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A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population.
Scand J Psychol. 2014 Feb; 55(1):83-9.SJ

Abstract

The objective of this study is to evaluate internal consistency and psychometric properties of the Hospital Anxiety and Depression Scale (HADS), the Beck Depression inventory-II (BDI-II) and the Montgomery and Åsberg Depression Rating Scale (MADRS) for screening for major depressive episode (MDE) in a selected sample from a healthy population. Participants answered the BDI-II and the HADS questionnaires and were interviewed with MADRS. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV Axis I Disorders-Clinician Version (SCID-CV) was used to diagnose MDE. Current MDE was diagnosed in 20 (6%) of the 357 participants. All three scales including the depression sub-scale for HADS had high area under the receiver operating characteristics curve (ROC) (AUC) (0.84-0.87), and internal consistency was also high for all scales (0.75-0.89). Optimal cut-off for MDE was ≥ 12 for BDI-II, MADRS ≥ 8, HADS total ≥ 9, and HADS-D ≥ 4, which all resulted in sensitivities = 85% and specificities > 78%. Diagnostic accuracy was low on all depression scales (Cohen's kappa = 0.20-0.40). Reports of the properties of depression scales in a healthy population are limited. We found BDI-II, HADS and MADRS to be acceptable as screening instruments for MDE in a selected sample from healthy population with recommend cut-offs as mentioned above.

Authors+Show Affiliations

Department of Medicine, University Hospital of North Norway, Tromsø, Norway; Endocrine Research Group, Department of Clinical Medicine, University of Tromsø, Tromsø, Norway.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

24256317

Citation

Kjaergaard, Marie, et al. "A Study of the Psychometric Properties of the Beck Depression Inventory-II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a Sample From a Healthy Population." Scandinavian Journal of Psychology, vol. 55, no. 1, 2014, pp. 83-9.
Kjaergaard M, Arfwedson Wang CE, Waterloo K, et al. A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population. Scand J Psychol. 2014;55(1):83-9.
Kjaergaard, M., Arfwedson Wang, C. E., Waterloo, K., & Jorde, R. (2014). A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population. Scandinavian Journal of Psychology, 55(1), 83-9. https://doi.org/10.1111/sjop.12090
Kjaergaard M, et al. A Study of the Psychometric Properties of the Beck Depression Inventory-II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a Sample From a Healthy Population. Scand J Psychol. 2014;55(1):83-9. PubMed PMID: 24256317.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Åsberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population. AU - Kjaergaard,Marie, AU - Arfwedson Wang,Catharina Elisabeth, AU - Waterloo,Knut, AU - Jorde,Rolf, Y1 - 2013/11/21/ PY - 2013/01/14/received PY - 2013/07/04/accepted PY - 2013/11/22/entrez PY - 2013/11/22/pubmed PY - 2015/9/25/medline KW - BDI-II KW - HADS KW - general population KW - screening KW - validity SP - 83 EP - 9 JF - Scandinavian journal of psychology JO - Scand J Psychol VL - 55 IS - 1 N2 - The objective of this study is to evaluate internal consistency and psychometric properties of the Hospital Anxiety and Depression Scale (HADS), the Beck Depression inventory-II (BDI-II) and the Montgomery and Åsberg Depression Rating Scale (MADRS) for screening for major depressive episode (MDE) in a selected sample from a healthy population. Participants answered the BDI-II and the HADS questionnaires and were interviewed with MADRS. The Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV Axis I Disorders-Clinician Version (SCID-CV) was used to diagnose MDE. Current MDE was diagnosed in 20 (6%) of the 357 participants. All three scales including the depression sub-scale for HADS had high area under the receiver operating characteristics curve (ROC) (AUC) (0.84-0.87), and internal consistency was also high for all scales (0.75-0.89). Optimal cut-off for MDE was ≥ 12 for BDI-II, MADRS ≥ 8, HADS total ≥ 9, and HADS-D ≥ 4, which all resulted in sensitivities = 85% and specificities > 78%. Diagnostic accuracy was low on all depression scales (Cohen's kappa = 0.20-0.40). Reports of the properties of depression scales in a healthy population are limited. We found BDI-II, HADS and MADRS to be acceptable as screening instruments for MDE in a selected sample from healthy population with recommend cut-offs as mentioned above. SN - 1467-9450 UR - https://www.unboundmedicine.com/medline/citation/24256317/A_study_of_the_psychometric_properties_of_the_Beck_Depression_Inventory_II_the_Montgomery_and_Åsberg_Depression_Rating_Scale_and_the_Hospital_Anxiety_and_Depression_Scale_in_a_sample_from_a_healthy_population_ L2 - https://doi.org/10.1111/sjop.12090 DB - PRIME DP - Unbound Medicine ER -