Assessing Depression among Persons with Chronic Pain Using the Center for Epidemiological Studies-Depression Scale and the Beck Depression Inventory: A Comparative Analysis

Geisser, Michael E.; Roth, Randy S.; Robinson, Michael E.

doi:10.1097/00002508-199706000-00011

Cited by 441 publications

(274 citation statements)

References 34 publications

Supporting

Mentioning

251

Contrasting

Unclassified

Order By: Relevance

“…Use of a cutoff of 16 on the CES-D may also be considered a limitation, as there is no consensus in the literature on the most valid cutoff for depression screening. A cutoff of 16 is most widely used, but has been criticized for being too low, leading to a high number of false positives and low PPV values [17,18,20,22]. Still, while workers in this study who scored above 16 may not have had clinical depression, we have shown that even subthreshold depressive symptoms are related to poorer RTW outcomes, a finding that is consistent with other research demonstrating a relationship between subthreshold depression and functional impairment [49][50][51].…”

Section: Discussionsupporting

confidence: 87%

“…This cutoff has been shown to be an indicator of significant depressive symptomatology [15]. The sensitivity and specificity of this cutoff for detecting depressive disorders has been demonstrated to range from 64 to 100 % and 39 to 94 %, respectively, in community, primary care, and pain populations [16][17][18][19][20][21][22]. The positive predictive value (PPV) and negative predictive value (NPV) of this cutoff have ranged from 14 to 63 % [16][17][18][19][20][21] and 78 to 99 % [17,[19][20][21], respectively.…”

Section: Main Study Variablesmentioning

confidence: 99%

See 1 more Smart Citation

Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update

et al. 2015

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 87%

Section: Main Study Variablesmentioning

confidence: 99%

Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update

et al. 2015

View full text Add to dashboard Cite

“…In considering the use of the BDI-II with this sample, where chronic pain is a common co-morbid condition (e.g., Blanchard et al, 1995), one choice is to remove somatic items when scoring the instrument. However, this procedure did not improve accuracy of an earlier version of the scale (e.g., Geisser, Roth, & Robinson, 1997). To facilitate comparison of the current data with previously published studies, the original scoring method was used.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Event Scale-Revised: Psychometric properties in a sample of motor vehicle accident survivors

Beck

Grant

Read

et al. 2008

Journal of Anxiety Disorders

415

333

View full text Add to dashboard Cite

This study examined the factor structure, internal consistency, concurrent validity, and discriminative validity of the Impact of Event Scale -Revised (IES-R, Weiss & Marmar, 1997) in a sample of 182 individuals who had experienced a serious motor vehicle accident. Results supported the three-factor structure of the IES-R, Intrusion, Avoidance, and Hyperarousal, with adequate internal consistency noted for each subscale. Support was obtained for the concurrent and discriminative validity, as well as the absence of social desirability effects. Although some differences were noted between the IES-R Avoidance subscale and diagnostically-based measures of this cluster of symptoms, these differences do not necessarily signify measurement problems with the IES-R. The IES-R seems to be a solid measure of post-trauma phenomena that can augment related assessment approaches in clinical and research settings.

show abstract

“…The CES-D has demonstrated strong associations with other depressive symptom measures (Radloff, 1977) and has been validated in pain populations (Geisser et al, 1997).…”

Section: Self-report Instrumentsmentioning

confidence: 99%

Cerebrospinal Fluid Corticotropin-Releasing Factor Concentration is Associated with Pain but not Fatigue Symptoms in Patients with Fibromyalgia

McLean

Williams

Stein

et al. 2006

Neuropsychopharmacol

View full text Add to dashboard Cite

Previous studies have identified stress system dysregulation in fibromyalgia (FM) patients; such dysregulation may be involved in the generation and/or maintenance of pain and other symptoms. Corticotropin-releasing factor (CRF) is the principal known central nervous system mediator of the stress response; however, to date no studies have examined cerebrospinal fluid (CSF) CRF levels in patients with FM. The relationship between CSF CRF level, heart rate variability (HRV), and pain, fatigue, and depressive symptoms was examined in patients with FM. Among participants (n ¼ 26), CSF CRF levels were associated with sensory pain symptoms (r ¼ 0.574, p ¼ 0.003) and affective pain symptoms (r ¼ 0.497, p ¼ 0.011), but not fatigue symptoms. Increased HRV was also strongly associated with increased CSF CRF and FM pain. In multivariate analyses adjusting for age, sex, and depressive symptoms, the association between CSF CRF and sensory pain symptoms (t ¼ 2.54, p ¼ 0.027) persisted. Women with FM who reported a history of physical or sexual abuse had lower CSF CRF levels than women who did not report such a history. CSF CRF levels are associated with both pain symptoms and variation in autonomic function in FM. Differences in CSF CRF levels among women with and without a self-reported history of physical or sexual abuse suggest that subgroups of FM patients may exist with different neurobiological characteristics. Further studies are needed to better understand the nature of the association between CSF CRF and pain symptoms in FM.

show abstract

Assessing Depression among Persons with Chronic Pain Using the Center for Epidemiological Studies-Depression Scale and the Beck Depression Inventory: A Comparative Analysis

Abstract: The results suggest that both questionnaires have good predictive validity among chronic pain patients, and decisions regarding the use of one questionnaire rather than the other may depend upon the goals of the user and the setting within which the questionnaire is used.

Cited by 441 publications

References 34 publications

Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update

Course of Depressive Symptoms Following a Workplace Injury: A 12-Month Follow-Up Update

The Impact of Event Scale-Revised: Psychometric properties in a sample of motor vehicle accident survivors

Cerebrospinal Fluid Corticotropin-Releasing Factor Concentration is Associated with Pain but not Fatigue Symptoms in Patients with Fibromyalgia

Contact Info

Product

Resources

About