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Validation of the Polish version of the Beck Depression Inventory in patients with epilepsy.
Epilepsy Behav. 2017 12; 77:58-61.EB

Abstract

BACKGROUND

Despite the fact that depressive disorders are the most common comorbidities among patients with epilepsy (PWE), such disorders often go unrecognized and untreated. In addition, the availability of validated screening instruments to detect depression in PWE is limited. The aim of the present study was thus to validate the Polish version of the Beck Depression Inventory (BDI) in adult PWE.

METHODS

A group of 118 outpatient PWE were invited to participate in the study. Ninety-six patients meeting the inclusion criteria completed the Polish Version of Beck Depression Inventory-I (BDI-I) and were examined by a trained psychiatrist using the Structured Clinical Interview (SICD-I) for Diagnostic and statistical manual of mental disorders - fourth edition (Text revision) (DSM-IV-TR). Receiver operating characteristic (ROC) curves were used to determine the optimal threshold scores for BDI.

RESULTS

Receiver operating characteristic analysis showed the area under the curve to be approximately 84%. For major depressive disorder (MDD) diagnosis, the BDI demonstrated the best psychometric properties for a cut-off score to be 18, with a sensitivity of 90.5%, specificity of 70.7%, positive predictive value (PPV) of 46.3%, and negative predictive value (NPV) of 96.4%. For the 'any depressive disorder' group, the BDI optimum cut-off score was 11, with a sensitivity of 82.5%, specificity of 73.2%, PPV of 68.8%, and NPV of 85.4%.

CONCLUSIONS

The BDI score is a valid psychometric indicator for depressive disorders in PWE maintaining adequate sensitivity and specificity, high NPV, and acceptable PPV with an optimum cut-off score of 18 for MDD diagnosis.

Authors+Show Affiliations

Department of Psychiatry, Medical University of Gdańsk, Poland.Department of Psychiatry, Medical University of Gdańsk, Poland.Regional Epilepsy Outpatient Unit, Copernicus Hospital, Gdańsk, Poland.Department of Psychiatry, Medical University of Gdańsk, Poland. Electronic address: cubala@gumed.edu.pl.

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

29111504

Citation

Wiglusz, Mariusz S., et al. "Validation of the Polish Version of the Beck Depression Inventory in Patients With Epilepsy." Epilepsy & Behavior : E&B, vol. 77, 2017, pp. 58-61.
Wiglusz MS, Landowski J, Michalak L, et al. Validation of the Polish version of the Beck Depression Inventory in patients with epilepsy. Epilepsy Behav. 2017;77:58-61.
Wiglusz, M. S., Landowski, J., Michalak, L., & Cubała, W. J. (2017). Validation of the Polish version of the Beck Depression Inventory in patients with epilepsy. Epilepsy & Behavior : E&B, 77, 58-61. https://doi.org/10.1016/j.yebeh.2017.09.023
Wiglusz MS, et al. Validation of the Polish Version of the Beck Depression Inventory in Patients With Epilepsy. Epilepsy Behav. 2017;77:58-61. PubMed PMID: 29111504.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validation of the Polish version of the Beck Depression Inventory in patients with epilepsy. AU - Wiglusz,Mariusz S, AU - Landowski,Jerzy, AU - Michalak,Lidia, AU - Cubała,Wiesław J, Y1 - 2017/11/05/ PY - 2017/07/13/received PY - 2017/09/19/revised PY - 2017/09/22/accepted PY - 2017/11/8/pubmed PY - 2018/6/9/medline PY - 2017/11/8/entrez KW - Beck Depression Inventory KW - DSM-IV-TR KW - Epilepsy KW - Major depressive disorder KW - SCID-I KW - Sensitivity and specificity SP - 58 EP - 61 JF - Epilepsy & behavior : E&B JO - Epilepsy Behav VL - 77 N2 - BACKGROUND: Despite the fact that depressive disorders are the most common comorbidities among patients with epilepsy (PWE), such disorders often go unrecognized and untreated. In addition, the availability of validated screening instruments to detect depression in PWE is limited. The aim of the present study was thus to validate the Polish version of the Beck Depression Inventory (BDI) in adult PWE. METHODS: A group of 118 outpatient PWE were invited to participate in the study. Ninety-six patients meeting the inclusion criteria completed the Polish Version of Beck Depression Inventory-I (BDI-I) and were examined by a trained psychiatrist using the Structured Clinical Interview (SICD-I) for Diagnostic and statistical manual of mental disorders - fourth edition (Text revision) (DSM-IV-TR). Receiver operating characteristic (ROC) curves were used to determine the optimal threshold scores for BDI. RESULTS: Receiver operating characteristic analysis showed the area under the curve to be approximately 84%. For major depressive disorder (MDD) diagnosis, the BDI demonstrated the best psychometric properties for a cut-off score to be 18, with a sensitivity of 90.5%, specificity of 70.7%, positive predictive value (PPV) of 46.3%, and negative predictive value (NPV) of 96.4%. For the 'any depressive disorder' group, the BDI optimum cut-off score was 11, with a sensitivity of 82.5%, specificity of 73.2%, PPV of 68.8%, and NPV of 85.4%. CONCLUSIONS: The BDI score is a valid psychometric indicator for depressive disorders in PWE maintaining adequate sensitivity and specificity, high NPV, and acceptable PPV with an optimum cut-off score of 18 for MDD diagnosis. SN - 1525-5069 UR - https://www.unboundmedicine.com/medline/citation/29111504/Validation_of_the_Polish_version_of_the_Beck_Depression_Inventory_in_patients_with_epilepsy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1525-5050(17)30576-0 DB - PRIME DP - Unbound Medicine ER -