The validity of the Beck Depression Inventory as a screening and diagnostic instrument for depression in patients with Parkinson's disease
Identifieur interne : 004935 ( Main/Exploration ); précédent : 004934; suivant : 004936The validity of the Beck Depression Inventory as a screening and diagnostic instrument for depression in patients with Parkinson's disease
Auteurs : Albert F. G. Leentjens [Pays-Bas] ; Frans R. J. Verhey [Pays-Bas] ; Gert-Jan Luijckx [Pays-Bas] ; Jaap Troost [Pays-Bas]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-11.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Aged, Beck Depression Inventory (BDI), Complication, Depression, Depression (diagnosis), Depression (etiology), Depression Inventory Beck, Diagnosis, Diagnosis, Differential, Evaluation scale, Female, Humans, Male, Mass Screening (methods), Medical screening, Middle Aged, Parkinson Disease (complications), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Predictive Value of Tests, Predictive value, Psychiatric Status Rating Scales (standards), Psychometrics, ROC Curve, Reproducibility of Results, Sensitivity, Sensitivity and Specificity, Specificity, Test validation.
- MESH :
- complications : Parkinson Disease.
- diagnosis : Depression.
- etiology : Depression.
- methods : Mass Screening.
- psychology : Parkinson Disease.
- standards : Psychiatric Status Rating Scales.
- Aged, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Predictive Value of Tests, Psychometrics, ROC Curve, Reproducibility of Results, Sensitivity and Specificity.
Abstract
PURPOSE: To evaluate the validity of the Beck Depression Inventory (BDI) as a screening and diagnostic scale for depression in Parkinson's disease (PD). PATIENTS AND METHODS: Fifty‐three nondemented patients with PD were diagnosed according to a standardized protocol consisting of the depression module of the Structured Clinical Interview for DSM axis I disorders (SCID) and the BDI. A “receiver operating characteristics” (ROC) curve was obtained and the sensitivity, specificity, positive and negative predictive values (PPV and NPV, respectively) were calculated for different cut‐off points of the BDI. RESULTS: Maximum discrimination was obtained with a cut‐off score of 13/14. High sensitivity and NPV were obtained with cut‐off scores of 8/9 or lower; a high specificity and PPV were obtained with cut‐off scores of 16/17 or higher. The area under the ROC curve was 85.67%. CONCLUSION: A single cut‐off score on the BDI to distinguish nondepressed from depressed patients with PD is not feasible. If one accepts the low specificity, then the BDI can be used as a valid screening instrument for depression in PD with a cut‐off of 8/9. With a cut‐off score of 16/17, it can be used as a diagnostic scale, at the cost of a low sensitivity. The use of diagnostic criteria for depression remains necessary.
Url:
DOI: 10.1002/1531-8257(200011)15:6<1221::AID-MDS1024>3.0.CO;2-H
Affiliations:
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Le document en format XML
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Verhey</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Psychiatry, Maastricht University Hospital, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Institute for Brain and Behaviour, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Luijckx, Gert An" sort="Luijckx, Gert An" uniqKey="Luijckx G" first="Gert-Jan" last="Luijckx">Gert-Jan Luijckx</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, Maasland Hospital Sittard, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author><author><name sortKey="Troost, Jaap" sort="Troost, Jaap" uniqKey="Troost J" first="Jaap" last="Troost">Jaap Troost</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Institute for Brain and Behaviour, Maastricht University, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Neurology, Maastricht University Hospital, Maastricht</wicri:regionArea><wicri:noRegion>Maastricht</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. 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PATIENTS AND METHODS: Fifty‐three nondemented patients with PD were diagnosed according to a standardized protocol consisting of the depression module of the Structured Clinical Interview for DSM axis I disorders (SCID) and the BDI. A “receiver operating characteristics” (ROC) curve was obtained and the sensitivity, specificity, positive and negative predictive values (PPV and NPV, respectively) were calculated for different cut‐off points of the BDI. RESULTS: Maximum discrimination was obtained with a cut‐off score of 13/14. High sensitivity and NPV were obtained with cut‐off scores of 8/9 or lower; a high specificity and PPV were obtained with cut‐off scores of 16/17 or higher. The area under the ROC curve was 85.67%. CONCLUSION: A single cut‐off score on the BDI to distinguish nondepressed from depressed patients with PD is not feasible. If one accepts the low specificity, then the BDI can be used as a valid screening instrument for depression in PD with a cut‐off of 8/9. With a cut‐off score of 16/17, it can be used as a diagnostic scale, at the cost of a low sensitivity. The use of diagnostic criteria for depression remains necessary.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Leentjens, Albert F G" sort="Leentjens, Albert F G" uniqKey="Leentjens A" first="Albert F. G." last="Leentjens">Albert F. G. Leentjens</name></noRegion><name sortKey="Leentjens, Albert F G" sort="Leentjens, Albert F G" uniqKey="Leentjens A" first="Albert F. G." last="Leentjens">Albert F. G. Leentjens</name><name sortKey="Luijckx, Gert An" sort="Luijckx, Gert An" uniqKey="Luijckx G" first="Gert-Jan" last="Luijckx">Gert-Jan Luijckx</name><name sortKey="Troost, Jaap" sort="Troost, Jaap" uniqKey="Troost J" first="Jaap" last="Troost">Jaap Troost</name><name sortKey="Troost, Jaap" sort="Troost, Jaap" uniqKey="Troost J" first="Jaap" last="Troost">Jaap Troost</name><name sortKey="Verhey, Frans R J" sort="Verhey, Frans R J" uniqKey="Verhey F" first="Frans R. J." last="Verhey">Frans R. J. Verhey</name><name sortKey="Verhey, Frans R J" sort="Verhey, Frans R J" uniqKey="Verhey F" first="Frans R. J." last="Verhey">Frans R. J. Verhey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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