Terluin B. De Vierdimensionale Klachtenlijst (4DKL). Een vragenlijst voor het meten van distress, depressie, angst en somatisatie [The Four-Dimensional. In non-clinical (working) populations it is important to differentiate between general distress, on the one hand, and psychiatric. Een vragenlijst voor het meten van distress, depressie, angst en somatisatie. Wat meet de Vierdimensionale Klachtenlijst (4DKL) in vergelijking met enkele.

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In order to evaluate the criterion validity of the 4DSQ scales we studied the association between the 4DSQ scores and relevant clinical diagnoses, GPs’ diagnoses for Distress and Somatization, and standardised psychiatric diagnoses for Depression and Anxiety.

In study D 55 GP patients with psychological symptoms were interviewed twice by their GP with an interval of 1—2 days. In principle, distress is independent from depression, anxiety and somatization. Table 4 Differences in 4DSQ scores between patients with a psychosocial and a somatic diagnosis; study A.

Int Arch Occup Environ Health ; 84 7: Adolescenten vanaf 15 jaar en volwassenen, die de Nederlandse vragenljist beheersen en niet manifest psychotisch of manisch zijn. Methods Data from 10 different primary care studies have been used. Distress alone, or in combination with somatization, is characteristic of uncomplicated stress-related syndromes that are commonly encountered in general practice.

Because some of the variables showed considerable kurtosis, we used elliptical reweighted least squares ERLS estimation.

Four-Dimensional Symptom Questionnaire (4DSQ)

However, the Distress score vragenlijxt not add any predictive power to the Depression score in the logistic regression analysis. The items are worded as questions similar to those that can be asked in everyday primary care practice. Patients with severe suicidal behaviour, addiction, apparent cognitive decline dementiaor psychotic symptoms, were excluded.

One-hundred-seven patients were diagnosed with one anxiety disorder; 72 patients with two or more anxiety disorders. Terluin B, Ashraf F. Stress, the brain and depression. Palo Alto, Consulting Psychologists Press; As a general nonspecific component distress is always part of the symptomatology of anxiety and depressive disorders, in which case distress accompanies specific symptoms of anxiety or depression.


De meest voorkomende problematiek in deze setting is stressgerelateerd, te benoemen als spanningsklachten wanneer het sociaal functioneren nog redelijk intact vfagenlijst, of surmenage overspanning wanneer het sociaal functioneren is verstoord.

Click here for file 44K, pdf. It is this “abnormal” anxiety, which is characteristic of anxiety disorders, that is measured by the 4DSQ Anxiety scale. However, experiencing many unexplained symptoms from different organ systems e. The logistic regression analysis revealed that the suspicion of a psychosocial background in patients with somatic symptoms i.

In de eerste plaats bleek de 4DKL een logische samenhang met de overeenkomstige schalen van deze klachtenlijsten te vertonen.

We indicate these sets with “exploration set” and “test set”, respectively. Forty-six GPs identified adult patients, aged 18 years and older, who scored 5 or more on the Short and Simple Screening Interview [ 55 ].

4DKL Vragenlijst by Fred Peelen on Prezi

De 4DKL meet vier dimensies van psychopathologie: The 4DSQ does not contain any positive affect questions, nor any other “reversed” worded questions. Translation, validation, and norming of the Dutch language version of the SF Health Survey in community and chronic disease populations.

The funding bodies did not have any influence on the study designs, the collection, analyses and interpretation of the data, the writing of the manuscript, or the decision to submit the manuscript for publication. We investigated the association between the 4DSQ scores and the GPs’ suspicion of somatization in patients with vragejlijst somatic diagnosis. More research, with more heterogeneous study samples, is needed to establish the criterion validity of the 4DSQ Anxiety scale. Descriptives To provide more detailed information about the samples, we have calculated mean scores and standard deviations of the 4DSQ vragenljist in the various study samples.

The questionnaires were 4dll by patients. Somatisation as a risk factor for incident depression and anxiety. The MQ measures “vital exhaustion”, a construct that resembles general distress [ 30 ].

Four Dimensional Symptom Questionnaire (4DSQ) – EMGO

Three patients did not fill in the questionnaires. Whereas distress is primarily a manifestation of a stress-coping problem, depression and anxiety are triggered or aggravated by still poorly understood dysfunctions of mood and anxiety regulation systems [ 11 ].


Clark and Watson introduced the tripartite model in which general distress is viewed as a personality trait — “negative affectivity” — that is underlying depressive and anxiety disorders as a non-specific predisposition [ 20 ].

Because personality determines to a certain extent how a person reacts to stress, we hypothesised that distress was also more strongly associated with personality than depression, anxiety and somatization. The association between somatization and disability in primary care patients. For example, item 26 reads “During the past week, did you feel easily irritated?

Four Dimensional Symptom Questionnaire (4DSQ)

Psychological distress screener for risk of future mental sickness absence in non-sicklisted employees. Experiencing one or just a few medically unexplained symptoms e. Afname Schriftelijk of online. Depression The 4DSQ Depression scale was found to correlate with other depression scales, particularly with the Vragenoijst, which focuses on depressive cognitions [ 49 ].

Click here for file 24K, pdf. In all comparisons between samples, the employees study B had the lowest mean scores. Additional file to reference 1 Respondent burden. Table 8 Anxiety disorders diagnoses in study E; numbers and percentages. This indicated that some depression and anxiety inventories measured a lot of distress in 4DSQ terms.

Table 2 Overview of the study samples used in this paper. Therefore, we performed linear regression analyses with the comparison questionnaires as dependent variables and the 4DSQ scales as independent variables in order to partial out the relative contributions of the 4DSQ scales to the “explanation” of the comparison questionnaires.

In unselected samples the applicability of the 4DSQ Depression and Anxiety scales appeared to be limited because of relatively low prevalence rates of depressive and anxiety disorders, whereas the Distress and Somatization scales exhibited significant variability. Een sociaal-epidemiologische studie ten behoeve van de preventieve geestelijke gezondheidszorg [Psychosocial problems and seeking help.

Distress, Depression and Anxiety.