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Development and validation of the 22-item Tarumi's Modern-Type Depression Trait Scale: Avoidance of Social Roles, Complaint, and Low Self-Esteem (TACS-22)

Kato TA 1 , Katsuki R 1 , Kubo H 1 , Shimokawa N 1 , Sato-Kasai M 1 , Hayakawa K 1 Show all authors , Kuwano N 1 , Umene-Nakano W 1 , Tateno M 2 , Setoyama D 3 , Kang D 3 , Watabe M 4 , Sakamoto S 5 , Teo AR 6 , Kanba S 1

Affiliations 

  • 1 Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
  • 2 Tokiwa Child Development Center, Tokiwa Hospital, Sapporo, Japan
  • 3 Department of Clinical Chemistry and Laboratory Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
  • 4 School of Business, Monash University, Bandar Sunway, Malaysia
  • 5 Department of Psychology, College of Humanities and Sciences, Nihon University, Tokyo, Japan
  • 6 VA Portland Health Care System, HSR&D Center to Improve Veteran Involvement in Care, Portland, USA
Psychiatry Clin Neurosci, 2019 Aug;73(8):448-457.
PMID: 30900331 DOI: 10.1111/pcn.12842

Abstract

AIM: Understanding premorbid personality is important, especially when considering treatment selection. Historically, the premorbid personality of patients with major depression in Japan was described as Shuchaku-kishitsu [similar to Typus melancholicus], as proposed by Shimoda in the 1930s. Since around 2000, there have been increased reports in Japan of young adults with depression who have had premorbid personality differing from the traditional type. In 2005, Tarumi termed this novel condition 'dysthymic-type depression,' and more recently the condition has been called Shin-gata/Gendai-gata Utsu-byo [modern-type depression (MTD)]. We recently developed a semi-structured diagnostic interview to evaluate MTD. Development of a tool that enables understanding of premorbid personality in a short time, especially at the early stage of treatment, is desirable. The object of this study was to develop a self-report scale to evaluate the traits of MTD, and to assess the scale's psychometric properties, diagnostic accuracy, and biological validity.

METHODS: A sample of 340 participants from clinical and community settings completed measures. Psychometric properties were assessed with factor analysis. Diagnostic accuracy of the MTD traits was compared against a semi-structured interview.

RESULTS: The questionnaire contained 22 items across three subscales, thus we termed it the 22-item Tarumi's Modern-Type Depression Trait Scale: Avoidance of Social Roles, Complaint, and Low Self-Esteem (TACS-22). Internal consistency, test-retest reliability, and convergent validity were all satisfactory. Among patients with major depression, the area under the curve was 0.757 (sensitivity of 63.1% and specificity of 82.9%) and the score was positively correlated with plasma tryptophan.

CONCLUSION: The TACS-22 possessed adequate psychometric properties and diagnostic accuracy in an initial sample of Japanese adults. Additional research on its ability to support clinical assessment of MTD is warranted.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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