Hostname: page-component-848d4c4894-cjp7w Total loading time: 0 Render date: 2024-06-17T15:32:10.533Z Has data issue: false hasContentIssue false
  • English
  • Français

De Widlöcher Remmingsschaal, een Nederlandse Schaal Voor het Meten van Psychomotorische Remming

Published online by Cambridge University Press:  18 September 2015

R.J.C. de Weme ,
T. Hoeksema  and
J.G. Goekoop
R.J.C. de Weme*
Affiliation:
PC Vogelenzang, Bennebroek
T. Hoeksema
Affiliation:
polikliniek psychiatrie, academisch ziekenhuis, Leiden
J.G. Goekoop
Affiliation:
Jelgersmakliniek, Oegstgeest
*
P.C. Vogelenzang, Postbus 5, 2120 B A Bennebroek
Get access Rights & Permissions [Opens in a new window]

Summary

Aim: Translation of a specific instrument to measure psychomotor retardation, the “Widlöcher Retardation Rating Scale” and validation of this Dutch translation (Widlöcher remmingsschaal, WRS). Method: In three separate studies, we studied reliability (n = 26), concurrent and divergent validity (n = 25) and predictive validity (n = 28) of the WRS. In- and outpatients with a depressive disorder or schizophrenia participated, and scores on the WRS were compared with those on the Montgomery Asberg Depression Rating Scale (MADRS) and retardation items of the Comprehensive Psychopathological Rating Scale (CPRS).

Results: The internal consistency was good (Cronbach alpha = 0.86), interrater reliability was sufficient to good, the correlation between the sumscores of both raters was r = 0.84, n = 23, p <0.01 and the kappa's were between 0.23 and 0.80. Convergent and divergent validity showed in comparing the correlation between the sum scores on the WRS and the CPRS retardation items (r = 0.91, n = 25, p < 0.01 ) with the correlation between the sumscores on the WRS and the MADRS (r = 0.40, n = 25, p = 0.1). The decrease of the sum scores on the WRS after two weeks of treatment with antide-pressants predicted remission after six weeks. A subgroup of the patients who were not in remission after six weeks, showed a predominance of retardation signs over mood disturbances. The same clinical picture was seen in a group of patients with a chronic disorder.

Conclusion: De Widlöcher Retardation Rating Scale in this Dutch translation is a usefull instrument to measure psychomotor retardation. The connection between remaining retardation symptoms and longterm prognosis deserves further investigation.

Keywords

Psychomotor retardationdepressionWidlöcherrating scalevalidityreliabilitypredictionPsychomotorische remmingdepressieWidlöcherbeoordelingsschaalvaliditeitbetrouwbaarheidpredictie
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 8 , Issue 3 , September 1996 , pp. 56 - 63
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Literatuur

1.Benson, DF. Psychomotor retardation. Neuropsychiat Neuropsychol Behav Neurol 1990; 3; 36–47.Google Scholar
2.Maes, M. Evidence for an immune response in major depression: A review and hypothesis. Prog Neuro-Psychopharmocol biol Psychiat 1995; 19; 11–38.CrossRefGoogle ScholarPubMed
3.Rogers, D, Lees, AJ, Smith, E, Trimble, M, Stern, GM. Bradyphrenia in Parkinson's disease and psychomotor retardation in depressive illness. An experimental study. Brain 1987; 110; 761–76.Google ScholarPubMed
4.Günther, W, Gruber, H. Psychomotorische Störungen bei psychiatrischen Patienten als mögliche Grundlage neuer Ansätze in Differentialdiagnose und Therapie I. Arch Psychiat Nervenkr 1983; 233; 187–209.CrossRefGoogle ScholarPubMed
5.Nelson, JC, Charney, DS. The symptoms of major depressive illness. Am J Psychiat 1981; 138; 1–13.Google ScholarPubMed
6.Staner, L. Réévaluation du concept de la dépression mélancolique. Acta psychiat belg 1988; 88; 313–40.Google Scholar
7.Cornell, DG, Suarez, R, Berent, S. Psychomotor retardation in melancholic and nonmelancholic depression: cognitive and motor components. J abnorm Psychol 1984; 93; 150–7.CrossRefGoogle ScholarPubMed
8.Hickie, I, Parsonage, B, Parker, G. Prediction of Response to Electroconvulsive Therapy. Preliminary Validation of a Sign-Based Typology of Depression. Br J Psychiat 1990; 157; 65–71.CrossRefGoogle ScholarPubMed
9.White, K, White, J. Tranylcypromine: patterns and predictors of response. J clin Psychiat 1986; 47; 380–2.Google ScholarPubMed
10.Joffe, RT, Uhde, TW, Post, RM, Minichiello, MD. Motor activity in depressed patients treated with carbamazepine. Biol Psychiat 1987; 22; 941–6.CrossRefGoogle ScholarPubMed
11.Browning, SM, Cowen, PJ. Changes in mood, appetite and psychomotor retardation in depressed patients given ECT. Br J Psychiat 1986; 149; 371–3.CrossRefGoogle ScholarPubMed
12.Widlöcher, DJ. Echelle de ralentissement dépressif, fondements théoriques et premieres applications. Psychol méd 1981; 13; 53–9.Google Scholar
13.Granier, F, Girard, M, Cros, D, Fernet, P, Escande, M. Echelle de Ralentissement Dépressif de Widlöcher. Analyse multifacto-rielle et comparaisance avec l'échelle Hamilton chez 55 déprimés hospitalisés. Société médico-psychologique 1982; 1134–46.Google Scholar
14.Pellet, J, Lang, F, Carrier, E, et al.Contribution a la validation de l'échelle de dépression de Widlöcher. Etude d'un échantillon de sujets non-déprimés. Société médico-psychologique 1982; 800–10.Google Scholar
15.Asberg, M, Montgomery, SA, Perris, C, Shalling, D, Sedvall, G. A comprehensive psychopathological rating scale. Acta psychiat scand 1978: suppl 271: 5–27.CrossRefGoogle ScholarPubMed
16.Montgomery, SA, Asberg, M. A new depression scale designed to be sensitive to change. Br J Psychiat 1979; 134; 382–9.CrossRefGoogle ScholarPubMed
17.Goekoop, JG, Hoeksema, T, Knoppert-Van der Klein, EAM, et al.Multidimensional ordering of psychopathology. A factor-analytic study using the Comprehensive Psychopathological Rating Scale. Acta psychiat scand 1992; 86; 306–12.CrossRefGoogle ScholarPubMed
18.Goekoop, JG, Knoppert-Van Der Klein, EAM, Hoeksema, T, et al.The interrater reliability of a Dutch version of the Comprehensive Psychopathological Rating Scale. Acta psychiat scand 1991; 83; 202–5.CrossRefGoogle ScholarPubMed
19.Veldhuyzen, van Zanten, SJO, Hijdra, A. Onderzoek naar variatie tussen waarnemers met behulp van kappa. Ned Tijdschr Geneeskd 1988; 132; 199–202.Google ScholarPubMed
20.Greden, J, Carroll, B. Psychomotor Function in Affective Disorders: An Overview of New Monitoring Techniques. Am J Psychiat 1981; 138; 1441–8.Google ScholarPubMed
21.Parker, G, Hadzi-Pavlovic, D, Wilhelm, K, et al.Defining melan-cholia: Properties of a refined sign-based measure. Br J Psychiat 1993; 164;316–26.CrossRefGoogle Scholar