Updated : Oct 05, 2019 in Medical


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 concepts of mild depression. Experiencing one or just a few medically unexplained symptoms e. The questions were answered on a sorelijst scale from “not at all limited” to 4dkkl severely limited”, and sum scores of the 5 items were used. We considered the standardised psychiatric diagnosis of a current major depressive disorder as the “criterion” for the 4DSQ Depression score.

The patients from study D had the highest mean Depression and Distress scores.

Four Dimensional Symptom Questionnaire (4DSQ)

The follow-up study included a postal questionnaire, issued 1—2 weeks later, containing a checklist of psychosocial problems [ 42 ], a life events checklist, a neuroticism questionnaire [ 45 ], a 5-item social disability questionnaire, and a single question about current sick leave from work.

Nonspecific psychological distress and other dimensions of psychopathology: Table 15 Correlations between the 4DSQ scales and other symptom questionnaires measuring distress, depression, anxiety and somatization; Pearson correlation coefficients r. 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:.


BMC Fam Pract ; Scoring via het web Testmij Online of met het Windows computerprogramma Datec Score Manager met automatische persoonlijke rapportage. Psychological distress screener for risk of future mental sickness absence in non-sicklisted employees.

A method of comparing the areas under receiver scoreljst characteristic curves derived from the same cases. General Health Questionnaire GP: Fatigue and heart disease. Huisarts Wet Two kinds of validity will be presented: The source of the stress may be anything that has the ability to threaten one’s bio-psycho-social homeostasis e.

Table 4 Differences in 4DSQ scores between patients with a psychosocial and a somatic diagnosis; study A. Somatization Somatization is a tendency to experience medically unexplained somatic symptoms, to attribute them to physical illness, and to seek medical help for them [ 12 ].

To a large extent this peculiar relationship between the 4DSQ dimensions is responsible for the high correlations between Distress, on 4djl one hand, and Depression, Anxiety and Somatization on the other hand.

Four Dimensional Symptom Questionnaire (4DSQ) – EMGO

Study D was funded by Solvay Pharma. Most patients turned out to be located in the right-lower triangle of the scatterplots: Pearlin LI, Schooler C. The distinction between distress on the one hand, and depression, anxiety and somatization on the other hand, implies a distinction between “normal” reactions to stress and “abnormal” — psychiatric — disorders.

Reducing long-term sickness absence by an activating intervention in adjustment disorders: Given the unknown reliability of the criterion, any relationship with the 4DSQ Somatization score can be interpreted as supporting validity of the 4DSQ Somatization scale.


Conclusion The 4DSQ seems to be a valid self-report questionnaire to measure distress, depression, anxiety and somatization in primary care patients. This indicated that some depression and anxiety inventories measured a lot of distress in 4DSQ terms.

The general practice patients study A had mean 4DSQ scores intermediate between the employees and the selected samples of the studies C through J. Considering that such diagnoses require consensus between GPs and patients on the psychosocial nature of the symptoms, it is plausible that distress plays a role in motivating patients to seek help and to discuss psychological issues with their doctor.

Optimised PDB entry 4dkl

Man Ther ; Patients with severe suicidal behaviour, addiction, apparent cognitive decline dementiaor psychotic scotelijst, were excluded. 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 psychosocial” score 5.

Other psychometric properties i. Work Stress Note that, in accordance with our conceptual four-dimensional model, Distress was associated with Depression, Anxiety and Somatization.