Cross-cultural equivalence in depression assessment: Japan-Europe-North American study

Toshi A. Furukawa, D. L. Streiner, H. Azuma, T. Higuchi, K. Kamijima, S. Kanba, N. Ozaki, A. Aoba, M. Murasaki, S. Miura

研究成果: ジャーナルへの寄稿学術誌査読

28 被引用数 (Scopus)


Objective: Worldwide use of the Hamilton Rating Scale for Depression (HRSD) presupposes that depression symptomatology can be measured the same way across countries but no empirical study has yet examined this issue. We therefore examined cross-cultural consistency of factor structure of HRSD. Method: A 17-item HRSD data were sought for 5185 individuals diagnosed with major depression in Japan, Europe and North America. Candidate factor structures were obtained with simultaneous component analysis (SCA) across the three cultures. They were then submitted to multiple-group confirmatory factor analysis (CFA). Results: According to SCA, 3-, 4- or 5-factor solutions were found to optimally and adequately summarize the variables for all the three populations. When submitted to CFA, the 5-factor solution was the best fitting and the most parsimonious: they were 'anhedonia/retardation,' 'guilt/agitation,' 'bodily symptoms,' 'insomnia' and 'appetite.' Conclusion: Common underlying factors exist for HRSD among Japanese, European and American patients with major depression.

ジャーナルActa Psychiatrica Scandinavica
出版ステータス出版済み - 10月 2005

!!!All Science Journal Classification (ASJC) codes

  • 精神医学および精神衛生


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