 anxious distress specifier cusados clinically useful social anxiety disorder outcome scale.
Mar 09, 2018 the clinically useful anxiety outcome scale cuxos is a brief 20item selfreport measure designed to assess the severity of anxiety symptoms in adults with a diagnosed anxiety disorder or depression davanzato et al. The scale had high internal consistency and testretest reliability, and was more highly correlated with other selfreport measures of anxiety than with measures of depression, substance use problems, eating disorders, and anger. The clinically useful depression outcome scale cudos and clinically useful anxiety outcome scale cuxos are available for free as pdf files and can be printed and given to patients to complete in the office. Clinically useful depression outcome scale cudos total score. Cudosd clinically useful depression outcome scale daily. The hamd is designed to rate the severity of depression in patients. There is a variety of rating scales for symptoms of depression, and the clinically useful depression outcome scale cudos is one of them. Our data and clinical experience allowed us to approximate ranges.
The clinically useful anxiety outcome scale cuxos is a brief 20item selfreport measure designed to assess the severity of anxiety symptoms in adults with a diagnosed anxiety disorder or depression davanzato et al. This study was aimed at exploring the psychometric properties of the spanish version of the clinically useful depression outcome scale cudos in a clinical sample. How is clinically useful depression outcome scale psychology abbreviated. Cutoff scores on scales our data and clinical experience allowed us to derive empirically informed ranges of scores corresponding to a dimensional assessment of depression severity. A psychometric analysis of the clinically useful depression.
Two hundred sixtyseven depressed outpatients were rated on the hamilton depression scale and completed the clinically useful depression outcome scale cudos. During this recorded presentation, mark zimmerman, md, provided a brief overview of the clinically useful depression outcome scale cudos, a measure that was developed to assess the course of depression and the severity of depressive symptoms. The cudos was more highly correlated with another selfreport measure of depression than with measures of anxiety, substance use problems, eating disorders, and somatization, thereby supporting the convergent and discriminant validity of the scale. Keck,7 yena lee,8,9 gin malhi,10 ciro marangoni,11. Description of the clinically useful depression outcome scale cudos during the past decade mark zimmerman has been the principal investigator of the rhode island methods to improve diagnostic. The focus of the present report are the 104 patients diagnosed with bipolar depression and 1066 patients diagnosed with major depressive disorder who completed the clinically useful depression outcome scale. This questionnaire includes questions about the symptoms of depression. Ecds postpartum depression screening and followup pds 1. Cudosd proves reliable, valid measure of mdd mdedge. Guidelines for the recognition and management of mixed. For each item please indicate how well it describes you during the past. Zimmerman m, chelminski i, mcglinchey jb, posternak ma. Cudos is a useful tool for screening for depression be. Online depression assessment tool validated mdedge psychiatry.
The clinically useful depression outcome scale cudos is a useful tool for screening for depression because it fully covers the diagnostic. Cudos stands for clinically useful depression outcome scale psychology. Pdf measurementbased treatment of residual symptoms. Center for epidemiologic studies depression scale cesd, nimh below is a list of the ways you might have felt or behaved. The cudos can be used to indicate cases of depression. To measure the current level of depressive symptoms in a general population. The cudos had a high ability to discriminate between different levels of depression severity, and was sensitive to change after treatment. Although it contains 21 areas, calculate the patients score on the first 17 answers. The clinically useful depression outcome scale cudos is a useful tool for screening for depression because it fully covers the diagnostic and statistical manual of mental disorders 4th. In addition, the web version of the clinically useful depression outcomes scale cudos correlated 89% or more with blinded clinician ratings of depression. Depression is more common in those with multiple chronic conditions.
The authors used receiver operating curve analysis to examine the ability of the. Objective this study was aimed at evaluating the diagnostic validity of the korean version of the clinically useful depression outcome scale cudos with varying followup in a typical clinical. The accurate assessment of psychological symptoms is an essential component of developing a helpful formulation regarding a clients difficulties. Psychological assessment scales and measures psychology tools. Hamilton depression r s hamd assessment psychology. We developed the scale in this manner so that it would be useful in the management of depressed patients, who often report high levels of anxiety in the.