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Original ArticleOpen Access
Health-Related Self-Report (HRSR) Scale : The Diagnostic Screening Test for Depression in Thai Population
Kasantikul D 
,
Karnjanathanalers N ,
Limsuwan N ,
Thongtang O ,
Vuthiganond S ,
Khuangsirikul V ,
Tantipiwatanakul P ,
Theeramoke V
,
Karnjanathanalers N ,
Limsuwan N ,
Thongtang O ,
Vuthiganond S ,
Khuangsirikul V ,
Tantipiwatanakul P ,
Theeramoke V In this study we introduced a health-related self-report (HRSR) diagnostic scale for
detecting depression in Thai population. The scale composed of 20 symptom items including
two objective signs (people said I look worried or sad) and previous suicidal attempt both of which
were helpful in detecting and confirming depression and suicidal risk. There were 3 positive items
(feel well, life is pleasant and meaningful and feel self-worth) which clearly distinguished normal
subjects and depressed patients.
The reliability coefficient (Chronbach's a) of the HRSR scale was 0.91 and was found to
possess a clear factorial structure and clinical validity. The cut-off score at 30 gave 90.2 per cent
specificity and 85.3 per cent sensitivity for major depression. Score ;:::: 25 provided higher specify
(93.4%) but lower sensitivity (75.1 %) and could detect probable cases of depression or other
mental illnesses in the community. Thus it can be used as a diagnostic screening instrument.
detecting depression in Thai population. The scale composed of 20 symptom items including
two objective signs (people said I look worried or sad) and previous suicidal attempt both of which
were helpful in detecting and confirming depression and suicidal risk. There were 3 positive items
(feel well, life is pleasant and meaningful and feel self-worth) which clearly distinguished normal
subjects and depressed patients.
The reliability coefficient (Chronbach's a) of the HRSR scale was 0.91 and was found to
possess a clear factorial structure and clinical validity. The cut-off score at 30 gave 90.2 per cent
specificity and 85.3 per cent sensitivity for major depression. Score ;:::: 25 provided higher specify
(93.4%) but lower sensitivity (75.1 %) and could detect probable cases of depression or other
mental illnesses in the community. Thus it can be used as a diagnostic screening instrument.
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