A prospective study to compare three depression screening tools in patients who are terminally ill - 24/08/11
, Mick Dennis, MRCPsych,MD b, Fiona Taylor, BSc cAbstract |
Depression is a significant symptom for approximately one in four palliative care patients. This study investigates the performance of three screening tools. Patients were asked to verbally rate their mood on a scale of 0–10; to respond “yes” or “no” to the question “Are you depressed?,” and to complete the Edinburgh depression scale. They were also interviewed using a semi-structured clinical interview according to DSM-IV criteria. Complete data was available for 74 patients. For the single question, a “yes” answer had a sensitivity of 55% and specificity 74%. The Edinburgh depression scale at a cut-off point of ≥13 had a sensitivity of 70% and specificity of 80%. The verbal mood item with a cut-off point of ≥3 had a sensitivity of 80% and specificity of 43%. The Edinburgh depression scale proved to be the most reliable instrument for detecting clinical depression in palliative care patients.
Le texte complet de cet article est disponible en PDF.Keywords : Depression, Palliative care, Screening, Terminal illness
Plan
Vol 26 - N° 5
P. 384-389 - septembre 2004 Retour au numéro
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