Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach

Author:

Parker Gordon1,Parker Gordon1,Hilton Therese2,Hadzi-Pavlovic Dusan1,Bains Jatinder2

Affiliation:

1. School of Psychiatry, University of New South Wales, Prince of Wales Hospital, Randwick, New South Wales, 2031, Australia

2. Mood Disorders Unit, Prince of Wales Hospital, Sydney, Australia

Abstract

Objective: There is a need for a valid measure of depression in the medically ill, and one that is independent of medical illness characteristics. As yet, there is no such widely accepted measure. We thus report on the early development of such a measure using cognitive constructs that define depressive mood state nuances. Method: We studied 67 patients with a significant medical illness, verbally administering a set of 81 provisional items. Sample members also alternatively completed one of two comparison measures: the Hospital Anxiety and Depression Scale (HADS) or the Beck Depression Inventory for Primary Care (BDI-PC). A psychiatrist interviewed a subset to determine severity of any depression and whether subjects met formalized caseness criteria for depression. The Composite International Diagnostic Interview (CIDI) was also administered during interviews to assess agreement with psychiatrist judgements about caseness. Results: A 16-item measure with high internal consistency was derived, with validation analyses suggesting it was distinctly superior to the HADS and somewhat superior to the BDI-PC measure. Conclusions: A cognitive-based approach (as used by both our measure and the BDI-PC) to screen for depression in medically ill groups appears to have distinct utility in identifying depressed patients, and in avoiding confounding influences of physical symptoms.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

Cited by 23 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Depressive Disorders;Adult Psychopathology and Diagnosis, Eighth Edition;2018-05-11

2. Screening for depression in hospitalized medical patients;Journal of Hospital Medicine;2017-02-01

3. Are the bipolar disorders best modelled categorically or dimensionally?;Acta Psychiatrica Scandinavica;2016-03-30

4. Anxious, irritable and hostile depression re-appraised;Journal of Affective Disorders;2015-08

5. Clinical characteristics and temperament influences on ‘happy’ euphoric and ‘snappy’ irritable bipolar hypo/manic mood states;Journal of Affective Disorders;2015-03

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