The Depression Interview and Structured Hamilton (DISH): Rationale, development, characteristics, and clinical validity

Kenneth E. Freedland, Judith A. Skala, Robert M. Carney, James M. Raczynski, C. Barr Taylor, Carlos F. Mendes de Leon, Gail Ironson, James D. Hosking, Marston E. Youngblood, K. Ranga Rama Krishnan, Richard C. Veith

Research output: Contribution to journalArticle

134 Citations (Scopus)

Abstract

Objective: The Depression Interview and Structured Hamilton (DISH) is a semistructured interview developed for the Enhancing Recovery in Coronary Heart Disease (ENRICHD) study, a multicenter clinical trial of treatment for depression and low perceived social support after acute myocardial infarction. The DISH is designed to diagnose depression in medically ill patients and to assess its severity on an embedded version of Williams' Structured Interview Guide for the Hamilton Depression scale (SIGH-D). This article describes the development and characteristics of the DISH and presents a validity study and data on its use in ENRICHD. Methods: In the validity study, the DISH and the Structured Clinical Interview for DSM-IV (SCID) were administered in randomized order to 57 patients. Trained interviewers administered the DISH, and clinicians administered the SCID. In ENRICHD, trained research nurses administered the DISH and recorded a diagnosis. Clinicians reviewed 42% of the interviews and recorded their own diagnosis. The Beck Depression Inventory (BDI) was administered in both studies. Results: In the validity study, the SCID diagnosis agreed with the DISH on 88% of the interviews (weighted κ = 0.86). In ENRICHD, the clinicians agreed with 93% of the research nurses' diagnoses. The BDI and the Hamilton depression scores derived from the DISH in the two studies correlated 0.76 (p < .0001) in the validity study and 0.64 (p < .0001) in ENRICHD. Conclusions: These findings support the validity of the DISH as a semistructured interview to assess depression in medically ill patients. The DISH is efficient in yielding both a DSM-IV depression diagnosis and a 17-item Hamilton depression score.

Original languageEnglish
Pages (from-to)897-905
Number of pages9
JournalPsychosomatic Medicine
Volume64
Issue number6
DOIs
StatePublished - Nov 1 2002

Fingerprint

Interviews
Coronary Disease
Diagnostic and Statistical Manual of Mental Disorders
Nurses
Equipment and Supplies
Research
Reproducibility of Results
Social Support
Multicenter Studies
Myocardial Infarction
Clinical Trials

Keywords

  • Coronary disease
  • Depressive disorder
  • Myocardial infarction
  • Psychiatric status rating scales
  • Psychological tests

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Freedland, K. E., Skala, J. A., Carney, R. M., Raczynski, J. M., Taylor, C. B., Mendes de Leon, C. F., ... Veith, R. C. (2002). The Depression Interview and Structured Hamilton (DISH): Rationale, development, characteristics, and clinical validity. Psychosomatic Medicine, 64(6), 897-905. https://doi.org/10.1097/01.PSY.0000028826.64279.29

The Depression Interview and Structured Hamilton (DISH) : Rationale, development, characteristics, and clinical validity. / Freedland, Kenneth E.; Skala, Judith A.; Carney, Robert M.; Raczynski, James M.; Taylor, C. Barr; Mendes de Leon, Carlos F.; Ironson, Gail; Hosking, James D.; Youngblood, Marston E.; Rama Krishnan, K. Ranga; Veith, Richard C.

In: Psychosomatic Medicine, Vol. 64, No. 6, 01.11.2002, p. 897-905.

Research output: Contribution to journalArticle

Freedland, KE, Skala, JA, Carney, RM, Raczynski, JM, Taylor, CB, Mendes de Leon, CF, Ironson, G, Hosking, JD, Youngblood, ME, Rama Krishnan, KR & Veith, RC 2002, 'The Depression Interview and Structured Hamilton (DISH): Rationale, development, characteristics, and clinical validity', Psychosomatic Medicine, vol. 64, no. 6, pp. 897-905. https://doi.org/10.1097/01.PSY.0000028826.64279.29
Freedland, Kenneth E. ; Skala, Judith A. ; Carney, Robert M. ; Raczynski, James M. ; Taylor, C. Barr ; Mendes de Leon, Carlos F. ; Ironson, Gail ; Hosking, James D. ; Youngblood, Marston E. ; Rama Krishnan, K. Ranga ; Veith, Richard C. / The Depression Interview and Structured Hamilton (DISH) : Rationale, development, characteristics, and clinical validity. In: Psychosomatic Medicine. 2002 ; Vol. 64, No. 6. pp. 897-905.
@article{03d8d81238aa475294334a905d7a6b4f,
title = "The Depression Interview and Structured Hamilton (DISH): Rationale, development, characteristics, and clinical validity",
abstract = "Objective: The Depression Interview and Structured Hamilton (DISH) is a semistructured interview developed for the Enhancing Recovery in Coronary Heart Disease (ENRICHD) study, a multicenter clinical trial of treatment for depression and low perceived social support after acute myocardial infarction. The DISH is designed to diagnose depression in medically ill patients and to assess its severity on an embedded version of Williams' Structured Interview Guide for the Hamilton Depression scale (SIGH-D). This article describes the development and characteristics of the DISH and presents a validity study and data on its use in ENRICHD. Methods: In the validity study, the DISH and the Structured Clinical Interview for DSM-IV (SCID) were administered in randomized order to 57 patients. Trained interviewers administered the DISH, and clinicians administered the SCID. In ENRICHD, trained research nurses administered the DISH and recorded a diagnosis. Clinicians reviewed 42{\%} of the interviews and recorded their own diagnosis. The Beck Depression Inventory (BDI) was administered in both studies. Results: In the validity study, the SCID diagnosis agreed with the DISH on 88{\%} of the interviews (weighted κ = 0.86). In ENRICHD, the clinicians agreed with 93{\%} of the research nurses' diagnoses. The BDI and the Hamilton depression scores derived from the DISH in the two studies correlated 0.76 (p < .0001) in the validity study and 0.64 (p < .0001) in ENRICHD. Conclusions: These findings support the validity of the DISH as a semistructured interview to assess depression in medically ill patients. The DISH is efficient in yielding both a DSM-IV depression diagnosis and a 17-item Hamilton depression score.",
keywords = "Coronary disease, Depressive disorder, Myocardial infarction, Psychiatric status rating scales, Psychological tests",
author = "Freedland, {Kenneth E.} and Skala, {Judith A.} and Carney, {Robert M.} and Raczynski, {James M.} and Taylor, {C. Barr} and {Mendes de Leon}, {Carlos F.} and Gail Ironson and Hosking, {James D.} and Youngblood, {Marston E.} and {Rama Krishnan}, {K. Ranga} and Veith, {Richard C.}",
year = "2002",
month = "11",
day = "1",
doi = "10.1097/01.PSY.0000028826.64279.29",
language = "English",
volume = "64",
pages = "897--905",
journal = "Psychosomatic Medicine",
issn = "0033-3174",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - The Depression Interview and Structured Hamilton (DISH)

T2 - Rationale, development, characteristics, and clinical validity

AU - Freedland, Kenneth E.

AU - Skala, Judith A.

AU - Carney, Robert M.

AU - Raczynski, James M.

AU - Taylor, C. Barr

AU - Mendes de Leon, Carlos F.

AU - Ironson, Gail

AU - Hosking, James D.

AU - Youngblood, Marston E.

AU - Rama Krishnan, K. Ranga

AU - Veith, Richard C.

PY - 2002/11/1

Y1 - 2002/11/1

N2 - Objective: The Depression Interview and Structured Hamilton (DISH) is a semistructured interview developed for the Enhancing Recovery in Coronary Heart Disease (ENRICHD) study, a multicenter clinical trial of treatment for depression and low perceived social support after acute myocardial infarction. The DISH is designed to diagnose depression in medically ill patients and to assess its severity on an embedded version of Williams' Structured Interview Guide for the Hamilton Depression scale (SIGH-D). This article describes the development and characteristics of the DISH and presents a validity study and data on its use in ENRICHD. Methods: In the validity study, the DISH and the Structured Clinical Interview for DSM-IV (SCID) were administered in randomized order to 57 patients. Trained interviewers administered the DISH, and clinicians administered the SCID. In ENRICHD, trained research nurses administered the DISH and recorded a diagnosis. Clinicians reviewed 42% of the interviews and recorded their own diagnosis. The Beck Depression Inventory (BDI) was administered in both studies. Results: In the validity study, the SCID diagnosis agreed with the DISH on 88% of the interviews (weighted κ = 0.86). In ENRICHD, the clinicians agreed with 93% of the research nurses' diagnoses. The BDI and the Hamilton depression scores derived from the DISH in the two studies correlated 0.76 (p < .0001) in the validity study and 0.64 (p < .0001) in ENRICHD. Conclusions: These findings support the validity of the DISH as a semistructured interview to assess depression in medically ill patients. The DISH is efficient in yielding both a DSM-IV depression diagnosis and a 17-item Hamilton depression score.

AB - Objective: The Depression Interview and Structured Hamilton (DISH) is a semistructured interview developed for the Enhancing Recovery in Coronary Heart Disease (ENRICHD) study, a multicenter clinical trial of treatment for depression and low perceived social support after acute myocardial infarction. The DISH is designed to diagnose depression in medically ill patients and to assess its severity on an embedded version of Williams' Structured Interview Guide for the Hamilton Depression scale (SIGH-D). This article describes the development and characteristics of the DISH and presents a validity study and data on its use in ENRICHD. Methods: In the validity study, the DISH and the Structured Clinical Interview for DSM-IV (SCID) were administered in randomized order to 57 patients. Trained interviewers administered the DISH, and clinicians administered the SCID. In ENRICHD, trained research nurses administered the DISH and recorded a diagnosis. Clinicians reviewed 42% of the interviews and recorded their own diagnosis. The Beck Depression Inventory (BDI) was administered in both studies. Results: In the validity study, the SCID diagnosis agreed with the DISH on 88% of the interviews (weighted κ = 0.86). In ENRICHD, the clinicians agreed with 93% of the research nurses' diagnoses. The BDI and the Hamilton depression scores derived from the DISH in the two studies correlated 0.76 (p < .0001) in the validity study and 0.64 (p < .0001) in ENRICHD. Conclusions: These findings support the validity of the DISH as a semistructured interview to assess depression in medically ill patients. The DISH is efficient in yielding both a DSM-IV depression diagnosis and a 17-item Hamilton depression score.

KW - Coronary disease

KW - Depressive disorder

KW - Myocardial infarction

KW - Psychiatric status rating scales

KW - Psychological tests

UR - http://www.scopus.com/inward/record.url?scp=0036858434&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036858434&partnerID=8YFLogxK

U2 - 10.1097/01.PSY.0000028826.64279.29

DO - 10.1097/01.PSY.0000028826.64279.29

M3 - Article

C2 - 12461195

AN - SCOPUS:0036858434

VL - 64

SP - 897

EP - 905

JO - Psychosomatic Medicine

JF - Psychosomatic Medicine

SN - 0033-3174

IS - 6

ER -