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Screening for depression in people with epilepsy: comparative study among neurological disorders depression inventory for epilepsy (NDDI-E), hospital anxiety and depression scale depression subscale (HADS-D), and Beck depression inventory (BDI).
Epilepsy Behav. 2014 May; 34:50-4.EB

Abstract

PURPOSE

We aimed to assess and compare the psychometric properties of the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), Hospital Anxiety and Depression Scale Depression Subscale (HADS-D), and Beck Depression Inventory (BDI) as screening instruments for depression and suicidality in people with epilepsy.

METHODS

One hundred twenty-six people (54% women) diagnosed with epilepsy were recruited and evaluated on their sociodemographic and clinical features. Depression and suicide risk were assessed with a structured psychiatric interview, the Mini International Neuropsychiatric Interview (MINI-Plus), and the performance of NDDI-E, HADS-D, and BDI was evaluated.

RESULTS

The sensitivity and specificity of BDI for the diagnosis of depression was around 90%; HADS-D and NDDI-E have sensitivity higher than 80%, and specificity was greater than 75%. For identifying suicide risk, the NDDI-E sensitivity was 92.9%, and HADS-D sensitivity was 85.7%, and a reasonable specificity (68%) was observed for both instruments. All instruments showed a negative predictive value of over 90%. Comparisons of the areas under the ROC curve for these instruments were not significantly different regarding depression or moderate/severe risk of suicide.

CONCLUSION

All three instruments evaluated have clinical utility in the screening of depression in people with epilepsy. Both NDDI-E and HADS-D are brief efficient screening instruments to identify depression in people with epilepsy. The BDI is a more robust instrument, but it takes longer to apply, which hampers its use by busy clinicians and by people with cognitive impairment.

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Authors+Show Affiliations

de Oliveira GN
Neuropsychiatric Unit, Neurology Division, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Epilepsy Treatment Advanced Centre (NATE), Felicio Rocho Hospital, Belo Horizonte, Brazil.
Lessa JM
Neuropsychiatric Unit, Neurology Division, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Gonçalves AP
Neuropsychiatric Unit, Neurology Division, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Epilepsy Treatment Advanced Centre (NATE), Felicio Rocho Hospital, Belo Horizonte, Brazil.
Portela EJ
Neuropsychiatric Unit, Neurology Division, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; Epilepsy Treatment Advanced Centre (NATE), Felicio Rocho Hospital, Belo Horizonte, Brazil.
Sander JW
NIHR University College London Hospitals Biomedical Research Centre, Department of Clinical & Experimental Epilepsy, UCL Institute of Neurology, Queen Square, London WC1N 3BG, and Epilepsy Society, Chalfont St Peter, SL9 0RJ, UK; Stichting Epilepsie Instellingen Nederland (SEIN), Heemstede 2103SW, The Netherlands; SEIN - Epilepsy Institutes in the Netherlands Foundation, Heemstede, The Netherlands.
Teixeira AL
Neuropsychiatric Unit, Neurology Division, University Hospital, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. Electronic address: altexr@gmail.com.

MeSH

AdultDepressive DisorderEpilepsyFemaleHumansMaleMass ScreeningMiddle AgedPsychiatric Status Rating ScalesPsychometricsReproducibility of ResultsRisk FactorsSensitivity and SpecificitySuicide

Pub Type(s)

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

Language

eng

PubMed ID

24681386

Citation

de Oliveira, Guilherme Nogueira, et al. "Screening for Depression in People With Epilepsy: Comparative Study Among Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), Hospital Anxiety and Depression Scale Depression Subscale (HADS-D), and Beck Depression Inventory (BDI)." Epilepsy & Behavior : E&B, vol. 34, 2014, pp. 50-4.
de Oliveira GN, Lessa JM, Gonçalves AP, et al. Screening for depression in people with epilepsy: comparative study among neurological disorders depression inventory for epilepsy (NDDI-E), hospital anxiety and depression scale depression subscale (HADS-D), and Beck depression inventory (BDI). Epilepsy Behav. 2014;34:50-4.
de Oliveira, G. N., Lessa, J. M., Gonçalves, A. P., Portela, E. J., Sander, J. W., & Teixeira, A. L. (2014). Screening for depression in people with epilepsy: comparative study among neurological disorders depression inventory for epilepsy (NDDI-E), hospital anxiety and depression scale depression subscale (HADS-D), and Beck depression inventory (BDI). Epilepsy & Behavior : E&B, 34, 50-4. https://doi.org/10.1016/j.yebeh.2014.03.003
de Oliveira GN, et al. Screening for Depression in People With Epilepsy: Comparative Study Among Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), Hospital Anxiety and Depression Scale Depression Subscale (HADS-D), and Beck Depression Inventory (BDI). Epilepsy Behav. 2014;34:50-4. PubMed PMID: 24681386.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Screening for depression in people with epilepsy: comparative study among neurological disorders depression inventory for epilepsy (NDDI-E), hospital anxiety and depression scale depression subscale (HADS-D), and Beck depression inventory (BDI). AU - de Oliveira,Guilherme Nogueira, AU - Lessa,João Marcelo K, AU - Gonçalves,Ana Paula, AU - Portela,Eduardo Jardel, AU - Sander,Josemir W, AU - Teixeira,Antonio Lucio, Y1 - 2014/03/28/ PY - 2014/01/11/received PY - 2014/02/28/revised PY - 2014/03/02/accepted PY - 2014/4/1/entrez PY - 2014/4/1/pubmed PY - 2014/12/17/medline KW - Depression KW - Epilepsy KW - Screening KW - Temporal lobe epilepsy SP - 50 EP - 4 JF - Epilepsy & behavior : E&B JO - Epilepsy Behav VL - 34 N2 - PURPOSE: We aimed to assess and compare the psychometric properties of the Neurological Disorders Depression Inventory for Epilepsy (NDDI-E), Hospital Anxiety and Depression Scale Depression Subscale (HADS-D), and Beck Depression Inventory (BDI) as screening instruments for depression and suicidality in people with epilepsy. METHODS: One hundred twenty-six people (54% women) diagnosed with epilepsy were recruited and evaluated on their sociodemographic and clinical features. Depression and suicide risk were assessed with a structured psychiatric interview, the Mini International Neuropsychiatric Interview (MINI-Plus), and the performance of NDDI-E, HADS-D, and BDI was evaluated. RESULTS: The sensitivity and specificity of BDI for the diagnosis of depression was around 90%; HADS-D and NDDI-E have sensitivity higher than 80%, and specificity was greater than 75%. For identifying suicide risk, the NDDI-E sensitivity was 92.9%, and HADS-D sensitivity was 85.7%, and a reasonable specificity (68%) was observed for both instruments. All instruments showed a negative predictive value of over 90%. Comparisons of the areas under the ROC curve for these instruments were not significantly different regarding depression or moderate/severe risk of suicide. CONCLUSION: All three instruments evaluated have clinical utility in the screening of depression in people with epilepsy. Both NDDI-E and HADS-D are brief efficient screening instruments to identify depression in people with epilepsy. The BDI is a more robust instrument, but it takes longer to apply, which hampers its use by busy clinicians and by people with cognitive impairment. SN - 1525-5069 UR - https://www.unboundmedicine.com/medline/citation/24681386/Screening_for_depression_in_people_with_epilepsy:_comparative_study_among_neurological_disorders_depression_inventory_for_epilepsy__NDDI_E__hospital_anxiety_and_depression_scale_depression_subscale__HADS_D__and_Beck_depression_inventory__BDI__ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1525-5050(14)00084-5 DB - PRIME DP - Unbound Medicine ER -