Sensitivity and specificity of the Beck Depression Inventory in cardiologic inpatients: How useful is the conventional cut-off score?

Forkmann, Thomas; Vehren, Thomas; Boecker, Maren; Norra, Christine; Wirtz, Markus; Gauggel, Siegfried

doi:10.1016/j.jpsychores.2009.04.003

Cited by 19 publications

(10 citation statements)

References 28 publications

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“…The validity of assessing symptoms of depression in medical illnesses using self-report questionnaires such as BDI has been questioned. [ 5 , 12 – 15 ]. Several items in the BDI can be attributed to the medical illness, e.g.…”

Section: Introductionmentioning

confidence: 99%

Diagnosing Depression in Chronic Pain Patients: DSM-IV Major Depressive Disorder vs. Beck Depression Inventory (BDI)

et al. 2016

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BackgroundDiagnosing depression in chronic pain is challenging due to overlapping somatic symptoms. In questionnaires, such as the Beck Depression Inventory (BDI), responses may be influenced more by pain than by the severity of depression. In addition, previous studies have suggested that symptoms of negative self-image, a key element in depression, are uncommon in chronic pain-related depression. The object of this study is to assess the relationship of the somatic and cognitive-emotional items of BDI with the diagnosis of depression, pain intensity, and disability.MethodsOne hundred consecutive chronic pain patients completed the Structured Clinical Interview for DSM Disorders (SCID) for the diagnosis of major depressive disorder (MDD) according to DSM-IV. Two subscales of BDI (negative view of self and somatic-physical function) were created according to the factor model presented by Morley.ResultsIn the regression analysis, the somatic-physical function factor associated with MDD, while the negative view of self factor did not. Patients with MDD had higher scores in several of the BDI items when analysed separately. Insomnia and weight loss were not dependent on the depression diagnosis.LimitationsThe relatively small sample size and the selected patient sample limit the generalisability of the results.ConclusionsSomatic symptoms of depression are also common in chronic pain and should not be excluded when diagnosing depression in pain patients. Regardless of the assessment method, diagnosing depression in chronic pain remains a challenge and requires careful interpretation of symptoms.

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Section: Introductionmentioning

confidence: 99%

Diagnosing Depression in Chronic Pain Patients: DSM-IV Major Depressive Disorder vs. Beck Depression Inventory (BDI)

et al. 2016

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“…In this study, the BDI cognitive scale differentiates best from somatic symptom burden as measured by the MSAS‐SF. Forkmann et al . also conclude in their study that the use of a shortened version of the BDI‐II with more emphasis on the emotional and cognitive items is preferred in patients with physical illness.…”

Section: Discussionmentioning

confidence: 96%

Screening Instruments for Depression in Advanced Cancer Patients: What Do We Actually Measure?

et al. 2012

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Screening tools for the detection of depression in patients with advanced cancer may not provide an accurate evaluation of depression. These tools seem to measure physical symptom burden as well, especially when patients suffer from symptoms of the clusters fatigue/anorexia/cachexia, neuropsychology, debility, or pain. In this study, the BDI-II cognitive subscale seems to differentiate best from somatic symptom burden.

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“…It consists of 21 variables with four possible scores (0-3), with higher scores indicating more severe depression. The BDI has been broadly used in various studies (Forkmann et al, 2009). Analysis of the BDI has revealed three main factors, reflecting cognitiveaffective symptoms and attitudes, impaired performance, and somatic symptoms (Sultan et al, 2010).…”

Section: Beck Depression Inventorymentioning

confidence: 99%

Perceived family functioning in depressed Chinese couples: A cross‐sectional study

Wang

Zhao

2012

Nursing & Health Sciences

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This study investigated family functioning in Chinese couples with a first episode of major depression, and in normal controls, and examined the association between depression severity and family impairment. Seventyfour patients with a first episode of major depression and 73 normal controls, together with their respective spouses, were assessed using the Family Assessment Device and Beck Depression Inventory. Patients with a first episode of major depression reported significantly higher Family Assessment Device scores for all dimensions compared with normal controls. Beck Depression Inventory scores were positively associated with Family Assessment Device scores for patients with a first episode of major depression for five dimensions, but not for affective responsiveness and affective involvement. A first episode of major depression was thus associated with impaired family functioning in Chinese families, and depression severity was positively associated with family impairment for the depressed patients. These findings indicate the importance of including family interventions in the treatment of Chinese patients with a first episode of major depression.

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Sensitivity and specificity of the Beck Depression Inventory in cardiologic inpatients: How useful is the conventional cut-off score?

Cited by 19 publications

References 28 publications

Diagnosing Depression in Chronic Pain Patients: DSM-IV Major Depressive Disorder vs. Beck Depression Inventory (BDI)

Diagnosing Depression in Chronic Pain Patients: DSM-IV Major Depressive Disorder vs. Beck Depression Inventory (BDI)

Screening Instruments for Depression in Advanced Cancer Patients: What Do We Actually Measure?

Perceived family functioning in depressed Chinese couples: A cross‐sectional study

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