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Linda Fabisch

Christine Beichler

Nina Dalkner

Angelika Terbuch

Ellen Heitzer

Marija Balic

Regina Roller-Wirnsberger

Eleonore Fröhlich

Stefan Hatzl

Simon Fandler-Höfler

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Richard Partl

Christian Enzinger

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Hannes Deutschmann

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Selected Publication:

SHR Neuro Cancer Cardio Lipid Metab Microb

Finner, A; Stross, T; Ilić, J; Stix, K; Behrend, ML; Payer, H; Georgi, J; Schmiedhofer, F; Tmava-Berisha, A; Stijic, M; Fleischmann, E; Hammer, S; Hasic, D; Wels, L; Lang, J; Obermayer-Ramirez, A; Maget, A; Platzer, M; Bengesser, S; Häussl, A; Birner, A; Queissner, R; Schönthaler, E; Smolle, S; Mittmannsgruber, C; Lässer, A; Lenger, M; Dalkner, N; Fellendorf, FT; Reininghaus, EZ.
Discrepancies between self- and clinician-rated depressive symptoms in psychiatric inpatients: Associations with treatment stage, age, sex and depression severity.
J Affect Disord. 2025; 121052 Doi: 10.1016/j.jad.2025.121052
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Leading authors Med Uni Graz: Finner Alexander; Lenger Melanie
Co-authors Med Uni Graz: Behrend Melissa Lajana; Bengesser Susanne; Birner Armin; Dalkner Nina; Fellendorf Frederike; Fleischmann Eva; Georgi Johanna; Hammer Sascha; Hasic Dino; Häussl Alfred Alois; Ilic Julia; Lang Jorgos Nikolas; Lässer Amrei; Maget Alexander; Mittmannsgruber Claudia; Payer Helena Paula; Platzer Martina; Queissner Robert; Ramirez-Obermayer Anna Maria Antonia; Reininghaus Eva; Schmiedhofer Franziska; Schönthaler Elena; Smolle Stefan; Stijic Marko; Stix Katharina; Stross Tatjana Maria; Tmava-Berisha Adelina; Wels Linda
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Abstract:: BACKGROUND: The self-rated Beck Depression Inventory-II (BDI-II) and the clinician-rated Montgomery-Åsberg Depression Rating Scale (MADRS) are widely used to evaluate depressive symptoms in individuals with mental disorders. This study investigated the relationship between BDI-II and MADRS, examining the moderating roles of treatment stage, age, sex, and depression severity in an inpatient cohort diagnosed with major depression. METHODS: A total of 178 adult psychiatric inpatients with moderate to severe depression were assessed at admission and discharge using BDI-II and MADRS. Pearson correlations evaluated the relationship between the scales, Fisher's Z-tests examined changes over time, and moderation analyses and analyses of covariance assessed the role of treatment stage, age, sex, and depression severity. RESULTS: Correlations between BDI-II and MADRS were moderate at admission (r = 0.44, p < .001) and large at discharge (r = 0.56, p < .001), with significant strengthening over time (Fisher's Z = 2.12, p = .034). Correlations improved especially among women and younger patients (Fisher's Z = 3.07-3.08, p = .002), however, age, sex and depression severity did not moderate the association between BDI-II and MADRS (p > .05). Significant symptom reductions were observed for both scales (η² = 0.63-0.79, p < .001), with age moderating BDI-II improvements (η² = 0.04, p = .010). DISCUSSION: Our findings reveal that concordance between self-reported and clinician-rated depressive symptoms improves throughout treatment, particularly in subgroups defined by age and sex. The overall association appears consistent. Clinicians should employ both rating perspectives to ensure an individualized understanding of treatment response.