N McKenzie1, I Marks. 1. Camden and Islington Community Health Services NHS Trust, University College London Medical School, London.
Abstract
BACKGROUND: Regular assessment of mood is often important for treatment but traditional measures can be time-consuming. A quick'litmus test' is needed. AIMS: To test the reliability and validity of a single-item scale for mood. METHOD: Mood was measured repeatedly in 812 patients (258 in-patients, 554 out-patient) being treated in an anxiety disorders unit. Patients had self- and clinician ratings of a single-item depression scale and also rated the 21-item Beck Depression Inventory (BDI-21). Their single-item scores were compared with BDI-21 scores and with outcome measures. RESULTS: The single-item depression scores correlated 0.71 to 0.78 with the BDI-21 scores. Clinically useful cut-off points were identified. Depression scores at discharge, but not pre-treatment, correlated significantly with improvement in the main problem. CONCLUSIONS: The quick single-item depression scale, whether rated by patient or by clinician, is a reasonable rough guide to mood in anxiety disorders and saves time for the patient and the clinician compared to longer measures.
BACKGROUND: Regular assessment of mood is often important for treatment but traditional measures can be time-consuming. A quick'litmus test' is needed. AIMS: To test the reliability and validity of a single-item scale for mood. METHOD: Mood was measured repeatedly in 812 patients (258 in-patients, 554 out-patient) being treated in an anxiety disorders unit. Patients had self- and clinician ratings of a single-item depression scale and also rated the 21-item Beck Depression Inventory (BDI-21). Their single-item scores were compared with BDI-21 scores and with outcome measures. RESULTS: The single-item depression scores correlated 0.71 to 0.78 with the BDI-21 scores. Clinically useful cut-off points were identified. Depression scores at discharge, but not pre-treatment, correlated significantly with improvement in the main problem. CONCLUSIONS: The quick single-item depression scale, whether rated by patient or by clinician, is a reasonable rough guide to mood in anxiety disorders and saves time for the patient and the clinician compared to longer measures.
Authors: Daphne L Jansen; Diana C Grootendorst; Mieke Rijken; Monique Heijmans; Ad A Kaptein; Elisabeth W Boeschoten; Friedo W Dekker Journal: BMC Nephrol Date: 2010-12-08 Impact factor: 2.388
Authors: K Bolhuis; T A McAdams; B Monzani; A M Gregory; D Mataix-Cols; A Stringaris; T C Eley Journal: Psychol Med Date: 2013-08-07 Impact factor: 7.723
Authors: Ian J Norman; Samantha Coster; Paul McCrone; Andrew Sibley; Cate Whittlesea Journal: BMC Health Serv Res Date: 2010-01-05 Impact factor: 2.655