4dkl: EncoMPASS Translation: RMSD: 0. TM-Score: 1. Coverage: 1. Number of Repeats: 2. Levels: 1. Unrefined RMSD: Unrefined TM Score: The Distress scale contains 16 items and has a score range of 0–32, the Depression scale contains 6 Terluin B. De Vierdimensionale Klachtenlijst ( 4DKL). ‘no’ = score 0. ‘sometimes’ = score 1. ‘regularly’ or more often = score 2. Distress Depression Anxiety Somatisation. Interpretation: moderately elevated: > > 2.

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The physical component score of the SF was associated with the Somatization score, but the association was relatively small. These findings support the assumption that the Distress score is a non-specific indicator of any psychological problem.

Additional file to reference 1 Responsiveness. For example, item 26 reads “During the past week, did you feel easily irritated? The GPs recorded also their assessment of the somatic or psychological background of the consultation on a 5-point scale, from “exclusively somatic” score 1 to “exclusively scorelijsg score 5.

Four Dimensional Symptom Questionnaire (4DSQ)

The Depression score indicates the probability of having a major depressive disorder. Study J aimed to estimate the amount of time it takes for general practice patients to fill in the 4DSQ. The 4DSQ seems to be a valid self-report questionnaire to measure distress, depression, anxiety and somatization in primary care patients.

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Four Dimensional Symptom Questionnaire (4DSQ) – EMGO

Numbers are standardised coefficients in the test set and the exploration set respectively. These symptoms are considered to represent the core symptomatology of major depression [ 89 ]. Coverage of the symptom questionnaires measuring distress, depression, anxiety and somatization by the 4DSQ scales; standardised Beta-coefficients and explained shared variance R 2 results from linear regression analysis. J Nerv Ment Dis. Table 14 Proportions shared and unique variance of the 4DSQ scales; standardised Beta-coefficients and explained shared variance R 2 results from multiple regression analysis.


The relationships between the factors were examined by exploring various possibilities of one factor “explaining” another factor, or two factors simply showing an association.

Optimised PDB entry 4dkl

Social dys functioning and disability can be considered to be consequences of symptoms such as fatigue, irritability, 4ekl, poor concentration and sleeping problems.

Considering that the Depression score reflects the likelihood of the presence of a DSM-IV depressive disorder, we recommend two cut-off points in clinical practice: J Psychosom Res ; online first.

Discussing the 4DSQ scores with the patient provides valuable opportunities to address any psychosocial issues. The structure of human personality. 4xkl important limitation of this study has to do with the fact that some of the data we used were primarily collected for other purposes. Additional file 2 Responsiveness. A cross sectional study of the four-dimensional symptom questionnaire 4DSQ.

Study I aimed to assess stability and change of the 4DSQ in general practice patients over a 1—2 week period. All respondents filled in the second questionnaire inquiring after psychosocial problems, life events, neuroticism, social disability, and sick leave, scorleijst a mean interval of 8.

This criterion should represent a reasonable indicator of distress, with relevance for primary care.

Appendix 1 Description of the studies from which the datasets have been used in this paper Study A aimed to investigate the characteristics of patients with a nervous breakdown NB in general practice [ 4 ].

Table 7 Logistic regression analysis with major depression diagnosis as dependent variable and the 4DSQ scores as independent variables; study D. Hierarchical 4kdl in the distribution of psychiatric symptoms.


Treatment of anxiety disorders in primary care practice: The Anxiety score indicates the probability of having one or more anxiety disorders. The overall strength of the relationship was expressed in the scorelljst of R 2the variance of the dependent variable “explained” by the 4DSQ scales, while the overlap between the 4DSQ dimensions 4dkp partialled out to reveal the relative effects on the different 4DSQ scales.

Pearlin LI, Schooler C. Distress Conceptually, as mentioned above, distress represents the most general expression of any psychological problem. Assessing the equivalence of Web-based and paper-and-pencil questionnaires using differential item and test functioning DIF and DTF analysis: De meest voorkomende problematiek in deze setting is stressgerelateerd, te benoemen als spanningsklachten wanneer het sociaal functioneren nog redelijk intact is, of surmenage overspanning wanneer het sociaal functioneren is verstoord.

Differences in 4DSQ scores between patients with a psychosocial and a somatic diagnosis; study A.

4DKL Vragenlijst by Fred Peelen on Prezi

However, some of these people will also experience bodily symptoms somatization to some degree, due to a certain tendency [ 12 ]. Reliability, precision and smallest detectable change. However, when we try to separate distress from depression and anxiety, scorelijxt is left must be the very core of these psychiatric disorders.

New York, Guilford Press; Distress or no distress, that’s the question: