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The Beck depression inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity.
Psychiatry Res. 2012 Dec 30; 200(2-3):843-8.PR

Abstract

The Beck Depression Inventory-Second Edition (BDI-II) was developed as an indicator of the presence and severity of depression in psychiatric patients from age 13. Its cut-off scores were derived from an adult sample and differentiate four categories of severity but contain no screening cut-off score for classifying patients as depressed vs. nondepressed. We aimed to determine this screening cut-off score and to examine the utility of the severity cut-off scores for adolescents in mental health care. 88 adolescent psychiatric patients (13-16 years, 58% female) completed the German BDI-II. A structured diagnostic interview served as the reference standard for computing receiver operating characteristic (ROC) curves and identified 24 adolescents (27%) as depressed. ROC analysis of depressed vs. nondepressed patients yielded an area under the curve (AUC) value of 0.93. The optimal screening cut-off score according to Youden's Index was ≥23, where sensitivity was 0.88 and specificity was 0.92. The severity cut-off scores yielded satisfying sensitivity (≥0.89) and specificity (≥0.72) for mild and moderate but not for severe depression. Our findings indicate that the BDI-II can be recommended for screening for depressive disorders in adolescent mental health patients. However, the currently used severity cut-off scores may be suboptimal for this population.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-Universität München, Bavaria, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

22657953

Citation

Dolle, Kathrin, et al. "The Beck Depression inventory-II in Adolescent Mental Health Patients: Cut-off Scores for Detecting Depression and Rating Severity." Psychiatry Research, vol. 200, no. 2-3, 2012, pp. 843-8.
Dolle K, Schulte-Körne G, O'Leary AM, et al. The Beck depression inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity. Psychiatry Res. 2012;200(2-3):843-8.
Dolle, K., Schulte-Körne, G., O'Leary, A. M., von Hofacker, N., Izat, Y., & Allgaier, A. K. (2012). The Beck depression inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity. Psychiatry Research, 200(2-3), 843-8. https://doi.org/10.1016/j.psychres.2012.05.011
Dolle K, et al. The Beck Depression inventory-II in Adolescent Mental Health Patients: Cut-off Scores for Detecting Depression and Rating Severity. Psychiatry Res. 2012 Dec 30;200(2-3):843-8. PubMed PMID: 22657953.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Beck depression inventory-II in adolescent mental health patients: cut-off scores for detecting depression and rating severity. AU - Dolle,Kathrin, AU - Schulte-Körne,Gerd, AU - O'Leary,Anna Maria, AU - von Hofacker,Nikolaus, AU - Izat,Yonca, AU - Allgaier,Antje-Kathrin, Y1 - 2012/05/30/ PY - 2012/02/09/received PY - 2012/05/04/revised PY - 2012/05/11/accepted PY - 2012/6/5/entrez PY - 2012/6/5/pubmed PY - 2013/5/18/medline SP - 843 EP - 8 JF - Psychiatry research JO - Psychiatry Res VL - 200 IS - 2-3 N2 - The Beck Depression Inventory-Second Edition (BDI-II) was developed as an indicator of the presence and severity of depression in psychiatric patients from age 13. Its cut-off scores were derived from an adult sample and differentiate four categories of severity but contain no screening cut-off score for classifying patients as depressed vs. nondepressed. We aimed to determine this screening cut-off score and to examine the utility of the severity cut-off scores for adolescents in mental health care. 88 adolescent psychiatric patients (13-16 years, 58% female) completed the German BDI-II. A structured diagnostic interview served as the reference standard for computing receiver operating characteristic (ROC) curves and identified 24 adolescents (27%) as depressed. ROC analysis of depressed vs. nondepressed patients yielded an area under the curve (AUC) value of 0.93. The optimal screening cut-off score according to Youden's Index was ≥23, where sensitivity was 0.88 and specificity was 0.92. The severity cut-off scores yielded satisfying sensitivity (≥0.89) and specificity (≥0.72) for mild and moderate but not for severe depression. Our findings indicate that the BDI-II can be recommended for screening for depressive disorders in adolescent mental health patients. However, the currently used severity cut-off scores may be suboptimal for this population. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/22657953/The_Beck_depression_inventory_II_in_adolescent_mental_health_patients:_cut_off_scores_for_detecting_depression_and_rating_severity_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-1781(12)00260-0 DB - PRIME DP - Unbound Medicine ER -