What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Depression (n=358). Intervention: Five specific questions from the Beck Depression Inventory. Primary outcome: Endorsement of specific Beck Depression Inventory questions among individuals reporting high levels of depressive symptomatology.

What does this research mean for the field?

Among primary care patients with high depressive symptomatology, five specific psychological questions from the Beck Depression Inventory are endorsed by 90% or more of individuals, serving as an efficient indicator for thorough depression screening. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify specific high-yield depressive symptoms that alert primary care physicians when comprehensive depression screening is warranted.

September 1, 1998The International Journal of Psychiatry in Medicine

To Screen or Not to Screen: Symptoms Identifying Primary Care Medical Patients in Need of Screening for Depression

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Key result

Five specific Beck Depression Inventory questions elicit ~90% endorsement from highly depressed primary care patients.

n=358

Why the study?

Does a subset of questions from the Beck Depression Inventory efficiently identify primary care patients in need of screening for depression?

Population

358 consecutively reporting patients to a mid-west university-based primary care clinic

Design

Cross-sectional

Authors

CCCheryl N. CarminThe Ohio State University Wexner Medical Center JKJohn W. KlocekVA Palo Alto Health Care System

Discussion

Member takes

Implication

May aid abbreviated BDI screening in primary care; leaves open prospective validation for detection efficiency.

Key Points

To identify specific high-yield depressive symptoms that alert primary care physicians when comprehensive depression screening is warranted.
Assessed self-reported depressive symptoms using the Beck Depression Inventory in a sample of N=358 consecutive patients visiting a university-based primary care clinic in the Midwest.
Identified symptom endorsement frequencies among participants demonstrating elevated depressive symptomatology, with subanalyses conducted across patient gender.
Identified five core Beck Depression Inventory items endorsed by ≥90% of primary care patients exhibiting high levels of depressive symptoms.
Demonstrated that while both males and females endorsed the same five core items, male patients frequently endorsed three additional items.
Showed that the most commonly endorsed screening indicators emphasized psychological complaints rather than vegetative or somatic symptoms.

Study Design

Type

Cross-Sectional (n=358)

Multicenter

Structured PICO

Does a subset of questions from the Beck Depression Inventory efficiently identify primary care patients in need of screening for depression?

Population

358 consecutively reporting patients at a mid-west university-based primary care clinic evaluated for depressive symptomatology using the Beck Depression Inventory.

Exposure

Beck Depression Inventory (identifying specific highly endorsed questions)

Outcome

Identification of symptoms/questions most frequently endorsed by patients with high levels of depressive symptomatologypatient reported

Five specific psychological symptoms from the Beck Depression Inventory may serve as an efficient indicator for primary care physicians to initiate thorough depression screening.

Cite This Study

Carmin et al. (1998) conducted a cross-sectional in Depression (n=358). Five specific questions from the Beck Depression Inventory was evaluated on Endorsement of specific Beck Depression Inventory questions among individuals reporting high levels of depressive symptomatology. Among primary care patients with high depressive symptomatology, five specific psychological questions from the Beck Depression Inventory were endorsed by 90% or more of the participants.

synapsesocial.com/papers/6aa6820a2f265d5e947f26ea https://doi.org/10.2190/4uvd-h84a-kxy4-qhmk

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To Screen or Not to Screen: Symptoms Identifying Primary Care Medical Patients in Need of Screening for Depression

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

To Screen or Not to Screen: Symptoms Identifying Primary Care Medical Patients in Need of Screening for Depression

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider