Assessing depression among persons with chronic pain using the center for epidemiological studies depression scale and the beck depression inventory: A comparative analysis
Assessing depression among persons with chronic pain using the center for epidemiological studies depression scale and the beck depression inventory: A comparative analysis
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DOI：
10.1097/00002508-199706000-00011
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发表时间：
1997-06-01
影响因子：
2.9
通讯作者：
Robinson, ME
中科院分区：
文献类型：
--
作者：
Geisser, ME;Roth, RS;Robinson, ME
目的：本研究探讨了两个自我报告问卷，贝克抑郁量表（BDI）和流行病学中心抑郁量表（CES-D），区分慢性疼痛患者和不严重的抑郁症的能力。由于以前的研究表明，医疗条件，如慢性疼痛，可以影响认可的项目，衡量抑郁症的神经植物性症状，这些问卷的准确性也进行了评估，消除这些items.Subjects：这些包括连续132例慢性疼痛患者，其中44人被诊断为患有严重抑郁症根据DSM-IV标准。对患者进行了一系列问卷调查，其中包括CES-D和BDI。他们还接受了临床心理学家的采访，以确定是否存在重度抑郁症。结果：两份问卷都能够显着区分患有和没有患有重度抑郁症的人。去除每个问卷上的躯体项目并没有提高他们的准确性。判别函数分析显示，BDI的最佳截止分数为21，CES-D为27。两份问卷在这些临界值的总体命中率相当，而CES-D的敏感性略好（81.8% vs. 68.2%）。相反，BDI有更好的特异性（78.4%对72.7%）。结论：结果表明，这两个问卷有良好的预测效度慢性疼痛患者，并决定使用一个问卷，而不是其他可能取决于用户的目标和设置中使用的问卷。
Objective: This study examined the ability of two self-report questionnaires, the Beck Depression Inventory (BDI) and the Center for Epidemiological Studies-Depression Scale (CES-D), to discriminate between chronic pain patients with and without major depression. Since previous research has suggested that medical conditions such as chronic pain can influence the endorsement of items that measure neurovegetative symptoms of depression, the accuracy of each of these questionnaires was also assessed eliminating these items.Subjects: These included 132 consecutive patients with chronic pain, 44 of whom were diagnosed as suffering from major depression according to DSM-IV criteria.Methods: Patients were administered a battery of questionnaires that included the CES-D and BDI. They were also interviewed by a clinical psychologist to determine the presence or absence of major depression.Results: Both questionnaires were able to discriminate significantly between persons with and without major depression. Removal of the somatic items on each questionnaire did not improve their accuracy. Discriminant function analysis revealed an optimal cut-off score of 21 for the BDI, and 27 for the CES-D. Overall hit rates at these cut-offs for the two questionnaires were comparable, while the CES-D had somewhat better sensitivity (81.8% vs. 68.2%). Conversely, the BDI had slightly better specificity (78.4% vs. 72.7%).Conclusion: The results suggest that both questionnaires have good predictive validity among chronic pain patients, and decisions regarding the use of one questionnaire rather than the other may depend upon the goals of the user and the setting within which the questionnaire is used.