Article1989

The Beck Depression Inventory as a Screening Device for Major Depression in Renal Dialysis Patients

257 citations0/0 files storedThe International Journal of Psychiatry in Medicine

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Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychometric Methodologies and Testing Dialysis and Renal Disease Management

Abstract

Self-report measures of depressive symptoms have been frequently employed in medically ill samples despite the lack of information regarding their psychometric properties in these subjects. We have examined the agreement of the Beck Depression Inventory (BDI) with DSM-III diagnoses of depression in a sample of renal dialysis subjects (n = 99). A threshold of greater than or equal to 15 on the BDI produced optimal sensitivity (.92), negative predictive value (.99), and maximized Youden's index of validity (.72) for the use of the BDI as a screening device for depressive syndromes in dialysis patients. Higher BDI threshold levels decreased the sensitivity of the measure but did not produce a clinically meaningful increase in the positive predictive value.

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References

1983The Hospital Anxiety and Depression Scale 1961An Inventory for Measuring Depression 1981National Institute of Mental Health Diagnostic Interview Schedule 1980Depression in Ambulatory Medical Patients 1983Diagnosing depression in the hospitalized medically ill 1990Advances in Psychological Assessment

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