1. Screening for depression in women with metastatic breast cancer: a comparison of the Beck Depression Inventory Short Form and the Hospital Anxiety and Depression Scale.
- Author
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Love AW, Grabsch B, Clarke DM, Bloch S, and Kissane DW
- Subjects
- Breast Neoplasms pathology, Depressive Disorder, Major epidemiology, Diagnostic and Statistical Manual of Mental Disorders, Female, Humans, Mass Screening, Middle Aged, Neoplasm Metastasis, Predictive Value of Tests, Surveys and Questionnaires, Breast Neoplasms psychology, Depressive Disorder, Major diagnosis, Depressive Disorder, Major etiology, Psychological Tests
- Abstract
Objective: To compare two self-report questionnaires for identifying possible depression in women with metastatic breast cancer., Method: We conducted structured psychiatric interviews and administered the Beck Depression Inventory Short Form (BDI-SF) and Hospital Anxiety and Depression Scale (HADS) to 227 women with stage IV breast cancer. The accuracy for identifying DSM-IV-defined major and minor depression was examined. Sensitivity, specificity, positive (PPV) and negative (NPV) predictive values were calculated and receiver operating characteristic curves plotted., Results: Seventy-four (32.6%) patients satisfied DSM-IV criteria for a depressive disorder. With a cut-off of 4, the BDI-SF had a sensitivity of 0.84, specificity of 0.63, and PPV of 0.52. A cut-off of 11 on the HADS-Depression scale (HADS-D) resulted in sensitivity, specificity, and PPV of 0.16, 0.97, and 0.75, respectively. For major depression alone, the BDI-SF with a cut-off of 5 had excellent sensitivity but poor PPV; the HADS, with a cut-off of 7, had weak sensitivity and PPV., Conclusions: Overall, the two scales perform similarly in identifying major depression, while the BDI-SF is the more useful in screening for DSM-IV major or minor depression categories in this clinical group.
- Published
- 2004
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