A Novel, Very Short Questionnaire As a Screening Tool For Depression

2016 ◽  
Vol 33 (S1) ◽  
pp. S423-S423
Author(s):  
K. Pękala ◽  
T. Sobow
Keyword(s):  
Major Depression ◽  
Screening Tool ◽  
Assessment Tools ◽  
Screening Tools ◽  
Depression Severity ◽  
Self Assessment ◽  
Functional Impact ◽  
Symptoms Of Depression ◽  
Icd 10 ◽  
Competing Interest

IntroductionSelf-assessment tools are frequently used as screening tools for depression. However, they are usually long and time-consuming.Aim of the studyTo assess specificity, sensitivity and overall accuracy of a novel, very short, 5 questions tool.Subjects and methodsThe questionnaire consists of 3 phenomenological (based on main symptoms of depression) and 2 questions to assess functional impact of the symptoms. One hundred and ninety patients diagnosed clinically as having major depression (according to ICD-10 criteria and with the help of MINI tool) filled the questionnaire in twice, during episode and remission.ResultsAt least two (out of three possible) “yes” answers to phenomenological questions and both two “yes” functional answers yielded 100% specificity (no person in remission). At least one “yes” answer to phenomenological questions and both “yes” answers to functional question yielded 82.8% specificity, 83.7% sensitivity and 83,3% overall accuracy. These results varied insignificantly in subgroups with different depression severity.ConclusionA short, 5-question questionnaire may be used as a screening tool for depression. Specificity, sensitivity and overall accuracy are above 80% largely independently of depression severity.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Comparison of Self-reported to Observational Agitation Scales

2017 ◽  
Vol 41 (S1) ◽  
pp. S151-S151
Author(s):  
L. Zun ◽  
L. Downey
Keyword(s):  
Psychiatric Patients ◽  
Likert Scale ◽  
The Self ◽  
Assessment Tools ◽  
Self Assessment ◽  
Convenience Sample ◽  
Ed Visits ◽  
Competing Interest ◽  
A Prospective Study ◽  
Age Range

BackgroundIncreasingly, psychiatric patients are presenting to the emergency department (ED) with agitation. ED staff rarely, if ever, use scale to assess agitation or use any self-assessment tools to determine a patient's level of agitation.ObjectivesTo evaluate the relationship between a patient's self-reported level of agitation and other validated agitation assessment tools.MethodsThis is a prospective study using a convenience sample of patients presenting to the ED with a psychiatric complaint. This study was conducted in an urban, inner-city trauma level 1 center with 55,000 ED visits a year. After obtaining consent, a research fellow administered observational tools, PANSS-EC and ACES and BAM and Likert scale self assessment tools on arrival to the ED. SPSS version 24 was used. The study was IRB approved.ResultsA total of 139 patients were enrolled. The most common ED diagnoses were depression, schizophrenia, or bipolar. Majority of patients were African-American (59%), falling in the 25–44 year old age range (56%) 52% male. Self-reported agitation was rated as moderate to high in 72.4% of these patients on the Likert scale and 76.3% on the BAM. There was a significant correlation between the self-reported score versus the BAM (F = 11.2, P = 0.00). However, the self-reported scores were significantly different from the scores assessed by observational tools (P < 0.05).ConclusionsED providers should assess a patient's self-reported level of agitation because a patient could be feeling markedly agitated without expressing outward signs detected by observational tools.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Cognitive symptoms in mayor depression: A study with vortioxetina

2017 ◽  
Vol 41 (S1) ◽  
pp. S538-S538
Author(s):  
O. Porta Olivares ◽  
M. Juncal Ruiz ◽  
B. Fernández Abascal Puente ◽  
M. Gómez Revuelta ◽  
M. Pérez Herrera ◽  
...  
Keyword(s):  
Major Depression ◽  
Short Term Memory ◽  
Cognitive Symptoms ◽  
Therapeutic Tool ◽  
Short Term ◽  
Symptoms Of Depression ◽  
Hearing Test ◽  
Previously Treated ◽  
Competing Interest ◽  
Significant Factors

IntroductionThe major depression is associated with decreased cognitive functions in a range of areas, including attention, memory and executive functions. The cognitive symptoms of depression can have a profound effect on the ability of patients to keep out the tasks of daily living, and are significant factors that affect the ability to function both interpersonal and occupational level.AimsVortioxetina have a multimodal action acting on various serotonin receptors in addition to inhibiting serotonin reuptake. Vortioxetina, is a new therapeutic tool seems to have shown efficacy in the treatment of cognitive symptoms of depression.MethodsTo evaluate this action we have evaluated the cognitive decline in patients with major depression before receiving treatment vortioxetina (whether state or not previously treated with other antidepressants) and at 2, 6 and 12 months after starting treatment with the drug. For that, we’ve used the Verbal Hearing Test King (RAVLT), which evaluates the auditory verbal short-term memory, the learning rate, the retention of information, and the differences between learning and recovery, and testing Digit substitution by symbols (DSST) that perform quick detection of brain dysfunctions by a conventional task.ResultsThe results of this study are still under analysis.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The value of FACT-G in screening cancer patients for depression

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 19557-19557
Author(s):  
S. Jang ◽  
J. Ackler ◽  
L. Braitman ◽  
W. Tester
Keyword(s):  
Major Depression ◽  
Cancer Patients ◽  
Strong Correlation ◽  
Screening Tool ◽  
Depression Scale ◽  
Screening Tools ◽  
Clinical Interviews ◽  
Total Score Range ◽  
Patient Responses ◽  
Chemotherapy Patients

19557 Background: The prevalence of depression in cancer patients varies greatly, reported in the range of 5–50% depending upon the population studied. Several tools have been used to screen for depression, but it remains uncertain which tool is most valuable. The Zung self-rating depression scale (ZSDS) is one of the commonly used screening tools for depression. Using a cutoff value of ≥ 40, one study reported sensitivity of 100% and specificity of 55% in diagnosing depression. This study was designed (1) to investigate the prevalence of major depression in our population of outpatients receiving chemotherapy, (2) to determine the correlation between the ZSDS score and Functional Assessment of Cancer Therapy - General version (FACT-G) score and (3) to examine whether statements from the FACT-G can be used as a screening tool for major depression. Methods: Sixty-two chemotherapy patients completed both ZSDS and FACT-G. Median age was 62 years (range 22–81); 55% were female. Patients with ZSDS scores ≥ 40 were interviewed, using standard DSM-IV criteria to evaluate for major depression. Pearson’s correlation was used to examine the correlation between ZSDS and FACT-G scores. We then analyzed responses to FACT-G statements to evaluate if certain questions from the FACT-G could be used as a screening tool for major depression. Results: Thirty patients had ZSDS score < 40, and were considered to not have major depression. Among the 32 patients with ZSDS score = 40, 30 underwent clinical interviews. Seven of these 30 were diagnosed with major depression. The prevalence of major depression was 7/60, or 12% (95% CI: 5% - 23%). The ZSDS score and FACT-G score had strong correlation (R= -0.75). If the total score (range 0–24) of six statements from FACT-G were ≤12, then these six FACT-G statements had sensitivity of 100% and specificity of 81% in predicting major depression. Conclusions: The prevalence of major depression was 12% in our population of chemotherapy patients. The ZSDS and FACT-G scores showed strong correlation. Patient responses to six selected statements from the FACT-G appear to be useful as a screening tool for depression. A confirmatory study with larger numbers of patients is planned. No significant financial relationships to disclose.

Failure of falls risk screening tools to predict outcome: a prospective cohort study

2017 ◽  
Vol 35 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Kristie J Harper ◽  
Annette D Barton ◽  
Glenn Arendts ◽  
Deborah G Edwards ◽  
Antonio C Petta ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Screening Tool ◽  
Characteristic Curve ◽  
Community Setting ◽  
Predictive Ability ◽  
Assessment Tools ◽  
Screening Tools ◽  
Falls Risk

ObjectiveTo compare the Falls Risk for Older Persons—Community Setting Screening Tool (FROP Com Screen) with the Two-Item Screening Tool in older adults presenting to the ED.MethodsA prospective cohort study, comparing the efficacy of the two falls risk assessment tools by applying them simultaneously in a sample of hospital ED presentations.ResultsTwo hundred and one patients over 65 years old were recruited. Thirty-six per cent reported falls in the 6-month follow-up period. The area under the receiver operating characteristic curve was 0.57 (95% CI 0.48 to 0.66) for the FROP Com Screen and 0.54 (95% CI 0.45 to 0.63) for the Two-Item Screening Tool. FROP Com Screen had a sensitivity of 39% (95% CI 0.27 to 0.51) and a specificity of 70% (95% CI 0.61 to 0.78), while the Two-Item Screening Tool had a sensitivity of 48% (95% CI 0.36 to 0.60) and a specificity of 57% (95% CI 0.47 to 0.66).ConclusionBoth tools have limited predictive ability in the ED setting.

The changes of social performance with transcranial magnetic stimulation (TMS) in depressed patients

2017 ◽  
Vol 41 (S1) ◽  
pp. S375-S376 ◽  
Author(s):  
M. Pirmoradi ◽  
B. Dolatshahi ◽  
R. Rostami ◽  
P. Mohammadkhani ◽  
A. Dadkhah
Keyword(s):  
Major Depression ◽  
Magnetic Stimulation ◽  
Social Performance ◽  
Control Group ◽  
Independent Factor ◽  
Symptoms Of Depression ◽  
Quasi Experimental ◽  
Group A ◽  
Dsm Iv ◽  
Competing Interest

ObjectivesThe purpose of this study was investigating the effectiveness of rTMS (repetitive transcranial of magnetic stimulation) on increase social performance in patients with recurrent major depression.MethodIt was used a quasi-experimental, pretest–posttest design with control group, a sample consisting of 32 patients who had depression on the basis of DSM-IV diagnostic criteria, SCID and BDI-II scales and were randomly assigned to two groups.The experimental group underwent 20 sessions of rTMS as the independent factor and both groups (control & experimental) had 12-session psychotherapy and drugs treatment. Upon the intervention, both groups were tested with two tests (BDI-II & SASS). To determine the effect of the independent factor on the dependent factor of rTMS.Data were analyzed by t-test.ResultsThe comparison between pre- & posttest of all the tests showed the reduction of signs & symptoms of depression, (a = 0/05) (Beck scale P ≤ 0/001 & F = 30) and increase social performance in participants (P ≤ 0/001 & F = 83).ConclusionThe rTMS is effect in the reduction of signs & symptoms of depression and increase social functioning in recurrent major depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Beck Depression Inventory as a screening tool for depression in chronic haemodialysis patients

2018 ◽  
Vol 26 (3) ◽  
pp. 281-284 ◽  
Author(s):  
Alison Bautovich ◽  
Ivor Katz ◽  
Colleen Ken Loo ◽  
Samuel B Harvey
Keyword(s):  
Chronic Kidney Disease ◽  
Major Depression ◽  
Beck Depression Inventory ◽  
Screening Tool ◽  
Diagnostic Interview ◽  
Screening Tools ◽  
Chronic Haemodialysis ◽  
Predictive Values ◽  
Dsm Iv ◽  
Sensitivity Specificity

Objectives: To evaluate the psychometric properties of the Beck Depression Inventory (BDI) and Cognitive Depression Index (CDI) as a potential screening tool for major depression in haemodialysis (HD) patients. Methods: Forty-five HD patients completed both the BDI/CDI and diagnostic interview. The interview was conducted by two experienced clinicians and was based on DSM-IV criteria. The sensitivity, specificity and positive (PPV) and negative (NPV) predictive values were then calculated. Results: A diagnosis of depression was found in 6 of the 45 participants (13.3%). Optimal cut-offs were ≥18 for the BDI (sensitivity 1.0, specificity 0.90, PPV 0.60, NPV 1.0) and ≥11 for the CDI (sensitivity 1.0, specificity 0.92, PPV 0.67, NPV 1.0). Conclusions: Both the BDI and CDI were shown to be acceptable screening tools for depression in this population of chronic HD patients. The recommended cut-off scores for both scales are higher than those suggested for the general population and slightly higher than previously found in the chronic kidney disease literature, suggesting that altered thresholds are required when using these screening tools amongst HD patients.

scholarly journals Development and Initial Validation of The Russian Version of The RAADS-14: A Self-Report Questionnaire to Assess Autistic Traits

2020 ◽  
Author(s):  
Ivan Skorokhodov ◽  
Ksenia Vergeles ◽  
Elena Skorokhodova ◽  
Svetlana Firsova ◽  
Galina Portnova ◽  
...  
Keyword(s):  
Control Sample ◽  
Autistic Traits ◽  
Assessment Tools ◽  
Self Report ◽  
Screening Tools ◽  
Fit Indices ◽  
Self Assessment ◽  
Swedish Version ◽  
Russian Version ◽  
Adults With Asd

Abstract The aim of our research was to construct and validate a Russian version of the RAADS-14 (the RAADS-14 Rus), a brief self-report questionnaire designed for assessment of autistic traits, to provide a reference point in developing autism self-assessment tools in Russian-speaking population. The data were collected for 1724 participants, including a general sample of non-psychiatric young adults (n=849) and adults with ASD (n=49). Confirmatory factor analysis revealed that the RAADS-14 Rus has the same factor structure as the original Swedish version yielding acceptable fit indices. The discriminating properties, however, were substantially worse than in the original study (AUC = .92 vs .99); it stems from higher mean RAADS-14 scores for the Russian control sample vs the original controls (mean = 13.9 vs 3.9) confirming prior anecdotal evidences of greater mean scores yielded by international ASD assessment tools on Russian-speaking populations. The correlations between the RAADS-14 Rus domain scores and the Big Five factors were similar to previously obtained findings. The results of the study indicate that the RAADS-14 Rus can be used for assessment of autistic traits and, with some reservations, as an ASD screening tool for adult Russian-speaking population. Further research is necessary to develop more precise screening tools.

scholarly journals A230 GAPS IN IDENTIFYING FOOD-RELATED QUALITY OF LIFE AND HYPERVIGILANCE IN AT-RISK INDIVIDUALS WITH IBD: REVIEW OF VALIDATED SCREENING TOOLS

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 106-107
Author(s):  
A N Sasson ◽  
L Targownik ◽  
K Vagianos ◽  
C N Bernstein
Keyword(s):  
Quality Of Life ◽  
Screening Tool ◽  
Assessment Tools ◽  
Screening Tools ◽  
Measurement Properties ◽  
Cochrane Library ◽  
Full Text Review ◽  
Health Related Qol ◽  
Related Quality

Abstract Background Inflammatory bowel disease (IBD) has a profound impact on psychosocial aspects of food and nutrition, thereby affecting food-related quality of life (QoL). While there is literature on associated prevalence of increased anxiety in individuals with IBD, there is limited data on its contribution to hypervigilance and orthorexia with food intake. Many patients with IBD have strong beliefs about dietary symptom triggers, which can lead to avoidance behaviors and decreased nutrient intake. This can exacerbate malnutrition and disordered eating, as well as increase disease-related stress and negatively impact coping. While there are validated scales evaluating anxiety-related, QoL-related and food-related behaviors in IBD, a combined screening tool to assess this comorbid axis is not well described. Aims To conduct a systematic review of existing literature in order to inform practice and facilitate development of an effective food-related hypervigilance and QoL evaluation in IBD patients Methods The literature was systematically searched through September 2019, using an electronic database querying Embase, PubMed, MEDLINE, Cochrane Library and PsycINFO. We searched original articles describing development, validation and measurement properties for screening tools on anxiety, QoL and food-related behaviors in IBD from 1975 to 2018. The primary outcome of interest was to evaluate the current measurements of the validated tools to identify whether a screening tool highlighting all above parameters exists for patients with IBD. Results Initial database search resulted in 5548 articles. After screening titles and abstracts, 168 were included. After full text review and deduplication, 23 validated scales were identified for use in IBD patients with respect to measuring anxiety, health-related QoL and food-related behaviors. There was substantial heterogeneity in IBD populations using the assessment tools (adult vs. pediatric, CD vs. UC, inpatient vs. outpatient). The breakdown of studies identified: 2 studies (8.6%) evaluated QoL and anxiety, 2 studies (8.6%) evaluated QoL and food-related behaviors. The remainder of studies individually assessed QoL, anxiety and food-related behaviors (47.8%, 26% and 8.6% respectively). None of the tools performed satisfactory to establish all three measurements in individuals with IBD. Conclusions Recent evidence suggests the presence of dietary hypervigilance in individuals with chronic GI conditions potentially leading to food restrictive behaviors impacting QoL. Screening models evaluating multivariable relations of anxiety in food-related behaviors and QoL in IBD is lacking. Efforts should be made to develop and validate a multi-assessment screening tool to aid in early identification of this prevalence in IBD patients to facilitate improved management outcomes. Funding Agencies None

An evaluation of the validity of nutrition screening and assessment tools in patients admitted to a vascular surgery unit

2019 ◽  
Vol 122 (6) ◽  
pp. 689-697 ◽  
Author(s):  
Jolene Thomas ◽  
Billingsley Kaambwa ◽  
Christopher Delaney ◽  
Michelle Miller
Keyword(s):  
Vascular Surgery ◽  
Screening Tool ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Short Form ◽  
Mini Nutritional Assessment ◽  
Assessment Tools ◽  
Screening Tools ◽  
Increased Risk ◽  
Nrs 2002

AbstractVascular surgery patients are nutritionally vulnerable. Various malnutrition screening and assessment tools are available; however, none has been developed or validated in vascular patients. The present study aimed to: (1) investigate the validity of four commonly administered malnutrition screening tools (Malnutrition Screening Tool (MST), Malnutrition Universal Screening Tool (MUST), Nutrition Risk Screen-2002 (NRS-2002) and the Mini-Nutritional Assessment – Short Form (MNA-SF) and an assessment tool (the Patient-Generated Subjective Global Assessment (PG-SGA)) compared against a comprehensive dietitian’s assessment and (2) evaluate the ability of the instruments to predict outcomes. Vascular inpatients were screened using the four malnutrition screening tools and assessed using the PG-SGA. Each was assessed by a dietitian incorporating nutritional biochemistry, anthropometry and changes in dietary intake. Diagnostic accuracy, consistency and predictive ability were determined. A total of 322 (69·3 % male) patients participated, with 75 % having at least one parameter indicating nutritional deficits. No instrument achieved the a priori levels for sensitivity (14·9–52·5 %). Neither tool predicted EuroQoL 5-dimension 5-level score. All tools except the MNA-SF were associated with length of stay (LOS); however, the direction varied with increased risk of malnutrition on the MUST and NRS-2002 being associated with shorter LOS (P=0·029 and 0·045) and the reverse with the MST and PG-SGA (P=0·005 and <0·001). The NRS-2002 was associated with increased risk of complications (P=0·039). The MST, NRS-2002 and PG-SGA were predictive of discharge to an institution (P=0·004, 0·005 and 0·003). The tools studied were unable to identify the high prevalence of undernutrition; hence, vascular disease-specific screening and/or assessment tools are warranted.

scholarly journals Accuracy of the 15-item Geriatric Depression Scale (GDS-15) in a community-dwelling oldest-old sample: the Pietà Study

2017 ◽  
Vol 39 (4) ◽  
pp. 276-279 ◽  
Author(s):  
Filipi Leles da Costa Dias ◽  
Antônio Lúcio Teixeira ◽  
Henrique Cerqueira Guimarães ◽  
Maira Tonidandel Barbosa ◽  
Elisa de Paula França Resende ◽  
...  
Keyword(s):  
Major Depression ◽  
Screening Tool ◽  
Oldest Old ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Community Dwelling ◽  
Screening Tools ◽  
Elderly Subjects ◽  
Geriatric Depression ◽  
Psychiatric Interview

Abstract Introduction Late-life depression (LLD) is common, but remains underdiagnosed. Validated screening tools for use with the oldest-old in clinical practice are still lacking, particularly in developing countries. Objectives To evaluate the accuracy of a screening tool for LLD in a community-dwelling oldest-old sample. Methods We evaluated 457 community-dwelling elderly subjects, aged ≥75 years and without dementia, with the Geriatric Depression Scale (GDS-15). Depression diagnosis was established according to DSM-IV criteria following a structured psychiatric interview with the Mini International Neuropsychiatric Interview (MINI). Results Fifty-two individuals (11.4%) were diagnosed with major depression. The area under the receiver operating characteristic (ROC) curve was 0.908 (p<0.001). Using a cut-off score of 5/6 (not depressed/depressed), 84 (18.4%) subjects were considered depressed by the GDS-15 (kappa coefficient = 53.8%, p<0.001). The 4/5 cut-off point achieved the best combination of sensitivity (86.5%) and specificity (82.7%) (Youden's index = 0.692), with robust negative (0.9802) and reasonable positive predictive values (0.3819). Conclusion GDS-15 showed good accuracy as a screening tool for major depression in this community-based sample of low-educated oldest-old individuals. Our findings support the use of the 4/5 cut-off score, which showed the best diagnostic capacity.

Sign in / Sign up

Export Citation Format

Share Document