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The Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in Dutch advanced cancer patients

Warmenhoven, Franca; van Rijswijk, Eric; Engels, Yvonne; Kan, Cornelis; Prins, Judith; Vissers, Kris C.; van Weel, Chris

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Purpose: Depression is highly prevalent in advanced cancer patients, but the diagnosis of depressive disorder in patients with advanced cancer is difficult. Screening instruments could facilitate diagnosing depressive disorder in patients with advanced cancer. The aim of this study was to determine the validity of the Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in advanced cancer patients. Methods: Patients with advanced...[Show more]

dc.contributor.authorWarmenhoven, Franca
dc.contributor.authorvan Rijswijk, Eric
dc.contributor.authorEngels, Yvonne
dc.contributor.authorKan, Cornelis
dc.contributor.authorPrins, Judith
dc.contributor.authorVissers, Kris C.
dc.contributor.authorvan Weel, Chris
dc.date.accessioned2015-12-13T22:49:38Z
dc.identifier.issn0941-4355
dc.identifier.urihttp://hdl.handle.net/1885/80626
dc.description.abstractPurpose: Depression is highly prevalent in advanced cancer patients, but the diagnosis of depressive disorder in patients with advanced cancer is difficult. Screening instruments could facilitate diagnosing depressive disorder in patients with advanced cancer. The aim of this study was to determine the validity of the Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in advanced cancer patients. Methods: Patients with advanced metastatic disease, visiting the outpatient palliative care department, were asked to fill out a self-questionnaire containing the Beck Depression Inventory (BDI-II) and a single screening question "Are you feeling depressed?" The mood section of the PRIME-MD was used as a gold standard. Results: Sixty-one patients with advanced metastatic disease were eligible to be included in the study. Complete data were obtained from 46 patients. The area under the curve of the receiver operating characteristics analysis of the BDI-II was 0.82. The optimal cut-off point of the BDI-II was 16 with a sensitivity of 90% and a specificity of 69%. The single screening question showed a sensitivity of 50% and a specificity of 94%. Conclusions: The BDI-II seems an adequate screening tool for a depressive disorder in advanced cancer patients. The sensitivity of a single screening question is poor.
dc.publisherSpringer
dc.sourceSupportive Care in Cancer
dc.subjectKeywords: adult; advanced cancer; area under the curve; article; Beck Depression Inventory; cancer patient; clinical assessment tool; controlled study; diagnostic test accuracy study; female; gold standard; human; major clinical study; major depression; male; metas Advanced cancer; BDI-II; Depression; Screening tool; Validation
dc.titleThe Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in Dutch advanced cancer patients
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume20
dc.date.issued2012
local.identifier.absfor111717 - Primary Health Care
local.identifier.absfor111701 - Aboriginal and Torres Strait Islander Health
local.identifier.absfor160104 - Social and Cultural Anthropology
local.identifier.ariespublicationf5625xPUB8885
local.type.statusPublished Version
local.contributor.affiliationWarmenhoven, Franca, Radboud University Nijmegen Medical Center
local.contributor.affiliationvan Rijswijk, Eric, Radboud University Nijmegen Medical Centre
local.contributor.affiliationEngels, Yvonne, Radboud University Nijmegen Medical Centre
local.contributor.affiliationKan, Cornelis, Radboud University Nijmegen Medical Centre
local.contributor.affiliationPrins, Judith, Radboud University Nijmegen Medical Centre
local.contributor.affiliationVan Weel, Chris, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationVissers, Kris C., Radboud University Nijmegen Medical Centre
local.description.embargo2037-12-31
local.bibliographicCitation.issue2
local.bibliographicCitation.startpage319
local.bibliographicCitation.lastpage324
local.identifier.doi10.1007/s00520-010-1082-8
dc.date.updated2016-02-24T09:44:16Z
local.identifier.scopusID2-s2.0-84855204107
CollectionsANU Research Publications

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