Article1988

Development of a Brief Screening Instrument for Detecting Depressive Disorders

M. Audrey Burnam · Kenneth Brooks Wells · BARBARA D. LEAKE · John L. Landsverk

501 citations0/0 files storedMedical Care

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychometric Methodologies and Testing Mental Health Treatment and Access

Abstract

A very short (8-item), self-report measure was developed to screen for depressive disorders (major depression and dysthymia). The screener departs from traditional depressive symptom scales in that 1) individual items are differentially weighted and 2) two of the eight items concern diagnostically-relevant durations of depressed mood. Analyses of data from a general population and from primary care and mental health patients showed that the screener had high sensitivity and good positive predictive value for detecting depressive disorder, especially for recent disorders and those that met full DSM-III criteria. The high predictive utility of the screener, in combination with its brevity, suggests that it may be a useful tool for screening for depression in health care settings.

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References

1977The CES-D Scale 1961An Inventory for Measuring Depression 1978A Diagnostic Interview 1981National Institute of Mental Health Diagnostic Interview Schedule 1977ASSESSING DEPRESSIVE SYMPTOMS IN FIVE PSYCHIATRIC POPULATIONS: A VALIDATION STUDY 1984Six-Month Prevalence of Psychiatric Disorders in Three Communities 1983The Center for Epidemiologic Studies Depression Scale: its use in a community sample 1980Use of a self-report symptom scale to detect depression in a community sample

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