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Rating Depression in Schizophrenia: A Comparison of a Self-Report and an Observer Report Scale

Prior research has indicated ari inconsistent agreement between self-report and observer report of depression in schizophrenia. The purpose of this study was to assess the level of agreement between a self-report measure of depression and a structured interview. Both outpatients (N=100) and inpatients (N=50) with schizophrenia were assssed using the Beck Depression Inventory and a structured interview scale, the Calgary depression Scale. Scores were convergent. However, a sizable proportion of inpatients had difficulty completing the self-report instrument. It is concluded that depressed affect can be assessed in schizophrenics by both self-report and structured interview, but the Beck Depression Inventory poses difficulties in use with inpatients.