Screening instruments for psychiatric morbidity in chronic fatigue syndrome
Physicians require a screening instrument to detect psychiatric disorders in patients with chronic fatigue syndrome (CFS). Different threshold scores on the Hospital Anxiety and Depression scale (HAD) and the mental health scale of the Medical Outcome Survey (MOS) were compared with two gold standar...
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| Veröffentlicht in: | Journal of the Royal Society of Medicine 1998-07, Vol.91 (7), p.365-368 |
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| container_title | Journal of the Royal Society of Medicine |
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| creator | Morriss, Richard K Wearden, Alison J |
| description | Physicians require a screening instrument to detect psychiatric disorders in patients with chronic fatigue syndrome (CFS). Different threshold scores on the Hospital Anxiety and Depression scale (HAD) and the mental health scale of the Medical Outcome Survey (MOS) were compared with two gold standards for the presence or absence of psychiatric disorder, standard diagnostic criteria (DSM-III-R) and a threshold score for the number of psychiatric symptoms at a standardized psychiatric interview (Revised Clinical Interview Schedule total cut-off score of 11/12). They were compared by use of validating coefficients and receiver operating characteristics in 136 consecutive CFS medical outpatients.
The HAD scale at cut-off of 9/10 was a valid and efficient screening instrument for anxiety and depression by comparison with both gold standards. The MOS mental health scale at its recommended cut-off score of 67/68 yielded too many false-positives to be recommended as a psychiatric screening instrument in CFS patients. |
| doi_str_mv | 10.1177/014107689809100706 |
| format | Article |
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The HAD scale at cut-off of 9/10 was a valid and efficient screening instrument for anxiety and depression by comparison with both gold standards. The MOS mental health scale at its recommended cut-off score of 67/68 yielded too many false-positives to be recommended as a psychiatric screening instrument in CFS patients.</description><identifier>ISSN: 0141-0768</identifier><identifier>EISSN: 1758-1095</identifier><identifier>DOI: 10.1177/014107689809100706</identifier><identifier>PMID: 9771495</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Adult and adolescent clinical studies ; Anxiety - prevention & control ; Biological and medical sciences ; Depression - prevention & control ; Fatigue Syndrome, Chronic - psychology ; Female ; Humans ; Male ; Mass Screening - methods ; Medical sciences ; Mental Disorders - etiology ; Mental Disorders - prevention & control ; Middle Aged ; Miscellaneous ; Predictive Value of Tests ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Sensitivity and Specificity</subject><ispartof>Journal of the Royal Society of Medicine, 1998-07, Vol.91 (7), p.365-368</ispartof><rights>1998 The Royal Society of Medicine</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-b5d53276c105747a7e1061220082fa2710931a9586fe161e9edac7e46c6349bb3</citedby><cites>FETCH-LOGICAL-c466t-b5d53276c105747a7e1061220082fa2710931a9586fe161e9edac7e46c6349bb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1296809/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1296809/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2344689$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9771495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morriss, Richard K</creatorcontrib><creatorcontrib>Wearden, Alison J</creatorcontrib><title>Screening instruments for psychiatric morbidity in chronic fatigue syndrome</title><title>Journal of the Royal Society of Medicine</title><addtitle>J R Soc Med</addtitle><description>Physicians require a screening instrument to detect psychiatric disorders in patients with chronic fatigue syndrome (CFS). Different threshold scores on the Hospital Anxiety and Depression scale (HAD) and the mental health scale of the Medical Outcome Survey (MOS) were compared with two gold standards for the presence or absence of psychiatric disorder, standard diagnostic criteria (DSM-III-R) and a threshold score for the number of psychiatric symptoms at a standardized psychiatric interview (Revised Clinical Interview Schedule total cut-off score of 11/12). They were compared by use of validating coefficients and receiver operating characteristics in 136 consecutive CFS medical outpatients.
The HAD scale at cut-off of 9/10 was a valid and efficient screening instrument for anxiety and depression by comparison with both gold standards. The MOS mental health scale at its recommended cut-off score of 67/68 yielded too many false-positives to be recommended as a psychiatric screening instrument in CFS patients.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Anxiety - prevention & control</subject><subject>Biological and medical sciences</subject><subject>Depression - prevention & control</subject><subject>Fatigue Syndrome, Chronic - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Mental Disorders - etiology</subject><subject>Mental Disorders - prevention & control</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Predictive Value of Tests</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Sensitivity and Specificity</subject><issn>0141-0768</issn><issn>1758-1095</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtLxDAUhYMo4zj6BwShC3FXTfpImo0ggy8ccKGuQ5rezmRokzFphf57M0wZFMFVHue7517OReic4GtCGLvBJCOY0YIXmBOMGaYHaEpYXsQE8_wQTbdAvCWO0Yn3axzenKYTNOGMhWs-RS9vygEYbZaRNr5zfQum81FtXbTxg1pp2Tmtota6Ule6GwIVqZWzJnzWstPLHiI_mMrZFk7RUS0bD2fjOUMfD_fv86d48fr4PL9bxCqjtIvLvMrThFFFcM4yJhkQTEmSYFwktUxYmD0lkucFrYFQAhwqqRhkVNE042WZztDtznfTly1UKkzsZCM2TrfSDcJKLX4rRq_E0n4JknAaogoGV6OBs589-E602itoGmnA9l5QHrgCZwFMdqBy1nsH9b4JwWK7AvF3BaHo4ud4-5Ix86Bfjrr0Sja1k0Zpv8eSNMuCX8BudpiXSxBr2zsTQv2v8TeY95yl</recordid><startdate>19980701</startdate><enddate>19980701</enddate><creator>Morriss, Richard K</creator><creator>Wearden, Alison J</creator><general>SAGE Publications</general><general>Royal Society of Medicine</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>7X8</scope><scope>5PM</scope></search><sort><creationdate>19980701</creationdate><title>Screening instruments for psychiatric morbidity in chronic fatigue syndrome</title><author>Morriss, Richard K ; Wearden, Alison J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-b5d53276c105747a7e1061220082fa2710931a9586fe161e9edac7e46c6349bb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Anxiety - prevention & control</topic><topic>Biological and medical sciences</topic><topic>Depression - prevention & control</topic><topic>Fatigue Syndrome, Chronic - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening - methods</topic><topic>Medical sciences</topic><topic>Mental Disorders - etiology</topic><topic>Mental Disorders - prevention & control</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Predictive Value of Tests</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morriss, Richard K</creatorcontrib><creatorcontrib>Wearden, Alison J</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>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the Royal Society of Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morriss, Richard K</au><au>Wearden, Alison J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Screening instruments for psychiatric morbidity in chronic fatigue syndrome</atitle><jtitle>Journal of the Royal Society of Medicine</jtitle><addtitle>J R Soc Med</addtitle><date>1998-07-01</date><risdate>1998</risdate><volume>91</volume><issue>7</issue><spage>365</spage><epage>368</epage><pages>365-368</pages><issn>0141-0768</issn><eissn>1758-1095</eissn><abstract>Physicians require a screening instrument to detect psychiatric disorders in patients with chronic fatigue syndrome (CFS). Different threshold scores on the Hospital Anxiety and Depression scale (HAD) and the mental health scale of the Medical Outcome Survey (MOS) were compared with two gold standards for the presence or absence of psychiatric disorder, standard diagnostic criteria (DSM-III-R) and a threshold score for the number of psychiatric symptoms at a standardized psychiatric interview (Revised Clinical Interview Schedule total cut-off score of 11/12). They were compared by use of validating coefficients and receiver operating characteristics in 136 consecutive CFS medical outpatients.
The HAD scale at cut-off of 9/10 was a valid and efficient screening instrument for anxiety and depression by comparison with both gold standards. The MOS mental health scale at its recommended cut-off score of 67/68 yielded too many false-positives to be recommended as a psychiatric screening instrument in CFS patients.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>9771495</pmid><doi>10.1177/014107689809100706</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the Royal Society of Medicine, 1998-07, Vol.91 (7), p.365-368 |
| issn | 0141-0768 1758-1095 |
| language | eng |
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| subjects | Adult Adult and adolescent clinical studies Anxiety - prevention & control Biological and medical sciences Depression - prevention & control Fatigue Syndrome, Chronic - psychology Female Humans Male Mass Screening - methods Medical sciences Mental Disorders - etiology Mental Disorders - prevention & control Middle Aged Miscellaneous Predictive Value of Tests Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Sensitivity and Specificity |
| title | Screening instruments for psychiatric morbidity in chronic fatigue syndrome |
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