Screening for Depression in the Medically Ill: The Suggested Utility of a Cognitive-Based Approach

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Why the study?

Does a cognitive-based approach improve depression screening in medically ill patients compared to HADS or BDI-PC?

Structured PICO

Does a cognitive-based approach improve depression screening in medically ill patients compared to HADS or BDI-PC?

Population

67 patients with a significant medical illness

Intervention

A newly developed 16-item cognitive-based measure for depression screening

Comparator

Hospital Anxiety and Depression Scale (HADS) or the Beck Depression Inventory for Primary Care (BDI-PC)

Outcome

Validity and internal consistency of the measure in identifying depressed patients compared to psychiatrist judgments and CIDIpatient reported

A cognitive-based screening tool for depression in medically ill patients appears superior to HADS and avoids confounding from physical symptoms.

No takes yet. Share an insight, caveat, or question.

May support cognitive-based depression screening in medical illness; leaves open prospective validation versus HADS or BDI-PC.

Parker et al. (2001) studied this question.

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