Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis

Wouter van Ballegooijen, Merijn Eikelenboom, Marjolein Fokkema, Heleen Riper, Albert M. van Hemert, Ad J.F.M. Kerkhof, Brenda W.J.H. Penninx, Jan H. Smit

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

Abstract

Background: Suicidality could be associated with specific combinations of biological, social and psychological factors. Therefore, depressive episodes with suicidal ideation could be different from depressive episodes without suicidal ideation in terms of latent variable structures. Methods: In this study we compared latent variable structures between suicidal and non-suicidal depressed patients using confirmatory factor analysis (CFA), following a measurement invariance test procedure. Patients (N = 919) suffering from major depressive disorder were selected from the Netherlands Study of Depression and Anxiety (NESDA) and split into a group that showed no symptoms of suicidal ideation (non-SI; N = 691) and a suicidal ideation (SI) group that had one or more symptoms of suicidal ideation (N = 228). Depression and anxiety symptoms were measured using the short form of the Mood and Anxiety Symptoms Questionnaire (MASQ-D30). Results: CFA implied a difference in latent variable structures between the non-SI sample (CFI 0.957; RMSEA 0.041) and the SI sample (CFI 0.900; RMSEA 0.056). Subsequent multiple-group CFA showed violations of measurement invariance. The General distress and Anhedonic depression subscales were best indicated by hopelessness and lack of optimism in the SI sample and by dissatisfaction and not feeling lively in the non-SI sample. Overall, the SI sample had higher scores and lower inter-item correlations on the Anhedonic depression items. Limitations: We have included very mild cases of suicidal ideation in our SI sample. Conclusions: On a latent variable level, depression with suicidal ideation differs from depression without suicidal ideation. Results encourage further research into the symptom structure of depression among suicidal patients.
Original languageEnglish
Title of host publicationJournal of Affective Disorders
PublisherElsevier B.V.
Pages180-187
Number of pages8
ISBN (Print)0172-4614
DOIs
Publication statusPublished - 15 Feb 2019

Publication series

NameJournal of Affective Disorders
Volume245

Cite this

van Ballegooijen, W., Eikelenboom, M., Fokkema, M., Riper, H., van Hemert, A. M., Kerkhof, A. J. F. M., ... Smit, J. H. (2019). Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis. In Journal of Affective Disorders (pp. 180-187). (Journal of Affective Disorders; Vol. 245). Elsevier B.V.. https://doi.org/10.1016/j.jad.2018.10.108
van Ballegooijen, Wouter ; Eikelenboom, Merijn ; Fokkema, Marjolein ; Riper, Heleen ; van Hemert, Albert M. ; Kerkhof, Ad J.F.M. ; Penninx, Brenda W.J.H. ; Smit, Jan H. / Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis. Journal of Affective Disorders. Elsevier B.V., 2019. pp. 180-187 (Journal of Affective Disorders).
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abstract = "Background: Suicidality could be associated with specific combinations of biological, social and psychological factors. Therefore, depressive episodes with suicidal ideation could be different from depressive episodes without suicidal ideation in terms of latent variable structures. Methods: In this study we compared latent variable structures between suicidal and non-suicidal depressed patients using confirmatory factor analysis (CFA), following a measurement invariance test procedure. Patients (N = 919) suffering from major depressive disorder were selected from the Netherlands Study of Depression and Anxiety (NESDA) and split into a group that showed no symptoms of suicidal ideation (non-SI; N = 691) and a suicidal ideation (SI) group that had one or more symptoms of suicidal ideation (N = 228). Depression and anxiety symptoms were measured using the short form of the Mood and Anxiety Symptoms Questionnaire (MASQ-D30). Results: CFA implied a difference in latent variable structures between the non-SI sample (CFI 0.957; RMSEA 0.041) and the SI sample (CFI 0.900; RMSEA 0.056). Subsequent multiple-group CFA showed violations of measurement invariance. The General distress and Anhedonic depression subscales were best indicated by hopelessness and lack of optimism in the SI sample and by dissatisfaction and not feeling lively in the non-SI sample. Overall, the SI sample had higher scores and lower inter-item correlations on the Anhedonic depression items. Limitations: We have included very mild cases of suicidal ideation in our SI sample. Conclusions: On a latent variable level, depression with suicidal ideation differs from depression without suicidal ideation. Results encourage further research into the symptom structure of depression among suicidal patients.",
keywords = "Depressive disorders, Factor analysis, Latent variables, Major depressive disorder, Measurement invariance, Suicidal ideation",
author = "{van Ballegooijen}, Wouter and Merijn Eikelenboom and Marjolein Fokkema and Heleen Riper and {van Hemert}, {Albert M.} and Kerkhof, {Ad J.F.M.} and Penninx, {Brenda W.J.H.} and Smit, {Jan H.}",
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van Ballegooijen, W, Eikelenboom, M, Fokkema, M, Riper, H, van Hemert, AM, Kerkhof, AJFM, Penninx, BWJH & Smit, JH 2019, Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis. in Journal of Affective Disorders. Journal of Affective Disorders, vol. 245, Elsevier B.V., pp. 180-187. https://doi.org/10.1016/j.jad.2018.10.108

Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis. / van Ballegooijen, Wouter; Eikelenboom, Merijn; Fokkema, Marjolein; Riper, Heleen; van Hemert, Albert M.; Kerkhof, Ad J.F.M.; Penninx, Brenda W.J.H.; Smit, Jan H.

Journal of Affective Disorders. Elsevier B.V., 2019. p. 180-187 (Journal of Affective Disorders; Vol. 245).

Research output: Chapter in Book/Report/Conference proceedingChapterAcademicpeer-review

TY - CHAP

T1 - Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis

AU - van Ballegooijen, Wouter

AU - Eikelenboom, Merijn

AU - Fokkema, Marjolein

AU - Riper, Heleen

AU - van Hemert, Albert M.

AU - Kerkhof, Ad J.F.M.

AU - Penninx, Brenda W.J.H.

AU - Smit, Jan H.

PY - 2019/2/15

Y1 - 2019/2/15

N2 - Background: Suicidality could be associated with specific combinations of biological, social and psychological factors. Therefore, depressive episodes with suicidal ideation could be different from depressive episodes without suicidal ideation in terms of latent variable structures. Methods: In this study we compared latent variable structures between suicidal and non-suicidal depressed patients using confirmatory factor analysis (CFA), following a measurement invariance test procedure. Patients (N = 919) suffering from major depressive disorder were selected from the Netherlands Study of Depression and Anxiety (NESDA) and split into a group that showed no symptoms of suicidal ideation (non-SI; N = 691) and a suicidal ideation (SI) group that had one or more symptoms of suicidal ideation (N = 228). Depression and anxiety symptoms were measured using the short form of the Mood and Anxiety Symptoms Questionnaire (MASQ-D30). Results: CFA implied a difference in latent variable structures between the non-SI sample (CFI 0.957; RMSEA 0.041) and the SI sample (CFI 0.900; RMSEA 0.056). Subsequent multiple-group CFA showed violations of measurement invariance. The General distress and Anhedonic depression subscales were best indicated by hopelessness and lack of optimism in the SI sample and by dissatisfaction and not feeling lively in the non-SI sample. Overall, the SI sample had higher scores and lower inter-item correlations on the Anhedonic depression items. Limitations: We have included very mild cases of suicidal ideation in our SI sample. Conclusions: On a latent variable level, depression with suicidal ideation differs from depression without suicidal ideation. Results encourage further research into the symptom structure of depression among suicidal patients.

AB - Background: Suicidality could be associated with specific combinations of biological, social and psychological factors. Therefore, depressive episodes with suicidal ideation could be different from depressive episodes without suicidal ideation in terms of latent variable structures. Methods: In this study we compared latent variable structures between suicidal and non-suicidal depressed patients using confirmatory factor analysis (CFA), following a measurement invariance test procedure. Patients (N = 919) suffering from major depressive disorder were selected from the Netherlands Study of Depression and Anxiety (NESDA) and split into a group that showed no symptoms of suicidal ideation (non-SI; N = 691) and a suicidal ideation (SI) group that had one or more symptoms of suicidal ideation (N = 228). Depression and anxiety symptoms were measured using the short form of the Mood and Anxiety Symptoms Questionnaire (MASQ-D30). Results: CFA implied a difference in latent variable structures between the non-SI sample (CFI 0.957; RMSEA 0.041) and the SI sample (CFI 0.900; RMSEA 0.056). Subsequent multiple-group CFA showed violations of measurement invariance. The General distress and Anhedonic depression subscales were best indicated by hopelessness and lack of optimism in the SI sample and by dissatisfaction and not feeling lively in the non-SI sample. Overall, the SI sample had higher scores and lower inter-item correlations on the Anhedonic depression items. Limitations: We have included very mild cases of suicidal ideation in our SI sample. Conclusions: On a latent variable level, depression with suicidal ideation differs from depression without suicidal ideation. Results encourage further research into the symptom structure of depression among suicidal patients.

KW - Depressive disorders

KW - Factor analysis

KW - Latent variables

KW - Major depressive disorder

KW - Measurement invariance

KW - Suicidal ideation

U2 - 10.1016/j.jad.2018.10.108

DO - 10.1016/j.jad.2018.10.108

M3 - Chapter

SN - 0172-4614

T3 - Journal of Affective Disorders

SP - 180

EP - 187

BT - Journal of Affective Disorders

PB - Elsevier B.V.

ER -

van Ballegooijen W, Eikelenboom M, Fokkema M, Riper H, van Hemert AM, Kerkhof AJFM et al. Comparing factor structures of depressed patients with and without suicidal ideation, a measurement invariance analysis. In Journal of Affective Disorders. Elsevier B.V. 2019. p. 180-187. (Journal of Affective Disorders). https://doi.org/10.1016/j.jad.2018.10.108