PMID- 16889106 OWN - NLM STAT- MEDLINE DCOM- 20060905 LR - 20240320 IS - 1294-8322 (Print) IS - 1958-5969 (Electronic) IS - 1294-8322 (Linking) VI - 8 IP - 2 DP - 2006 TI - Rating scales in depression: limitations and pitfalls. PG - 207-15 AB - Since the introduction of antidepressants to psychopharmacology in the 1960s, the Hamilton Depression Rating Scale (HAM-D) has been the most frequently used rating scale for depression. When used as a scale for prediction of outcome with antidepressants, the HAM-D, by its total score, has obtained limited use analogous to the Diagnostic and Statistical Manual of Mental Disorders. 4th ed (DSM-IV) diagnosis of major depression. Most research has been devoted to the use of the HAM-D to discriminate between placebo and active drugs or to show dose-response relationship in patients with major depression. An improvement in the total HAM-D score during a drug trial does not, however, in itself qualify the drug as an antidepressant, because the total score is not a sufficient statistic. The problem of statistical versus clinical significance when analyzing placebo-controlled trials, including dose-response relationship, is outlined, with the recommendation to use effect size statistics. FAU - Bech, Per AU - Bech P AD - Psychiatric Research Unit, Frederiksborg General Hospital, Hillerod, Denmark. pebe@fa.dk LA - eng PT - Journal Article PT - Review PL - England TA - Dialogues Clin Neurosci JT - Dialogues in clinical neuroscience JID - 101238198 RN - 0 (Antipsychotic Agents) SB - IM MH - Antipsychotic Agents/therapeutic use MH - Depression/*diagnosis/drug therapy/physiopathology/psychology MH - *Diagnostic and Statistical Manual of Mental Disorders MH - Humans MH - *Personality Inventory MH - *Psychiatric Status Rating Scales PMC - PMC3181766 EDAT- 2006/08/08 09:00 MHDA- 2006/09/06 09:00 PMCR- 2006/06/01 CRDT- 2006/08/08 09:00 PHST- 2006/08/08 09:00 [pubmed] PHST- 2006/09/06 09:00 [medline] PHST- 2006/08/08 09:00 [entrez] PHST- 2006/06/01 00:00 [pmc-release] AID - 10.31887/DCNS.2006.8.2/pbech [doi] PST - ppublish SO - Dialogues Clin Neurosci. 2006;8(2):207-15. doi: 10.31887/DCNS.2006.8.2/pbech.