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The Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in Dutch advanced cancer patients.
- Source :
-
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2012 Feb; Vol. 20 (2), pp. 319-24. Date of Electronic Publication: 2011 Jan 18. - Publication Year :
- 2012
-
Abstract
- Purpose: Depression is highly prevalent in advanced cancer patients, but the diagnosis of depressive disorder in patients with advanced cancer is difficult. Screening instruments could facilitate diagnosing depressive disorder in patients with advanced cancer. The aim of this study was to determine the validity of the Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in advanced cancer patients.<br />Methods: Patients with advanced metastatic disease, visiting the outpatient palliative care department, were asked to fill out a self-questionnaire containing the Beck Depression Inventory (BDI-II) and a single screening question "Are you feeling depressed?" The mood section of the PRIME-MD was used as a gold standard.<br />Results: Sixty-one patients with advanced metastatic disease were eligible to be included in the study. Complete data were obtained from 46 patients. The area under the curve of the receiver operating characteristics analysis of the BDI-II was 0.82. The optimal cut-off point of the BDI-II was 16 with a sensitivity of 90% and a specificity of 69%. The single screening question showed a sensitivity of 50% and a specificity of 94%.<br />Conclusions: The BDI-II seems an adequate screening tool for a depressive disorder in advanced cancer patients. The sensitivity of a single screening question is poor.
- Subjects :
- Depressive Disorder etiology
Female
Humans
Male
Middle Aged
Neoplasm Metastasis
Neoplasms pathology
Netherlands
Palliative Care methods
Psychiatric Status Rating Scales
ROC Curve
Sensitivity and Specificity
Surveys and Questionnaires
Depressive Disorder diagnosis
Mass Screening methods
Neoplasms complications
Subjects
Details
- Language :
- English
- ISSN :
- 1433-7339
- Volume :
- 20
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
- Publication Type :
- Academic Journal
- Accession number :
- 21243377
- Full Text :
- https://doi.org/10.1007/s00520-010-1082-8