Depression Screening Scale Validation in an Elderly, Community-Dwelling Population

This study contrasted the relative effectiveness of an interviewer-rated instrument, the Hamilton Depression Rating Scale, and 2 self-report scales, the short form of the Beck Depression Inventory and the depression scale from the Brief Symptom Inventory, in identifying cases of depression. Cases of...

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Bibliographic Details
Published in:Psychological assessment 1990-06, Vol.2 (2), p.134-138
Main Authors: Stukenberg, Karl W, Dura, Jason R, Kiecolt-Glaser, Janice K
Format: Article
Language:English
Subjects:
Beck Depression Inventory
Biological and medical sciences
Human
Inventories
Major Depression
Medical sciences
Nosology. Terminology. Diagnostic criteria
Psychodiagnostic Interview
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Rating Scales
Screening Tests
Self-Report
Statistical Validity
Techniques and methods
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Summary:This study contrasted the relative effectiveness of an interviewer-rated instrument, the Hamilton Depression Rating Scale, and 2 self-report scales, the short form of the Beck Depression Inventory and the depression scale from the Brief Symptom Inventory, in identifying cases of depression. Cases of major depression, dysthymia, and depressive disorder not otherwise specified (NOS) were identified by means of the Structured Clinical Interview for DSM-III-R ( SCID ) in a sample of 177 elderly community-dwellers. Receiver operating curves were used to evaluate the relative abilities of the 3 screening instruments to identify cases of depression. All 3 instruments identified major depression and depressive disorder NOS. None was consistently sensitive to cases of dysthymia. The incremental utility of the interview-based instrument for screening was nonsignificant, suggesting that the increased expense in a community setting may not be justified.
ISSN:1040-3590
1939-134X
DOI:10.1037/1040-3590.2.2.134