Detecting depression among adolescents in Santiago, Chile: sex differences

BMC Psychiatry

Alan Montgomery⁴  Rosemarie Fritsch²  Sergio Barroilhet³  Jesus Montero-Marin¹  Ricardo Araya⁴ 

[1] Department of Psychiatry, University of Zaragoza, Zaragoza, Spain;Department of Psychiatry, Faculty of Medicine, University of the Andes, Santiago, Chile;School of Psychology, University of the Andes, Santiago, Chile;School of Social and Community Medicine, University of Bristol, Oakfield House, Bristol BS8 2PS, UK

关键词: Screening;    Beck depression inventory;    Sex;    Adolescents;    Depression;   

Others  :  1124071
DOI  :  10.1186/1471-244X-13-122

 received in 2012-07-16, accepted in 2013-04-18,  发布年份 2013

【 摘 要 】

Background

Depression among adolescents is common but most cases go undetected. Brief questionnaires offer an opportunity to identify probable cases but properly validated cut-off points are often unavailable, especially in non-western countries. Sex differences in the prevalence of depression become marked in adolescence and this needs to be accounted when establishing cut-off points.

Method

This study involved adolescents attending secondary state schools in Santiago, Chile. We compared the self-reported Beck Depression Inventory-II with a psychiatric interview to ascertain diagnosis. General psychometric features were estimated before establishing the criterion validity of the BDI-II.

Results

The BDI-II showed good psychometric properties with good internal consistency, a clear unidimensional factorial structure, and good capacity to discriminate between cases and non-cases of depression. Optimal cut-off points to establish caseness for depression were much higher for girls than boys. Sex discrepancies were primarily explained by differences in scores among those with depression rather than among those without depression.

Conclusions

It is essential to validate scales with the populations intended to be used with. Sex differences are often ignored when applying cut-off points, leading to substantial misclassification. Early detection of depression is essential if we think that early intervention is a clinically important goal.

【 授权许可】

   
2013 Araya et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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