MovDisordV3, PascalFrancis, Checkpoint, bibRecord, 002A94

The validity of the Beck Depression Inventory as a screening and diagnostic instrument for depression in patients with Parkinson's disease

Identifieur interne : 002A94 ( PascalFrancis/Checkpoint ); précédent : 002A93; suivant : 002A95

The 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.

RBID : Pascal:01-0016033

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Etat dépressif, Depression Inventory Beck, Echelle évaluation, Validation test, Spécificité, Sensibilité, Valeur prédictive, Dépistage, Psychométrie, Complication, Diagnostic, Adulte.
Wicri :
- topic : Adulte.

English descriptors

KwdEn :
- Adult, Complication, Depression, Depression Inventory Beck, Diagnosis, Evaluation scale, Medical screening, Parkinson disease, Predictive value, Psychometrics, Sensitivity, Specificity, Test validation.

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.

Affiliations:

Pays-Bas

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Le document en format XML

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<front><div type="abstract" xml:lang="en">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.</div>
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The validity of the Beck Depression Inventory as a screening and diagnostic instrument for depression in patients with Parkinson's disease

The validity of the Beck Depression Inventory as a screening and diagnostic instrument for depression in patients with Parkinson's disease

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