Abstract
Objective: The Remission Evaluation and Mood Inventory Tool (REMIT) was developed as a brief complementary measure to provide a more robust assessment of depression improvement than tracking DSM-V symptom improvement alone. This study provides further validation of the REMIT tool and examines its utility in predicting depression improvement. Methods: The sample comprised 294 primary care patients enrolled in a telecare trial of pain plus depression and/or anxiety. Assessments collected included: REMIT, PHQ-9 and measures assessing anxiety, pain, sleep, fatigue, somatization, health-related quality of life and disability. Data was analyzed to assess the REMIT's validity, its minimally important difference (MID), and its utility in predicting 6-month depression improvement. Results: Convergent and construct validity of REMIT was supported by moderate correlations with mental health measures and weaker correlation with physical health measures. MID of approximately 2 points for REMIT was estimated by two metrics: 0.5 standard deviation and 1 standard error of measurement. Both baseline and 3-month change in REMIT scores predicted depression improvement at 6 months. Indeed, REMIT was as good or better predictor than the PHQ-9. Conclusion: The REMIT measure is a brief 5-item tool that augments core DSM-V symptom-oriented metrics in assessing and predicting recovery from major depression.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 44-49 |
| Number of pages | 6 |
| Journal | General Hospital Psychiatry |
| Volume | 60 |
| DOIs | |
| State | Published - Sep 1 2019 |
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Keywords
- Depression
- Measurement-based care
- Recovery
- Remission
- Remission evaluation and mood inventory tool (REMIT)
ASJC Scopus subject areas
- Psychiatry and Mental health
Cite this
Assessing depression improvement with the remission evaluation and mood inventory tool (REMIT). / Bushey, Michael A.; Kroenke, Kurt; Baye, Fitsum; Lourens, Spencer.
In: General Hospital Psychiatry, Vol. 60, 01.09.2019, p. 44-49.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Assessing depression improvement with the remission evaluation and mood inventory tool (REMIT)
AU - Bushey, Michael A.
AU - Kroenke, Kurt
AU - Baye, Fitsum
AU - Lourens, Spencer
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Objective: The Remission Evaluation and Mood Inventory Tool (REMIT) was developed as a brief complementary measure to provide a more robust assessment of depression improvement than tracking DSM-V symptom improvement alone. This study provides further validation of the REMIT tool and examines its utility in predicting depression improvement. Methods: The sample comprised 294 primary care patients enrolled in a telecare trial of pain plus depression and/or anxiety. Assessments collected included: REMIT, PHQ-9 and measures assessing anxiety, pain, sleep, fatigue, somatization, health-related quality of life and disability. Data was analyzed to assess the REMIT's validity, its minimally important difference (MID), and its utility in predicting 6-month depression improvement. Results: Convergent and construct validity of REMIT was supported by moderate correlations with mental health measures and weaker correlation with physical health measures. MID of approximately 2 points for REMIT was estimated by two metrics: 0.5 standard deviation and 1 standard error of measurement. Both baseline and 3-month change in REMIT scores predicted depression improvement at 6 months. Indeed, REMIT was as good or better predictor than the PHQ-9. Conclusion: The REMIT measure is a brief 5-item tool that augments core DSM-V symptom-oriented metrics in assessing and predicting recovery from major depression.
AB - Objective: The Remission Evaluation and Mood Inventory Tool (REMIT) was developed as a brief complementary measure to provide a more robust assessment of depression improvement than tracking DSM-V symptom improvement alone. This study provides further validation of the REMIT tool and examines its utility in predicting depression improvement. Methods: The sample comprised 294 primary care patients enrolled in a telecare trial of pain plus depression and/or anxiety. Assessments collected included: REMIT, PHQ-9 and measures assessing anxiety, pain, sleep, fatigue, somatization, health-related quality of life and disability. Data was analyzed to assess the REMIT's validity, its minimally important difference (MID), and its utility in predicting 6-month depression improvement. Results: Convergent and construct validity of REMIT was supported by moderate correlations with mental health measures and weaker correlation with physical health measures. MID of approximately 2 points for REMIT was estimated by two metrics: 0.5 standard deviation and 1 standard error of measurement. Both baseline and 3-month change in REMIT scores predicted depression improvement at 6 months. Indeed, REMIT was as good or better predictor than the PHQ-9. Conclusion: The REMIT measure is a brief 5-item tool that augments core DSM-V symptom-oriented metrics in assessing and predicting recovery from major depression.
KW - Depression
KW - Measurement-based care
KW - Recovery
KW - Remission
KW - Remission evaluation and mood inventory tool (REMIT)
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UR - http://www.scopus.com/inward/citedby.url?scp=85069053833&partnerID=8YFLogxK
U2 - 10.1016/j.genhosppsych.2019.07.007
DO - 10.1016/j.genhosppsych.2019.07.007
M3 - Article
VL - 60
SP - 44
EP - 49
JO - General Hospital Psychiatry
JF - General Hospital Psychiatry
SN - 0163-8343
ER -