TY - JOUR
T1 - The Techniques for Overcoming Depression Questionnaire
T2 - Mokken Scale Analysis, Reliability, and Concurrent Validity in Depressed Cardiac Patients
AU - Freedland, Kenneth E.
AU - Lemos, Mariantonia
AU - Doyle, Frank
AU - Steinmeyer, Brian C.
AU - Csik, Iris
AU - Carney, Robert M.
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2017/2/1
Y1 - 2017/2/1
N2 - The Techniques for Overcoming Depression (TOD) questionnaire assesses the frequency with which patients being treated for depression use cognitive-behavioral techniques in daily life. This study examined its latent structure, reliability and concurrent validity in depressed cardiac patients. The TOD was administered at the initial and final treatment sessions in three trials of cognitive behavior therapy (CBT) (n = 260) for depression in cardiac patients. Mokken scaling was used to determine its dimensionality. The TOD is unidimensional in depressed cardiac patients, both at the initial evaluation (H = .46) and the end of treatment (H = .47). It is sensitive to change and the total score correlates with therapist ratings of the patient’s socialization to CBT (r = .40, p < .05), homework adherence (r = .36, p < .05), and use of cognitive-behavioral techniques (r = .51, p < .01). TOD scores were associated with post-treatment depression scores in two of the trials (p < .01 in both analyses). The TOD is a unidimensional, reliable, valid, and clinically informative measure of self-reported use of cognitive-behavioral techniques for overcoming depression in cardiac patients. Studies of the TOD in other depressed patient populations are needed.
AB - The Techniques for Overcoming Depression (TOD) questionnaire assesses the frequency with which patients being treated for depression use cognitive-behavioral techniques in daily life. This study examined its latent structure, reliability and concurrent validity in depressed cardiac patients. The TOD was administered at the initial and final treatment sessions in three trials of cognitive behavior therapy (CBT) (n = 260) for depression in cardiac patients. Mokken scaling was used to determine its dimensionality. The TOD is unidimensional in depressed cardiac patients, both at the initial evaluation (H = .46) and the end of treatment (H = .47). It is sensitive to change and the total score correlates with therapist ratings of the patient’s socialization to CBT (r = .40, p < .05), homework adherence (r = .36, p < .05), and use of cognitive-behavioral techniques (r = .51, p < .01). TOD scores were associated with post-treatment depression scores in two of the trials (p < .01 in both analyses). The TOD is a unidimensional, reliable, valid, and clinically informative measure of self-reported use of cognitive-behavioral techniques for overcoming depression in cardiac patients. Studies of the TOD in other depressed patient populations are needed.
KW - Cognitive therapy
KW - Depressive disorder
KW - Heart diseases
KW - Patient compliance
KW - Psychometrics
KW - Questionnaires
UR - http://www.scopus.com/inward/record.url?scp=84982311168&partnerID=8YFLogxK
U2 - 10.1007/s10608-016-9797-6
DO - 10.1007/s10608-016-9797-6
M3 - Article
C2 - 28239215
AN - SCOPUS:84982311168
SN - 0147-5916
VL - 41
SP - 117
EP - 129
JO - Cognitive Therapy and Research
JF - Cognitive Therapy and Research
IS - 1
ER -