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The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients.
J Affect Disord. 2005 May; 86(1):87-91.JA

Abstract

OBJECTIVE

To examine the concurrent validity of the Beck Depression Inventory-Short Form (BDI-SF) to detect moderate and severe depressive episodes according to the International Classification of Diseases, 10th edition (ICD-10) criteria in inpatients with heterogeneous medical conditions and to set cut-off scores for its use in medical wards.

METHODS

One hundred and fifty-five patients [53% female; mean age (+/- S.D.) = 49.5 (+/- 17) years; mean number of years of education (+/- S.D.) = 6 (+/- 4) years] consecutively admitted to the adult medical wards in a General Hospital were interviewed during the first 72 h of hospitalization. The Clinical Interview Schedule [CIS] was used to make ICD-10 psychiatric diagnoses. All patients completed the BDI-SF. A "receiver operating characteristics" (ROC) curve was obtained and the sensitivity, specificity, positive and negative predictive values were calculated for different cut-off points of the BDI-SF.

RESULTS

High sensitivity and negative predictive value (NPV) were obtained with a cut-off score of 9/10 (sensitivity = 100%, specificity = 83.1%, NPV = 100%). High sensitivity and positive predictive value (PPV) were obtained with a cut-off score of 13/14 (sensitivity = 93.5%, specificity = 96%, PPV = 85.3%). The area under the ROC curve was 98.4% (95% Confidence Interval = 0.97-1.00).

CONCLUSIONS

The BDI-SF is a valid instrument for detecting moderate and severe depression in medical inpatients. For screening purposes, a 9/10 cut-off score is indicated, but if a high specificity is desired, a 13/14 cut-off score is warranted.

Authors+Show Affiliations

Department of Internal Medicine of the Federal University of Santa Catarina (UFSC), P.O. Box: 5199, Florianópolis, SC, Brazil. leticia@hu.ufsc.brNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Study

Language

eng

PubMed ID

15820275

Citation

Furlanetto, Letícia M., et al. "The Validity of the Beck Depression Inventory-Short Form as a Screening and Diagnostic Instrument for Moderate and Severe Depression in Medical Inpatients." Journal of Affective Disorders, vol. 86, no. 1, 2005, pp. 87-91.
Furlanetto LM, Mendlowicz MV, Romildo Bueno J. The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients. J Affect Disord. 2005;86(1):87-91.
Furlanetto, L. M., Mendlowicz, M. V., & Romildo Bueno, J. (2005). The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients. Journal of Affective Disorders, 86(1), 87-91.
Furlanetto LM, Mendlowicz MV, Romildo Bueno J. The Validity of the Beck Depression Inventory-Short Form as a Screening and Diagnostic Instrument for Moderate and Severe Depression in Medical Inpatients. J Affect Disord. 2005;86(1):87-91. PubMed PMID: 15820275.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients. AU - Furlanetto,Letícia M, AU - Mendlowicz,Mauro V, AU - Romildo Bueno,J, PY - 2003/08/26/received PY - 2004/12/13/revised PY - 2004/12/17/accepted PY - 2005/4/12/pubmed PY - 2005/7/13/medline PY - 2005/4/12/entrez SP - 87 EP - 91 JF - Journal of affective disorders JO - J Affect Disord VL - 86 IS - 1 N2 - OBJECTIVE: To examine the concurrent validity of the Beck Depression Inventory-Short Form (BDI-SF) to detect moderate and severe depressive episodes according to the International Classification of Diseases, 10th edition (ICD-10) criteria in inpatients with heterogeneous medical conditions and to set cut-off scores for its use in medical wards. METHODS: One hundred and fifty-five patients [53% female; mean age (+/- S.D.) = 49.5 (+/- 17) years; mean number of years of education (+/- S.D.) = 6 (+/- 4) years] consecutively admitted to the adult medical wards in a General Hospital were interviewed during the first 72 h of hospitalization. The Clinical Interview Schedule [CIS] was used to make ICD-10 psychiatric diagnoses. All patients completed the BDI-SF. A "receiver operating characteristics" (ROC) curve was obtained and the sensitivity, specificity, positive and negative predictive values were calculated for different cut-off points of the BDI-SF. RESULTS: High sensitivity and negative predictive value (NPV) were obtained with a cut-off score of 9/10 (sensitivity = 100%, specificity = 83.1%, NPV = 100%). High sensitivity and positive predictive value (PPV) were obtained with a cut-off score of 13/14 (sensitivity = 93.5%, specificity = 96%, PPV = 85.3%). The area under the ROC curve was 98.4% (95% Confidence Interval = 0.97-1.00). CONCLUSIONS: The BDI-SF is a valid instrument for detecting moderate and severe depression in medical inpatients. For screening purposes, a 9/10 cut-off score is indicated, but if a high specificity is desired, a 13/14 cut-off score is warranted. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/15820275/The_validity_of_the_Beck_Depression_Inventory_Short_Form_as_a_screening_and_diagnostic_instrument_for_moderate_and_severe_depression_in_medical_inpatients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(05)00002-9 DB - PRIME DP - Unbound Medicine ER -