The utility of brief instruments for depression screening in dialysis patients

Background Depression is a frequent but often underdiagnosed comorbid disorder in dialysis patients. The Beck Depression Inventory–Second Edition (BDI-II) is a reliable and valid instrument for depression screening but is relatively long for repeated use in clinical practice. The aim of this study w...

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Autores: Vázquez Rodríguez, María Isabel, Figueiras Guzmán, Adolfo, Salgado Barreira, Ángel
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad de Santiago de Compostela (USC)
Repositorio:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
Idioma:inglés
OAI Identifier:oai:minerva.usc.gal:10347/38890
Acceso en línea:https://hdl.handle.net/10347/38890
Access Level:acceso abierto
Palabra clave:Beck Depression Inventory
Depression
Dialysis
Hospital anxiety and depression scale
SF-36
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spelling The utility of brief instruments for depression screening in dialysis patientsVázquez Rodríguez, María IsabelFigueiras Guzmán, AdolfoSalgado Barreira, ÁngelBeck Depression InventoryDepressionDialysisHospital anxiety and depression scaleSF-36Background Depression is a frequent but often underdiagnosed comorbid disorder in dialysis patients. The Beck Depression Inventory–Second Edition (BDI-II) is a reliable and valid instrument for depression screening but is relatively long for repeated use in clinical practice. The aim of this study was to compare the BDI-II with the shorter questionnaires Beck Depression Inventory–FastScreen (BDI-FS), the depression subscale of the Hospital Anxiety Depression Scale (HADS-D), the Mental Health (MH) scale of the 36-item Short Form Health Survey (SF-36) and two items of the MH (‘So down in the dumps that nothing could cheer you up’ and ‘Downhearted and blue’) to determine the most efficient instruments for screening depressive symptoms in dialysis patients. Methods A cross-sectional study was conducted involving patients from 14 health centres undergoing in-centre haemodialysis or peritoneal dialysis. All patients completed the BDI-II, HADS-D and MH scale. The sensitivity, specificity and positive and negative predictive values for each brief instrument were assessed relative to BDI-II ≥16. Results Of the 145 patients included in the study (mean age 62 years; 66% male), 24.8% had depressive symptoms (BDI ≥16). The cut-off points with the highest sensitivity and negative predictive value for BDI-FS were ≥3 (91.7% and 96.1%, respectively) and ≥4 (80.6% and 92.4%, respectively) and for the HADS-D these were ≥4 (91.7% and 95.8%, respectively) and ≥5 (83.3% and 92.6%, respectively). The cut-off points for the total MH and the two items (considered separately or together) resulted in lower sensitivity (<80%) and lower negative predictive values (<90%). Conclusions Both the BDI-FS and HADS-D are adequate screening tools for depression in the dialysis population. As the BDI-FS is easier to complete and score and enables identification of patients at risk of suicide, it may be the best alternative to the BDI-II for depression screening in dialysis patients in clinical settingsOxford University PressUniversidade de Santiago de Compostela. Departamento de Psicoloxía Clínica e PsicobioloxíaUniversidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina20242024-01-0120242024-01-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10347/38890reponame:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostelainstname:Universidad de Santiago de Compostela (USC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:minerva.usc.gal:10347/388902026-06-15T12:47:27Z
dc.title.none.fl_str_mv The utility of brief instruments for depression screening in dialysis patients
title The utility of brief instruments for depression screening in dialysis patients
spellingShingle The utility of brief instruments for depression screening in dialysis patients
Vázquez Rodríguez, María Isabel
Beck Depression Inventory
Depression
Dialysis
Hospital anxiety and depression scale
SF-36
title_short The utility of brief instruments for depression screening in dialysis patients
title_full The utility of brief instruments for depression screening in dialysis patients
title_fullStr The utility of brief instruments for depression screening in dialysis patients
title_full_unstemmed The utility of brief instruments for depression screening in dialysis patients
title_sort The utility of brief instruments for depression screening in dialysis patients
dc.creator.none.fl_str_mv Vázquez Rodríguez, María Isabel
Figueiras Guzmán, Adolfo
Salgado Barreira, Ángel
author Vázquez Rodríguez, María Isabel
author_facet Vázquez Rodríguez, María Isabel
Figueiras Guzmán, Adolfo
Salgado Barreira, Ángel
author_role author
author2 Figueiras Guzmán, Adolfo
Salgado Barreira, Ángel
author2_role author
author
dc.contributor.none.fl_str_mv Universidade de Santiago de Compostela. Departamento de Psicoloxía Clínica e Psicobioloxía
Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina
dc.subject.none.fl_str_mv Beck Depression Inventory
Depression
Dialysis
Hospital anxiety and depression scale
SF-36
topic Beck Depression Inventory
Depression
Dialysis
Hospital anxiety and depression scale
SF-36
description Background Depression is a frequent but often underdiagnosed comorbid disorder in dialysis patients. The Beck Depression Inventory–Second Edition (BDI-II) is a reliable and valid instrument for depression screening but is relatively long for repeated use in clinical practice. The aim of this study was to compare the BDI-II with the shorter questionnaires Beck Depression Inventory–FastScreen (BDI-FS), the depression subscale of the Hospital Anxiety Depression Scale (HADS-D), the Mental Health (MH) scale of the 36-item Short Form Health Survey (SF-36) and two items of the MH (‘So down in the dumps that nothing could cheer you up’ and ‘Downhearted and blue’) to determine the most efficient instruments for screening depressive symptoms in dialysis patients. Methods A cross-sectional study was conducted involving patients from 14 health centres undergoing in-centre haemodialysis or peritoneal dialysis. All patients completed the BDI-II, HADS-D and MH scale. The sensitivity, specificity and positive and negative predictive values for each brief instrument were assessed relative to BDI-II ≥16. Results Of the 145 patients included in the study (mean age 62 years; 66% male), 24.8% had depressive symptoms (BDI ≥16). The cut-off points with the highest sensitivity and negative predictive value for BDI-FS were ≥3 (91.7% and 96.1%, respectively) and ≥4 (80.6% and 92.4%, respectively) and for the HADS-D these were ≥4 (91.7% and 95.8%, respectively) and ≥5 (83.3% and 92.6%, respectively). The cut-off points for the total MH and the two items (considered separately or together) resulted in lower sensitivity (<80%) and lower negative predictive values (<90%). Conclusions Both the BDI-FS and HADS-D are adequate screening tools for depression in the dialysis population. As the BDI-FS is easier to complete and score and enables identification of patients at risk of suicide, it may be the best alternative to the BDI-II for depression screening in dialysis patients in clinical settings
publishDate 2024
dc.date.none.fl_str_mv 2024
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10347/38890
url https://hdl.handle.net/10347/38890
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
instname:Universidad de Santiago de Compostela (USC)
instname_str Universidad de Santiago de Compostela (USC)
reponame_str Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
collection Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
repository.name.fl_str_mv
repository.mail.fl_str_mv
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