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Is one question enough to screen for depression? [Scand J Public He... http://www.ncbi.nlm.nih.

gov/pubmed/20603250

PubMed
U.S. National Library of Medicine
National Institutes of Health

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Scand J Public Health. 2010 Aug;38(6):618-24. Epub 2010 Jul 5.

Is one question enough to screen for depression?


Reme SE, Eriksen HR.
Department of Health Promotion and Development, University of Bergen, Bergen, Norway. silje.reme@uib.no.

Abstract
AIMS: The aim of this study was to determine if chronic pain patients with symptoms of depression could be identified by
one single question.
METHODS: Data from 595 patients, 55% women, and 45% men, from three different patient populations; low back pain
patients (n = 387), whiplash patients (n = 119), and disability pensioners (n = 89), were analysed. We evaluated the test
characteristics of one question on depression from the Subjective Health Complaints (SHC) Inventory. The respondents
report if, and to what extent, they have been affected by sadness/depression in the last 30 days. The Hopkins Symptom
Checklist-25 (HSCL-25) was used as the criterion standard. HSCL-25 is a self-report symptom rating scale with two
dimensions: depression and anxiety. ''Depressed'' was defined as having a score above 1.75 on the depression subscale.
RESULTS: Thirty-three per cent of the patients were depressed according to HSCL-25. The sensitivity of the single SHC
depression-question was 79%, and the specificity was 81%. Positive predictive value was 67% while negative predictive
value was 89%. Kappa value for all groups combined was 0.58 (p < 0.001). The receiver operating characteristic (ROC)
curve showed an area under the curve of 0.83.
CONCLUSIONS: The depression-question from SHC identified most of the depressed patients measured by HSCL-25 in
low back pain patients, whiplash patients, and disability pensioners, and can therefore be considered an indicator of
depression. Satisfactory sensitivity and specificity were detected, as well as similar responsiveness as determined by the
ROC analyses. The results indicate that one simple question could replace a whole questionnaire (HSCL-25) in identifying
depressive patients.

PMID: 20603250 [PubMed - in process]

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