The Utility of the Beck Depression Inventory in a Bariatric Surgery Population
The Utility of the Beck Depression Inventory in a Bariatric Surgery Population
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DOI：
10.1007/s11695-008-9717-2
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发表时间：
2010-04-01
期刊：
影响因子：
2.9
通讯作者：
Applegate, Katherine L.
中科院分区：
文献类型：
--
作者：
Krukowski, Rebecca A.;Friedman, Kelli E.;Applegate, Katherine L.
贝克抑郁量表(BDI)通常用于减肥手术的心理评估。然而，有几个项目可能是衡量肥胖的身体后果(例如，睡眠障碍、慢性疼痛或性功能障碍)，而不是抑郁症状。210名减肥手术候选人完成了一系列评估，包括BDI、慢性疼痛评估和半结构临床访谈。根据(1)有无抑郁诊断或(2)有无慢性疼痛，对躯体与认知-情感项目的BDI总分、分量表分数和背书模式进行了检查，并确定了最佳分界点。BDI总分和认知-情感分量表对患有和不患有抑郁症的参与者都有很好的区分准确性，BDI的最佳分界点为12，认知-情感分量表的最佳分界点为7。有慢性疼痛的减肥手术患者在BDI上的平均总分(M=12.5+/-7.5)显著高于没有慢性疼痛的患者(M=9.02+/-6.7；P<；0.01)，而且有慢性疼痛的患者比没有慢性疼痛的患者更有可能支持许多身体项目。无论是否有躯体项目，BDI似乎是减肥手术患者和慢性疼痛患者亚群中抑郁症状的合理筛查指标，尽管未来的调查可能希望检查是否有其他措施可以提高辨别准确性。
The Beck Depression Inventory (BDI) is commonly used in bariatric surgery psychological assessments. However, several items may be measuring physical consequences of obesity (e.g., sleep disturbance, chronic pain, or sexual dysfunction) rather than depressive symptoms.Bariatric surgery candidates (n = 210) completed a series of assessments including the BDI, a chronic pain assessment, and a semistructured clinical interview. Total BDI scores, subscale scores, and endorsement patterns of somatic versus cognitive-affective items were examined based on (1) the presence or absence of a depressive diagnosis or (2) the presence or absence of chronic pain, and optimal cut points were determined.Both the total BDI and cognitive-affective subscale had good discriminating accuracy between participants with and without depression, with an optimal cut point of 12 for the BDI and 7 for the cognitive-affective subscale. Bariatric surgery candidates with chronic pain had significantly higher mean total scores on the BDI (M = 12.5 +/- 7.5) than those without chronic pain (M = 9.02 +/- 6.7; p < 0.01), and those with chronic pain were significantly more likely to endorse many of the physical items than those without chronic pain.The BDI, with or without the somatic items, appears to be a reasonable screening measure for depressive symptoms among bariatric surgery candidates and the subpopulation of those with chronic pain, although future investigations may wish to examine whether other measures would have improved discrimination accuracy.