Instruments for self-rating in depression are available, but their psychometric properties have not been fully explored; discrepancies
with clinician ratings have been identified. This study was longitudinal with 85 patients fulfilling the DSM-III-R diagnosis
of Seasonal Affective Disorder. Self-reporting versions (definitely and semidefinitely anchored) corresponding to the Hamilton
Depression Scale (HAMD), the Hamilton Subscale (HAM6), and the Bech–Rafaelsen Melancholia Scale (MES) were compared to each other and the clinician-rated version. The unidimensional
property of the sum score in each scale was tested by the item-response theory model ad modum Rasch. The scales were also
tested for their sensitivity to discriminate between placebo and citalopram therapy. The sum scores and the sum score variances
of the definite self-rating versions did not differ significantly from the sum scores of the corresponding observer scales
at any of the five time points. The semidefinite scales significantly over-scored at all time points. The convergent validity
between corresponding definite self-ratings and observer ratings was very high with correlations exceeding 0.90. Only item
responses from the MES, the HAM6, and their corresponding definite versions of the self-rating questionnaires DMQ and DHAM6 were accepted by the Rasch analysis, and only these four valid scales discriminated significantly between the effect of citalopram
and placebo treatment. Our results are limited to patients with moderate depression. Two new self-report scales with unparalleled
construct validity, reliability, sensitivity, and convergent validity have been identified (DMQ and DHAM6). We have also identified a crucial importance of format for the means and variances of self-rating scales. These findings
are of high practical and scientific value.
Keywords Analogous observer and self-reported rating scales – Definitely vs. Semidefinitely anchored self-rated items – IRT (Rasch) validation of self-reported scales – Variance of self-rated scales