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Table 3 Item content, response frequencies, IRT item parameter estimates and fit statistics

From: Comparing five depression measures in depressed Chinese patients using item response theory: an examination of item properties, measurement precision and score comparability

Itema

Descriptionb

Response Frequencies (%)

Item Parameter Estimatesc

Fit Indexd

0

1

2

3

a (SE)

b 1 (SE)

b 2 (SE)

b 3 (SE)

S-X 2

BDI_1

Sadness (DM)

52.17

37.20

7.73

2.90

1.94 (0.33)

−0.01 (0.13)

1.53 (0.21)

2.40 (0.35)

76.69*

BDI_2

Pessimism (FH)

28.99

26.57

29.47

14.98

1.48 (0.23)

−0.88 (0.19)

0.15 (0.14)

1.47 (0.25)

76.03

BDI_3

Past failure (FH)

37.75

23.04

28.43

10.78

1.59 (0.26)

−0.54 (0.17)

0.33 (0.14)

1.71 (0.27)

69.55

BDI_4

Loss of pleasure (LI)

34.47

40.78

17.96

6.80

2.20 (0.32)

−0.59 (0.13)

0.80 (0.13)

1.79 (0.22)

52.11

BDI_5

Guilty feelings (FH)

38.83

36.41

18.45

6.31

1.31 (0.25)

−0.57 (0.2)

0.97 (0.21)

2.40 (0.43)

99.76*

BDI_6

Punishment feelings (FH)

42.23

24.27

7.28

26.21

1.42 (0.27)

−0.40 (0.17)

0.56 (0.18)

0.89 (0.21)

83.45*

BDI_7

Self-dislike (FH)

41.26

27.67

20.39

10.68

1.73 (0.27)

−0.36 (0.15)

0.67 (0.14)

1.67 (0.26)

80.58

BDI_8

Self-criticalness (FH)

33.50

28.16

25.24

13.11

1.27 (0.23)

−0.79 (0.21)

0.46 (0.19)

1.82 (0.33)

77.64

BDI_9

Suicidal thoughts (SU)

48.54

37.38

7.28

6.80

1.74 (0.29)

−0.16 (0.13)

1.41 (0.21)

2.02 (0.29)

71.33

BDI_10

Crying (DM)

42.51

23.19

11.59

22.71

1.12 (0.21)

−0.37 (0.22)

0.72 (0.22)

1.31 (0.30)

87.00

BDI_11

Agitation (PA)

45.41

25.12

17.39

12.08

1.36 (0.25)

−0.22 (0.19)

0.88 (0.21)

1.85 (0.37)

72.99

BDI_12

Loss of interest (LI)

30.43

36.23

20.29

13.04

1.88 (0.25)

−0.78 (0.14)

0.55 (0.15)

1.49 (0.21)

64.79

BDI_13

Indecisiveness (CD)

32.52

38.35

24.27

4.85

1.58 (0.25)

−0.75 (0.18)

0.76 (0.17)

2.39 (0.41)

59.79

BDI_14

Worthlessness (FH)

41.55

28.99

15.94

13.53

2.17 (0.30)

−0.37 (0.12)

0.62 (0.13)

1.33 (0.19)

76.83

BDI_15

Loss of energy (LE)

15.94

43.00

30.92

10.14

1.58 (0.22)

−1.62 (0.25)

0.24 (0.15)

1.77 (0.26)

74.41

BDI_16

Changes in sleep (CS)

15.20

42.16

23.04

19.61

0.84 (0.18)

−2.46 (0.56)

0.27 (0.26)

1.80 (0.43)

92.60

BDI_17

Irritability (DM)

40.58

37.68

16.43

5.31

1.27 (0.22)

−0.52 (0.18)

1.19 (0.25)

2.68 (0.49)

59.40

BDI_18

Changes in appetite (WC)

44.17

33.98

15.53

6.31

1.01 (0.21)

−0.41 (0.21)

1.39 (0.34)

2.99 (0.66)

76.75

BDI_19

Concentration difficulty (CD)

31.55

33.98

27.18

7.28

1.45 (0.26)

−0.84 (0.19)

0.54 (0.18)

2.20 (0.37)

74.45

BDI_20

Tiredness or fatigue (LE)

17.87

50.72

25.12

6.28

1.50 (0.24)

−1.51 (0.25)

0.66 (0.18)

2.26 (0.36)

63.96

BDI_21

Loss of interest in sex (LI)

29.90

24.02

21.57

24.51

1.17 (0.20)

−1.02 (0.24)

0.11 (0.2)

1.16 (0.25)

92.37

CESD_1

Bothered by things (CD)

26.57

49.76

16.91

6.76

1.54 (0.26)

−1.03 (0.20)

1.00 (0.19)

2.16 (0.36)

70.99

CESD_2

My appetite was poor (WC)

54.59

33.82

7.25

4.35

1.28 (0.26)

0.10 (0.17)

1.91 (0.37)

2.84 (0.58)

61.61

CESD_3

Couldn’t shake off blues (DM)

28.02

34.78

21.26

15.94

2.08 (0.26)

−0.86 (0.14)

0.37 (0.12)

1.22 (0.16)

74.36

CESD_4

I am just as good as other people (FH)

5.85

8.78

39.02

46.34

0.36 (0.17)

−7.85 (3.14)

−4.98 (2.09)

0.38 (0.61)

108.74*

CESD_5

I had trouble concentrating (CD)

27.05

43.48

23.19

6.28

1.19 (0.21)

−1.18 (0.25)

0.82 (0.21)

2.61 (0.48)

75.92

CESD_6

I felt depressed (DM)

21.36

40.78

24.27

13.59

2.89 (0.41)

−1.03 (0.13)

0.31 (0.09)

1.20 (0.14)

65.88

CESD_7

Everything I did was an effort (LE)

25.12

42.51

22.71

9.66

1.92 (0.27)

−1.00 (0.17)

0.55 (0.13)

1.64 (0.23)

58.60

CESD_8

I felt good about the future (FH)

5.31

11.11

35.75

47.83

0.77 (0.17)

−4.18 (1.02)

−2.45 (0.55)

0.03 (0.27)

119.10*

CESD_9

I thought I was a failure (FH)

30.92

34.30

21.74

13.04

2.33 (0.33)

−0.72 (0.13)

0.40 (0.11)

1.30 (0.17)

73.36

CESD_10

I felt fearful (DM)

30.92

38.65

19.32

11.11

1.62 (0.27)

−0.81 (0.17)

0.67 (0.15)

1.67 (0.26)

88.92

CESD_11

My sleep was restless (CS)

21.84

29.61

23.79

24.76

1.35 (0.21)

−1.36 (0.24)

0.00 (0.17)

1.04 (0.23)

73.10

CESD_12

I was happy (DM)

6.31

15.53

46.60

31.55

1.02 (0.17)

−3.26 (0.63)

−1.61 (0.33)

0.84 (0.26)

102.95*

CESD_13

I talked less than usual (PA)

30.92

38.16

19.32

11.59

1.61 (0.22)

−0.82 (0.18)

0.59 (0.15)

1.61 (0.25)

57.09

CESD_14

I felt lonely (DM)

33.33

30.43

18.36

17.87

1.93 (0.25)

−0.70 (0.14)

0.34 (0.13)

1.11 (0.17)

76.70

CESD_15

People were unfriendly (FH)

41.06

43.00

13.04

2.90

1.37 (0.25)

−0.42 (0.18)

1.52 (0.30)

3.01 (0.57)

67.50

CESD_16

I enjoyed life (LI)

6.31

12.14

34.95

46.60

1.35 (0.20)

−2.71 (0.44)

−1.55 (0.26)

0.06 (0.17)

69.02

CESD_17

I had crying spells (DM)

51.69

34.78

8.70

4.83

1.45 (0.27)

−0.04 (0.15)

1.55 (0.25)

2.46 (0.41)

56.71

CESD_18

I felt sad (DM)

35.27

35.27

17.39

12.08

2.96 (0.39)

−0.53 (0.09)

0.55 (0.10)

1.27 (0.14)

51.57

CESD_19

I felt that people disliked me (FH)

39.32

39.32

16.99

4.37

1.49 (0.29)

−0.51 (0.17)

1.12 (0.22)

2.52 (0.44)

59.90

CESD_20

I could not “get going.” (DM)

21.95

40.49

22.93

14.63

2.37 (0.33)

−1.09 (0.14)

0.31 (0.12)

1.24 (0.15)

66.01

PHQ_1

Little interest (LI)

27.54

41.55

18.36

12.56

2.94 (0.37)

−0.79 (0.11)

0.51 (0.10)

1.25 (0.14)

60.36

PHQ_2

Feeling down, depressed, or hopeless (DM)

30.43

37.20

22.22

10.14

3.43 (0.44)

−0.67 (0.09)

0.45 (0.09)

1.35 (0.13)

73.78*

PHQ_3

Sleep disturbance (CS)

16.50

34.47

17.48

31.55

1.58 (0.22)

−1.56 (0.22)

−0.01 (0.16)

0.68 (0.17)

82.03

PHQ_4

Feeling tired or having little energy (LE)

17.39

34.30

26.57

21.74

1.73 (0.26)

−1.43 (0.20)

−0.01 (0.13)

1.02 (0.18)

84.14*

PHQ_5

Poor appetite or overeating (WC)

45.89

28.99

13.04

12.08

1.40 (0.24)

−0.26 (0.16)

0.94 (0.20)

1.75 (0.31)

74.69

PHQ_6

Feeling bad about oneself (FH)

35.27

29.47

21.26

14.01

2.41 (0.31)

−0.57 (0.11)

0.35 (0.11)

1.23 (0.16)

83.59*

PHQ_7

Trouble concentrating (CD)

38.16

33.33

16.91

11.59

1.63 (0.23)

−0.52 (0.16)

0.75 (0.16)

1.64 (0.25)

78.16

PHQ_8

Moving or speaking slowly (PA)

49.76

28.99

13.53

7.73

1.67 (0.28)

−0.13 (0.14)

1.01 (0.19)

1.96 (0.29)

57.67

PHQ_9

Thoughts of death (SU)

67.48

18.45

8.25

5.83

2.76 (0.46)

0.44 (0.09)

1.15 (0.15)

1.74 (0.20)

37.89

DASS_3

No positive feeling at all (DM)

27.67

34.95

24.27

13.11

3.00 (0.37)

−0.79 (0.10)

0.30 (0.10)

1.22 (0.14)

66.74

DASS_5

No initiatives (LI)

27.54

43.48

19.81

9.18

1.45 (0.24)

−1.03 (0.19)

0.78 (0.19)

1.99 (0.34)

81.62

DASS_10

Had nothing to look forward to (FH)

30.43

27.54

22.71

19.32

2.39 (0.31)

−0.71 (0.12)

0.19 (0.11)

0.99 (0.15)

61.77

DASS_13

Felt down-hearted and blue (DM)

21.26

38.65

23.67

16.43

3.11 (0.35)

−1.02 (0.12)

0.20 (0.09)

1.02 (0.13)

49.35

DASS_16

Unable to become enthusiastic (LI)

27.67

44.17

16.50

11.65

1.90 (0.27)

−0.91 (0.14)

0.68 (0.15)

1.54 (0.21)

71.35

DASS_17

Wasn’t worth much as a person (FH)

56.52

26.09

9.66

7.73

2.14 (0.34)

0.11 (0.11)

1.09 (0.16)

1.73 (0.22)

54.99

DASS_21

Life was meaningless (FH)

44.93

27.54

14.98

12.56

2.54 (0.37)

−0.24 (0.10)

0.63 (0.11)

1.29 (0.16)

68.49

HADS_2

Enjoy the things I used to enjoy (LI)

21.26

44.44

27.54

6.76

1.45 (0.23)

−1.32 (0.23)

0.55 (0.16)

2.20 (0.35)

78.75

HADS_4

Laugh and see the funny side of things (LI)

34.30

26.09

29.95

9.66

2.02 (0.26)

−0.59 (0.15)

0.29 (0.12)

1.61 (0.21)

61.69

HADS_6

Feel cheerful (DM)

10.14

50.24

30.92

8.70

1.93 (0.28)

−1.89 (0.21)

0.28 (0.12)

1.69 (0.25)

77.59

HADS_8

Feel as if I am slowed down (PA)

14.49

47.34

27.54

10.63

1.27 (0.22)

−1.94 (0.30)

0.41 (0.19)

2.04 (0.37)

72.17

HADS_10

Lost interest in my appearance (LI)

22.71

41.06

25.60

10.63

0.87 (0.19)

−1.74 (0.41)

0.64 (0.27)

2.65 (0.60)

85.76

HADS_12

Look forward with enjoyment to things (LI)

23.19

31.88

30.43

14.49

1.58 (0.24)

−1.2 (0.20)

0.09 (0.14)

1.47 (0.24)

89.89

HADS_14

Enjoy good book or radio/TV program (LI)

36.23

35.75

14.01

14.01

1.16 (0.21)

−0.71 (0.21)

0.92 (0.22)

1.81 (0.35)

88.73

  1. Note
  2. * p < Benjamini-Hochberg adjusted overall alpha level of .05 [69]
  3. a BDI = Beck Depression Inventory–II
  4. CESD = Center for Epidemiologic Studies Depression Scale
  5. PHQ = Nine-item Patient Health Questionnaire
  6. DASS = Depression subscale of the 21-item Depression, Anxiety and Stress Scale
  7. HADS = Depression subscale of the Hospital Anxiety and Depression Scale
  8. b CD = concentration difficulties; CS = change in sleep; DM = depressed mood; FH = feelings of hopelessness; LE = fatigue or loss of energy; LI = loss of interest; PA = psychomotor agitation/retardation; SU = suicidality; WC = significant weight change or change in appetite
  9. c a = item discrimination parameter estimates; b 1, b 2, b 3 = item severity parameter estimates; SE = standard error of corresponding item parameter estimates
  10. d Fit index: Orlando and Thissen’s summed-score item-fit statistics (S-X 2). A nonsignificant result with Benjamini-Hochberg [69] adjusted overall alpha level of .05 is an indicator of adequate model fit