Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach
Objective: There is a need for a valid measure of depression in the medically ill, and one that is independent of medical illness characteristics. As yet, there is no such widely accepted measure. We thus report on the early development of such a measure using cognitive constructs that define depres...
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| Veröffentlicht in: | Australian and New Zealand journal of psychiatry 2001-08, Vol.35 (4), p.474-480 |
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| container_title | Australian and New Zealand journal of psychiatry |
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| creator | Parker, Gordon Hilton, Therese Hadzi-Pavlovic, Dusan Bains, Jatinder |
| description | Objective: There is a need for a valid measure of depression in the medically ill, and one that is independent of medical illness characteristics. As yet, there is no such widely accepted measure. We thus report on the early development of such a measure using cognitive constructs that define depressive mood state nuances.
Method: We studied 67 patients with a significant medical illness, verbally administering a set of 81 provisional items. Sample members also alternatively completed one of two comparison measures: the Hospital Anxiety and Depression Scale (HADS) or the Beck Depression Inventory for Primary Care (BDI-PC). A psychiatrist interviewed a subset to determine severity of any depression and whether subjects met formalized caseness criteria for depression. The Composite International Diagnostic Interview (CIDI) was also administered during interviews to assess agreement with psychiatrist judgements about caseness.
Results: A 16-item measure with high internal consistency was derived, with validation analyses suggesting it was distinctly superior to the HADS and somewhat superior to the BDI-PC measure.
Conclusions: A cognitive-based approach (as used by both our measure and the BDI-PC) to screen for depression in medically ill groups appears to have distinct utility in identifying depressed patients, and in avoiding confounding influences of physical symptoms. |
| doi_str_mv | 10.1046/j.1440-1614.2001.00926.x |
| format | Article |
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Method: We studied 67 patients with a significant medical illness, verbally administering a set of 81 provisional items. Sample members also alternatively completed one of two comparison measures: the Hospital Anxiety and Depression Scale (HADS) or the Beck Depression Inventory for Primary Care (BDI-PC). A psychiatrist interviewed a subset to determine severity of any depression and whether subjects met formalized caseness criteria for depression. The Composite International Diagnostic Interview (CIDI) was also administered during interviews to assess agreement with psychiatrist judgements about caseness.
Results: A 16-item measure with high internal consistency was derived, with validation analyses suggesting it was distinctly superior to the HADS and somewhat superior to the BDI-PC measure.
Conclusions: A cognitive-based approach (as used by both our measure and the BDI-PC) to screen for depression in medically ill groups appears to have distinct utility in identifying depressed patients, and in avoiding confounding influences of physical symptoms.</description><identifier>ISSN: 0004-8674</identifier><identifier>EISSN: 1440-1614</identifier><identifier>DOI: 10.1046/j.1440-1614.2001.00926.x</identifier><identifier>PMID: 11531728</identifier><identifier>CODEN: ANZPBQ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Biological and medical sciences ; Chronic Disease - psychology ; Cognitive aspects ; Cognitive Therapy - methods ; Depression ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - epidemiology ; Depressive Disorder, Major - therapy ; Female ; Health Status ; Humans ; Male ; Mass Screening ; measurement ; Medical conditions ; Medical sciences ; medically ill ; Middle Aged ; Patients ; Psychological tests ; Psychology. Psychoanalysis. Psychiatry ; Psychometric properties ; Psychometrics. Diagnostic aid systems ; Psychopathology. Psychiatry ; Reproducibility of Results ; Severity of Illness Index ; Surveys and Questionnaires ; Techniques and methods</subject><ispartof>Australian and New Zealand journal of psychiatry, 2001-08, Vol.35 (4), p.474-480</ispartof><rights>2001 The Royal Australian and New Zealand College of Psychiatrists</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4706-95949a4639240cfe99491fba30c1f9fd6491748103f3017fd0cefceb9b6756073</citedby><cites>FETCH-LOGICAL-c4706-95949a4639240cfe99491fba30c1f9fd6491748103f3017fd0cefceb9b6756073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1046/j.1440-1614.2001.00926.x$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1046/j.1440-1614.2001.00926.x$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,1417,21819,27924,27925,31000,43621,43622,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1091835$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11531728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parker, Gordon</creatorcontrib><creatorcontrib>Hilton, Therese</creatorcontrib><creatorcontrib>Hadzi-Pavlovic, Dusan</creatorcontrib><creatorcontrib>Bains, Jatinder</creatorcontrib><title>Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach</title><title>Australian and New Zealand journal of psychiatry</title><addtitle>Aust N Z J Psychiatry</addtitle><description>Objective: There is a need for a valid measure of depression in the medically ill, and one that is independent of medical illness characteristics. As yet, there is no such widely accepted measure. We thus report on the early development of such a measure using cognitive constructs that define depressive mood state nuances.
Method: We studied 67 patients with a significant medical illness, verbally administering a set of 81 provisional items. Sample members also alternatively completed one of two comparison measures: the Hospital Anxiety and Depression Scale (HADS) or the Beck Depression Inventory for Primary Care (BDI-PC). A psychiatrist interviewed a subset to determine severity of any depression and whether subjects met formalized caseness criteria for depression. The Composite International Diagnostic Interview (CIDI) was also administered during interviews to assess agreement with psychiatrist judgements about caseness.
Results: A 16-item measure with high internal consistency was derived, with validation analyses suggesting it was distinctly superior to the HADS and somewhat superior to the BDI-PC measure.
Conclusions: A cognitive-based approach (as used by both our measure and the BDI-PC) to screen for depression in medically ill groups appears to have distinct utility in identifying depressed patients, and in avoiding confounding influences of physical symptoms.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease - psychology</subject><subject>Cognitive aspects</subject><subject>Cognitive Therapy - methods</subject><subject>Depression</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - epidemiology</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening</subject><subject>measurement</subject><subject>Medical conditions</subject><subject>Medical sciences</subject><subject>medically ill</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Psychological tests</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometric properties</subject><subject>Psychometrics. Diagnostic aid systems</subject><subject>Psychopathology. Psychiatry</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Techniques and methods</subject><issn>0004-8674</issn><issn>1440-1614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU2P0zAQhi0EYsvCX0A-IG4JntqOE8SllK-Vlg9pd8-W44yzrtyk2Als_z0urYDbcrLH84zf0fsSQoGVwET1alOCEKyACkS5ZAxKxpplVd49IIs_jYdkwRgTRV0pcUaepLTJIAepHpMzAMlBLesFaa9sRBz80FM3RvoOdxFT8uNA_UCnW6SfsfPWhLCnFyG8ptf56Wrue0wTdvRm8sFPezo6auh67Ac_-R9YvDUpN1e7XRyNvX1KHjkTEj47nefk5sP76_Wn4vLrx4v16rKwQrGqaGQjGiMq3iwFsw6bXIJrDWcWXOO6KpdK1MC44wyU65hFZ7Ft2krJiil-Tl4e_82y3-e8oN76ZDEEM-A4J60ARDYP7gWlUlJKwTNYH0Ebx5QiOr2LfmviXgPThyD0Rh_81ge_9SEI_TsIfZdHn5805naL3d_Bk_MZeHECTMr-umgG69M_Ag3UXGbszRH76QPu_1tfr758y5c8Lo_jyfSoN-MchxzB_ev_AgU7sZo</recordid><startdate>200108</startdate><enddate>200108</enddate><creator>Parker, Gordon</creator><creator>Hilton, Therese</creator><creator>Hadzi-Pavlovic, Dusan</creator><creator>Bains, Jatinder</creator><general>SAGE Publications</general><general>Blackwell Science Pty</general><general>Informa</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200108</creationdate><title>Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach</title><author>Parker, Gordon ; Hilton, Therese ; Hadzi-Pavlovic, Dusan ; Bains, Jatinder</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4706-95949a4639240cfe99491fba30c1f9fd6491748103f3017fd0cefceb9b6756073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease - psychology</topic><topic>Cognitive aspects</topic><topic>Cognitive Therapy - methods</topic><topic>Depression</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - epidemiology</topic><topic>Depressive Disorder, Major - therapy</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening</topic><topic>measurement</topic><topic>Medical conditions</topic><topic>Medical sciences</topic><topic>medically ill</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Psychological tests</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometric properties</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychopathology. Psychiatry</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parker, Gordon</creatorcontrib><creatorcontrib>Hilton, Therese</creatorcontrib><creatorcontrib>Hadzi-Pavlovic, Dusan</creatorcontrib><creatorcontrib>Bains, Jatinder</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Australian and New Zealand journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parker, Gordon</au><au>Hilton, Therese</au><au>Hadzi-Pavlovic, Dusan</au><au>Bains, Jatinder</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach</atitle><jtitle>Australian and New Zealand journal of psychiatry</jtitle><addtitle>Aust N Z J Psychiatry</addtitle><date>2001-08</date><risdate>2001</risdate><volume>35</volume><issue>4</issue><spage>474</spage><epage>480</epage><pages>474-480</pages><issn>0004-8674</issn><eissn>1440-1614</eissn><coden>ANZPBQ</coden><abstract>Objective: There is a need for a valid measure of depression in the medically ill, and one that is independent of medical illness characteristics. As yet, there is no such widely accepted measure. We thus report on the early development of such a measure using cognitive constructs that define depressive mood state nuances.
Method: We studied 67 patients with a significant medical illness, verbally administering a set of 81 provisional items. Sample members also alternatively completed one of two comparison measures: the Hospital Anxiety and Depression Scale (HADS) or the Beck Depression Inventory for Primary Care (BDI-PC). A psychiatrist interviewed a subset to determine severity of any depression and whether subjects met formalized caseness criteria for depression. The Composite International Diagnostic Interview (CIDI) was also administered during interviews to assess agreement with psychiatrist judgements about caseness.
Results: A 16-item measure with high internal consistency was derived, with validation analyses suggesting it was distinctly superior to the HADS and somewhat superior to the BDI-PC measure.
Conclusions: A cognitive-based approach (as used by both our measure and the BDI-PC) to screen for depression in medically ill groups appears to have distinct utility in identifying depressed patients, and in avoiding confounding influences of physical symptoms.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>11531728</pmid><doi>10.1046/j.1440-1614.2001.00926.x</doi><tpages>7</tpages></addata></record> |
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| ispartof | Australian and New Zealand journal of psychiatry, 2001-08, Vol.35 (4), p.474-480 |
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| subjects | Adult Biological and medical sciences Chronic Disease - psychology Cognitive aspects Cognitive Therapy - methods Depression Depressive Disorder, Major - diagnosis Depressive Disorder, Major - epidemiology Depressive Disorder, Major - therapy Female Health Status Humans Male Mass Screening measurement Medical conditions Medical sciences medically ill Middle Aged Patients Psychological tests Psychology. Psychoanalysis. Psychiatry Psychometric properties Psychometrics. Diagnostic aid systems Psychopathology. Psychiatry Reproducibility of Results Severity of Illness Index Surveys and Questionnaires Techniques and methods |
| title | Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach |
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