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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Psychosociale problematiek en hulpzoeken. Methods Data from 10 different primary care studies have been used. Additional file to reference 1 Responsiveness. Receiver operating fragenlijst ROC curves of the 4DSQ scales with respect to detecting suspected possible or definitive somatization in general practice patients. Logistic regression analysis with any anxiety disorder diagnosis as dependent variable and the 4DSQ scores as independent variables; study E.

Pearson correlation coefficients were calculated between the 4DSQ scales in three samples: National Center for Biotechnology InformationU. Study C was designed to investigate an occupational health care intervention for employees who were on vragsnlijst leave because of an adjustment disorder [ 53 ]. Most patients turned out to be located in the right-lower triangle of the scatterplots: Medically unexplained physical symptoms and work functioning over 2 years: Somatization The 4DSQ Somatization scale was shown to measure exactly the same construct as the SCL Somatization scale taking the reliability of both scales into account.

However, a Depression score above the higher cut-off vraenlijst is a “prompt to act” [ 50 ], i. BT performed the statistical analyses except for the confirmatory factor analysis and drafted the manuscript. Open in a separate window. Beck Anxiety Inventory manual. Encino, Multivariate Software; The Depression score indicates the probability of having a major depressive disorder.


Therefore, the 4DSQ Depression score seems to be sufficient to detect depressive disorders. In one general practice 5 GPs two extra questions were added temporarily to the 4DSQ that was used routinely in the practice.

Bentler P, Wu E. Bragenlijst notion that distress is the most general expression of psychological problems of any kind was confirmed by the Distress score, which showed substantial correlations with the scores vragenlljst various other questionnaires measuring a range of symptoms from distress to depression and vragnelijst anxiety to somatization. Studies A and G used a simple 5-item questionnaire, inquiring after limitations in social functioning experienced in the following domains: The physicians included patients.

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 ]. Measures of stress i. Zwangerschap Onder invloed van de zwangerschap blijken vrouwen een andere respons te hebben op de 4DKL.

De 4DKL is daarom qua afkappunten aangepast voor de verloskunde praktijk. Note that the Distress score did not have any additional value with respect to the prediction of major depression with the Depression score already in the equation. HJA performed the confirmatory factor analysis. Distinguishing between emotional distress and psychiatric disorder in primary care attenders: The data set was randomly split into two sets of similar size.

The 4DSQ is free for non-commercial use in health care and research and it is available as a Dutch and an English version [ 3 ]. Competing interests BT is the copyright owner of the 4DSQ and receives copyright fees from companies that use the 4DSQ on a commercial basis the 4DSQ is freely available for non-commercial use in health care and research.


Four Dimensional Symptom Questionnaire (4DSQ)

Doelgroep Adolescenten vanaf 15 jaar en volwassenen, die de Nederlandse taal beheersen en niet manifest psychotisch of manisch zijn. Authors’ contributions BT performed the statistical analyses except for the confirmatory factor analysis and drafted the manuscript. We used data from studies C, D, F and H to compare the 4DSQ scales with other questionnaires measuring distress, depression, anxiety or somatization.

Reasons for exclusion were: For information regarding the Amsterdam Public Health research institute, its research programs, procedures for submitting your research proposal, quality guidelines and matters concerning PhD students: MLMH acquired the data of study F and assisted in the analyses of these data.

4DKL Vragenlijst – Datec Psychologische Tests

Reliability of the 4DSQ scales is high with alpha-coefficients ranging from 0. However, severe distress states as in NB force a patient to give up and withdraw from major social roles, especially the occupational role.

Yet, we have chosen this approach because it is an elegant way of studying the relative effects of stress and personality on the different 4DSQ dimensions. Study A aimed to investigate the characteristics of patients with a nervous breakdown NB in general practice [ 4 ]. Tripartite model of anxiety and depression: Differences in 4DSQ scores in patients with a somatic diagnosis between patients with definite, possible and no somatization according to the GP; study A.