Key result
Full CES-D cutoff of 19 outperforms modified scales for detecting rheumatoid arthritis depression but lacks accuracy.
Why the study?
The ability of the CES-D and its modified version to identify confirmed cases of major depression in people with rheumatoid arthritis was unclear.
Does the CES-D accurately identify major depression in patients with rheumatoid arthritis?
Population
457 persons with rheumatoid arthritis including 91 with major depression
Comparison
Full scale and modified CES-D cutoff scores vs clinical criteria for major depression
Design
Cross-sectional study
Authors
Loading...
CES-D cutoff of 19 supports screening caution in RA but not definitive diagnosis; leaves open need for RA-specific validation studies.
Cross-Sectional (n=457)
Does the CES-D accurately identify major depression in patients with rheumatoid arthritis?
The CES-D may be useful as a screening tool but should not be used to definitively identify cases of major depression in patients with rheumatoid arthritis.
Martens et al. (2003) conducted a cross-sectional in Rheumatoid arthritis (n=457). Center for Epidemiologic Studies Depression Scale (CES-D) vs. Modified CES-D was evaluated on Ability to identify confirmed cases of major depression. A full scale CES-D cutoff score of 19 was the most efficient in identifying major depression in rheumatoid arthritis patients, outperforming a modified scale, but still lacked accuracy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: