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Studies utilize a diverse array of instruments, ranging from self-report questionnaires like the Beck Depression Inventory (BDI-II), Patient Health Questionnaire-9 (PHQ-9), and Hospital Anxiety and Depression Scale (HADS) to clinician-administered scales like the Hamilton Depression Rating Scale (HAM-D) (Hu et al., 2021)

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With respect to its precipitating factor, it is classified as11: Nonprecipitated, in which the triggering factor cannot be identified through an adequate clinical history or pertinent laboratory tests