TY - JOUR
PY - 2019//
TI - The concise health risk tracking-self report: psychometrics within a placebo-controlled antidepressant trial among depressed outpatients
JO - Journal of psychopharmacology
A1 - Trombello, Joseph M.
A1 - Killian, Michael O.
A1 - Grannemann, Bruce D.
A1 - Rush, Augustus John
A1 - Mayes, Taryn L.
A1 - Parsey, Ramin V.
A1 - McInnis, Melvin
A1 - Jha, Manish K.
A1 - Ali, Aasia
A1 - McGrath, Patrick J.
A1 - Adams, Phil
A1 - Oquendo, Maria A.
A1 - Weissman, Myrna M.
A1 - Carmody, Thomas J.
A1 - Trivedi, Madhukar H.
SP - 185
EP - 193
VL - 33
IS - 2
N2 - BACKGROUND/AIMS:: While substantial prior research has evaluated the psychometric properties of the 12-item Concise Health Risk Tracking-Self Report (CHRT-SR12), a measure of suicide propensity and suicidal thoughts, no prior research has investigated its factor structure, sensitivity to change over time, and other psychometric properties in a placebo-controlled trial of antidepressant medication, nor determined whether symptoms change throughout treatment.
METHODS:: Participants in the multi-site Establishing Moderators and Biosignatures of Antidepressant Response in Clinical Care (EMBARC) study ( n=278) provided data to evaluate the factor structure and sensitivity to change over time of the CHRT-SR12 through eight weeks of a clinical trial in which participants received either placebo or antidepressant medication (sertraline).
RESULTS/OUTCOMES:: Factor analysis confirmed two factors: propensity (comprised of first-order factors including pessimism, helplessness, social support, and despair) and suicidal thoughts. Internal consistency (α's ranged from 0.69-0.92) and external validity were both acceptable, with the total score and propensity factor scores significantly correlated with total scores and single-item suicidal-thoughts scores on the self-report Quick Inventory of Depressive Symptoms and the clinician-rated 17-item Hamilton Rating Scale for Depression. Through analyzing CHRT-SR12 changes over eight treatment weeks, the total score and both the factors decreased regardless of baseline suicidal thoughts. Change in clinician-rated suicidal thoughts was reflected by change in both the total score and propensity factor score.
CONCLUSIONS/INTERPRETATION:: These results confirm the reliability, validity, and applicability of the CHRT-SR12 to a placebo-controlled clinical trial of depressed outpatients receiving antidepressant medication.
Language: en
LA - en SN - 0269-8811 UR - http://dx.doi.org/10.1177/0269881118817156 ID - ref1 ER -