"Are you depressed?" Screening for depression in the terminally ill
OBJECTIVE: This study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a single-item interview assessing depressed mood, 2) a two-item interview assessing depressed mood and loss of interest in activities, 3) a vi...
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| Published in | The American journal of psychiatry Vol. 154; no. 5; pp. 674 - 676 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Washington, DC
American Psychiatric Publishing
01.05.1997
American Psychiatric Association |
| Subjects | |
| Online Access | Get full text |
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| Abstract | OBJECTIVE: This study compared the performance of four brief screening
measures for depression in a group of terminally ill patients. The methods
included 1) a single-item interview assessing depressed mood, 2) a two-item
interview assessing depressed mood and loss of interest in activities, 3) a
visual analog scale for depressed mood, and 4) the Beck Depression
Inventory-Short Form. METHOD: Semistructured diagnostic interviews for
depression were administered to 197 patients receiving palliative care for
advanced cancer. The interview diagnoses served as the standards against
which the screening performance of the four brief screening methods was
assessed. RESULTS: Single-item interview screening correctly identified the
eventual diagnostic outcome of every patient, substantially outperforming
the questionnaire and visual analog measures. CONCLUSIONS: Brief screening
measures for depression are important clinical tools for terminally ill
patients. For diagnostic purposes, however, they do not approach the
validity of a single-item interview that asks, in effect, "Are you
depressed?" |
|---|---|
| AbstractList | Semistructured diagnostic interviews for depression were administered to 197 patients receiving palliative care for advanced cancer. The interview diagnoses served as the standards against which the screening performance for the 4 brief screening methods was assessed. Concludes that brief screening measures for depression are important clinical tools for terminally ill patients. For diagnostic purposes, however, they do not approach the validity of a single-item interview that asks, in effect, `Are you depressed?' (Original abstract-amended) This study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a single-item interview assessing depressed mood, 2) a two-item interview assessing depressed mood and loss of interest in activities, 3) a visual analog scale for depressed mood, and 4) the Beck Depression Inventory-Short Form. Semistructured diagnostic interviews for depression were administered to 197 patients receiving palliative care for advanced cancer. The interview diagnoses served as the standards against which the screening performance of the four brief screening methods was assessed. Single-item interview screening correctly identified the eventual diagnostic outcome of every patient, substantially outperforming the questionnaire and visual analog measures. Brief screening measures for depression are important clinical tools for terminally ill patients. For diagnostic purposes, however, they do not approach the validity of a single-item interview that asks, in effect, "Are you depressed?" OBJECTIVEThis study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a single-item interview assessing depressed mood, 2) a two-item interview assessing depressed mood and loss of interest in activities, 3) a visual analog scale for depressed mood, and 4) the Beck Depression Inventory-Short Form.METHODSemistructured diagnostic interviews for depression were administered to 197 patients receiving palliative care for advanced cancer. The interview diagnoses served as the standards against which the screening performance of the four brief screening methods was assessed.RESULTSSingle-item interview screening correctly identified the eventual diagnostic outcome of every patient, substantially outperforming the questionnaire and visual analog measures.CONCLUSIONSBrief screening measures for depression are important clinical tools for terminally ill patients. For diagnostic purposes, however, they do not approach the validity of a single-item interview that asks, in effect, "Are you depressed?" OBJECTIVE: This study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a single-item interview assessing depressed mood, 2) a two-item interview assessing depressed mood and loss of interest in activities, 3) a visual analog scale for depressed mood, and 4) the Beck Depression Inventory-Short Form. METHOD: Semistructured diagnostic interviews for depression were administered to 197 patients receiving palliative care for advanced cancer. The interview diagnoses served as the standards against which the screening performance of the four brief screening methods was assessed. RESULTS: Single-item interview screening correctly identified the eventual diagnostic outcome of every patient, substantially outperforming the questionnaire and visual analog measures. CONCLUSIONS: Brief screening measures for depression are important clinical tools for terminally ill patients. For diagnostic purposes, however, they do not approach the validity of a single-item interview that asks, in effect, "Are you depressed?" This study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a single-item interview assessing depressed mood, 2) a two-item interview assessing depressed mood and loss of interest in activities, 3) a visual analog scale for depressed mood, and 4) the Beck Depression Inventory-Short Form. Semistructured diagnostic interviews for depression were administered to 197 patients receiving palliative care for advanced cancer. The interview diagnoses served as the standards against which the screening performance of the four brief screening methods was assessed. Single-item interview screening correctly identified the eventual diagnostic outcome of every patient, substantially outperforming the questionnaire and visual analog measures. Brief screening measures for depression are important clinical tools for terminally ill patients. For diagnostic purposes, however, they do not approach the validity of a single-item interview that asks, in effect, "Are you depressed?" |
| Author | LANDER, S ENNS, M CHOCHINOV, H. M WILSON, K. G |
| Author_xml | – sequence: 1 givenname: H. M surname: CHOCHINOV fullname: CHOCHINOV, H. M organization: Department of Medicine and School of Psychology, University of Ottawa, Canada – sequence: 2 givenname: K. G surname: WILSON fullname: WILSON, K. G organization: Department of Medicine and School of Psychology, University of Ottawa, Canada – sequence: 3 givenname: M surname: ENNS fullname: ENNS, M organization: Department of Medicine and School of Psychology, University of Ottawa, Canada – sequence: 4 givenname: S surname: LANDER fullname: LANDER, S organization: Department of Medicine and School of Psychology, University of Ottawa, Canada |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2677882$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/9137124$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | 1997 INIST-CNRS Copyright American Psychiatric Association May 1997 |
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| DOI | 10.1176/ajp.154.5.674 |
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measures for depression in a group of terminally ill patients. The methods
included 1) a... This study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a... Semistructured diagnostic interviews for depression were administered to 197 patients receiving palliative care for advanced cancer. The interview diagnoses... OBJECTIVEThis study compared the performance of four brief screening measures for depression in a group of terminally ill patients. The methods included 1) a... |
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| SubjectTerms | Adult and adolescent clinical studies Aged Biological and medical sciences Depression Depressive Disorder - diagnosis Depressive Disorder - psychology Female Humans Male Medical sciences Medical screening Mental depression Mood disorders Personality Inventory Psychiatric Status Rating Scales Psychological tests Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Screening Surveys and Questionnaires Terminal illnesses Terminally Ill - psychology Terminally ill people |
| Title | "Are you depressed?" Screening for depression in the terminally ill |
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