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The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory.
Arq Neuropsiquiatr. 2008 Jun; 66(2A):152-6.AN

Abstract

OBJECTIVE

Evaluate the accuracy of diagnosis of major depression in patients with Parkinson's disease (PD) using the UPDRS, the 15-item Geriatric Depression Scale (GDS15) and the Beck Depression Inventory (BDI).

METHOD

50 consecutive patients with PD were evaluated. The diagnosis of major depression was made according to the DSM-IV criteria.

RESULTS

We found a 24% prevalence of major depression. All depression scales were highly correlated but UPDRS depression item had the lowest diagnostic value. The GDS15 had the more appropriate "receiver operating characteristics" curve. The best cut-off scores for screening depression were 17/18 for BDI and 8/9 for GDS15. We did not find any correlation between the level of depression and intensity of motor symptoms, functional capacity and duration of the disease.

CONCLUSION

GDS15 is better than the BDI and the UPDRS for screening depression in PD and depression is not related to the degree of parkinsonian symptoms.

Authors+Show Affiliations

Department of Neurology, Psychatry and Medical Psychology, Ribeirão Preto School of Medicine, University of São Paulo, Brazil. tumasv@rnp.fmrp.usp.brNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

18545773

Citation

Tumas, Vitor, et al. "The Accuracy of Diagnosis of Major Depression in Patients With Parkinson's Disease: a Comparative Study Among the UPDRS, the Geriatric Depression Scale and the Beck Depression Inventory." Arquivos De Neuro-psiquiatria, vol. 66, no. 2A, 2008, pp. 152-6.
Tumas V, Rodrigues GG, Farias TL, et al. The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory. Arq Neuropsiquiatr. 2008;66(2A):152-6.
Tumas, V., Rodrigues, G. G., Farias, T. L., & Crippa, J. A. (2008). The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory. Arquivos De Neuro-psiquiatria, 66(2A), 152-6.
Tumas V, et al. The Accuracy of Diagnosis of Major Depression in Patients With Parkinson's Disease: a Comparative Study Among the UPDRS, the Geriatric Depression Scale and the Beck Depression Inventory. Arq Neuropsiquiatr. 2008;66(2A):152-6. PubMed PMID: 18545773.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The accuracy of diagnosis of major depression in patients with Parkinson's disease: a comparative study among the UPDRS, the geriatric depression scale and the Beck depression inventory. AU - Tumas,Vitor, AU - Rodrigues,Guilherme Gustavo Ricioppo, AU - Farias,Tarsis Leonardo Almeida, AU - Crippa,José Alexandre S, PY - 2007/10/23/received PY - 2008/02/28/accepted PY - 2008/6/12/pubmed PY - 2008/11/4/medline PY - 2008/6/12/entrez SP - 152 EP - 6 JF - Arquivos de neuro-psiquiatria JO - Arq Neuropsiquiatr VL - 66 IS - 2A N2 - OBJECTIVE: Evaluate the accuracy of diagnosis of major depression in patients with Parkinson's disease (PD) using the UPDRS, the 15-item Geriatric Depression Scale (GDS15) and the Beck Depression Inventory (BDI). METHOD: 50 consecutive patients with PD were evaluated. The diagnosis of major depression was made according to the DSM-IV criteria. RESULTS: We found a 24% prevalence of major depression. All depression scales were highly correlated but UPDRS depression item had the lowest diagnostic value. The GDS15 had the more appropriate "receiver operating characteristics" curve. The best cut-off scores for screening depression were 17/18 for BDI and 8/9 for GDS15. We did not find any correlation between the level of depression and intensity of motor symptoms, functional capacity and duration of the disease. CONCLUSION: GDS15 is better than the BDI and the UPDRS for screening depression in PD and depression is not related to the degree of parkinsonian symptoms. SN - 0004-282X UR - https://www.unboundmedicine.com/medline/citation/18545773/The_accuracy_of_diagnosis_of_major_depression_in_patients_with_Parkinson's_disease:_a_comparative_study_among_the_UPDRS_the_geriatric_depression_scale_and_the_Beck_depression_inventory_ L2 - http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2008000200002&lng=en&nrm=iso&tlng=en DB - PRIME DP - Unbound Medicine ER -