Cornell Dysthymia Rating Scale

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Cornell Dysthymia Rating Scale

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About Cornell Dysthymia Rating Scale

Scale Name

Cornell Dysthymia Rating Scale

Author Details

Barbara J. Mason, James H. Kocsis, Andrew C. Leon, Seth Thompson, Allen J. Frances, Robert O. Morgan, and Michael K. Parides

Translation Availability

English

Background/Description

The Cornell Dysthymia Rating Scale (CDRS), developed by Barbara J. Mason, James H. Kocsis, Andrew C. Leon, Seth Thompson, Allen J. Frances, Robert O. Morgan, and Michael K. Parides in 1993, is a specialized clinician-rated tool designed to assess the severity of dysthymia, a chronic form of depression. Published in Psychiatric Annals, the CDRS was created to address the need for a precise measure that captures the subtle, persistent symptoms of dysthymia, distinguishing it from major depressive disorder and tracking treatment response. It is particularly valuable in psychiatric research and clinical practice for evaluating long-term depressive states.

The CDRS consists of 20 items, each scored on a 5-point scale (0 = “not present” to 4 = “severe”), covering mood, cognitive, behavioral, and somatic symptoms specific to dysthymia, such as chronic sadness, low self-esteem, and fatigue. Total scores range from 0 to 80, with higher scores indicating greater severity; no universal cutoff exists, but scores are often compared to baseline for treatment evaluation. Administered through a semi-structured interview, it takes about 20-30 minutes to complete, relying on clinician observation and patient input. Its focus on dysthymia’s unique profile and translations into multiple languages make it a key tool for understanding and managing this often underrecognized condition.

Administration, Scoring and Interpretation

  • Obtain the copy: Access the CDRS from its original publication in Mason et al. (1993) via Psychiatric Annals or authorized psychiatric resources, ensuring clinician training.
  • Explain the purpose: Inform the clinician (and indirectly the patient) that the scale measures dysthymia severity to guide diagnosis and monitor treatment progress.
  • Provide instructions: Instruct the clinician to rate each of the 20 items based on a semi-structured interview and observation, using the 5-point scale and provided guidelines.
  • Approximate time: Allow approximately 20-30 minutes for the interview and scoring, depending on the patient’s presentation and clinician familiarity.
  • Administer the scale: Conduct the assessment in a clinical setting, observing the patient’s behavior and responses during the interview, and record scores systematically.

Reliability and Validity

The Cornell Dysthymia Rating Scale exhibits strong psychometric properties, as established in Mason et al. (1993). Inter-rater reliability is high, with correlation coefficients ranging from 0.85 to 0.90 among trained clinicians, reflecting consistent scoring across observers. Test-retest reliability, assessed over a one-week period in stable patients, yields coefficients around 0.80, indicating stability in chronic symptom measurement.

Validity is well-supported through its development process. Concurrent validity is evidenced by moderate to strong correlations (r = 0.65-0.80) with the Hamilton Depression Rating Scale, adapted for dysthymia, while its item selection ensures content validity for chronic depression features. Discriminant validity distinguishes CDRS scores from mania or acute depression scales, confirming specificity to dysthymia. Its sensitivity to treatment response, demonstrated in antidepressant trials, enhances its utility, with score reductions reflecting clinical improvement, making it a reliable and valid tool for dysthymia assessment.

Available Versions

20-Items

Reference

Mason, B. J., Kocsis, J. H., Leon, A. C., Thompson, S., Frances, A. J., Morgan, R. O., & Parides, M. K. (1993). Measurement of severity and treatment response in dysthymiaPsychiatric Annals23(11), 625-631.

Important Link

Scale File:

Frequently Asked Questions

What does the CDRS measure?
It measures the severity of dysthymia symptoms.

How many items are in the CDRS?
It includes 20 items scored from 0 to 4.

Who developed the CDRS?
It was developed by Barbara Mason and colleagues in 1993.

How long does it take to complete the CDRS?
It takes about 20-30 minutes via clinical interview.

What makes the CDRS unique?
It focuses specifically on chronic dysthymia, not acute depression.

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