Validity and screening properties of three depression rating scales in a prospective sample of patients with severe traumatic brain injury

Revista Brasileira de Psiquiatria

Marcelo L. Schwarzbold¹  Alexandre P. Diaz¹  Jean C. Nunes¹  Daniel S. Sousa¹  Alexandre Hohl¹  Ricardo Guarnieri¹  Marcelo N. Linhares¹  Roger Walz¹ 

关键词: Traumatic brain injury (TBI);    depression;    ROC curve;    screening;   

DOI  :  10.1590/1516-4446-2013-1308

来源: SciELO

【 摘 要 】

Objective: To evaluate the validity and utility of the Hamilton Rating Scale for Depression (HAM-D), Beck Depression Inventory (BDI), and Hospital Anxiety and Depression Scale (HADS) as screening tools for depression after severe traumatic brain injury (TBI). Methods: Forty-six consecutive survivors of severe TBI were evaluated at a median of 15 months after injury. Receiver operating characteristic (ROC) analysis was performed using HAM-D, BDI, and HADS as predictors, and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) as gold standard. Results: The area under the curve (AUC) for HAM-D was 0.89, and the optimal cutoff point was 7 (sensitivity 92.9%, specificity 78.1%); for the BDI, the AUC was 0.946 and the optimal cutoff point was 14 (sensitivity 92.3%, specificity 96.7%); for the HADS, the AUC was 0.947 and the optimal cutoff point was 9 (sensitivity 100%, specificity 80.7%); and for the HADS depression subscale, the AUC was 0.937 and the optimal cutoff point was 6 (sensitivity 92.9%, specificity 83.9%). There were no statistically significant differences among the AUCs. Conclusion: Our findings support a high validity and utility for the HAM-D, BDI, and HADS as screening tools for depression in patients with severe TBI, without major changes in standard cutoff points.

【 授权许可】

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