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Validation of the Brief Edinburgh Depression Scale (BEDS) in a Mexican population with advanced cancer in a palliative care service

Published online by Cambridge University Press:  26 September 2018

Oscar Rodríguez-Mayoral Open the ORCID record for Oscar Rodríguez-Mayoral [Opens in a new window] ,
Bárbara Rodríguez-Ortíz ,
Leticia Ascencio-Huertas ,
Adriana Peña-Nieves ,
Emma Verástegui ,
Silvia Allende-Pérez  and
Mari Lloyd-Williams
Oscar Rodríguez-Mayoral*
Affiliation:
Palliative Care Unit, Instituto Nacional de Cancerología, México City, Mexico
Bárbara Rodríguez-Ortíz
Affiliation:
Hospital Psiquiátrico “Fray Bernardino Álvarez,” México City, México
Leticia Ascencio-Huertas
Affiliation:
Palliative Care Unit, Instituto Nacional de Cancerología, México City, Mexico
Adriana Peña-Nieves
Affiliation:
Palliative Care Unit, Instituto Nacional de Cancerología, México City, Mexico
Emma Verástegui
Affiliation:
Palliative Care Unit, Instituto Nacional de Cancerología, México City, Mexico
Silvia Allende-Pérez
Affiliation:
Palliative Care Unit, Instituto Nacional de Cancerología, México City, Mexico
Mari Lloyd-Williams
Affiliation:
Academic Palliative and Supportive Care Studies Group, Institute of Psychology Health and Society, University of Liverpool, Liverpool, United Kingdom
*
Author for correspondence: Oscar Rodríguez-Mayoral M.D., M.BETH, Servicio de Cuidados Paliativos, Instituto Nacional de Cancerología (INCan), Av. San Fernando No. 22 Col. Sección XVI, Delegación Tlalpan, C.P. 14080 Mexico City, Mexico. E-mail: [email protected]
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Abstract

Objective

Depression in palliative advanced cancer patients is common, but often goes unrecognized. One of the first steps toward improving detection is the development of tools that are valid in the specific language and setting in which they are to be used. The Brief Edinburgh Depression Scale (BEDS) is a sensitive case-finding tool for depression in advanced cancer patients that was developed in the United Kingdom. There are no validated instruments to identify depression in Mexican palliative patients. Our aim was to validate the Spanish-language version of the BEDS in Mexican population with advanced cancer.

Method

We conducted a cross-sectional study with outpatients from the palliative care unit at the Instituto Nacional de Cancerología in Mexico City. The Mexican BEDS was validated against a semistructured psychiatric clinical interview according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, classification criteria for major depressive disorder. The interviewer was blind to the BEDS score at the time of the assessment.

Result

Seventy subjects completed the scale and interview. Women represented 71.4% of the sample and median age of subjects was 56.5 years (range, 20–85 years). The prevalence of major depressive disorder according to the psychiatric interview was 20%. The most valid cutoff for defining a case of depression was a score ≥5 of 18 on the Mexican BEDS, which gave a sensitivity of 85.7% and specificity of 62.5%. The scale's Cronbach's alpha was 0.71.

Significance of results

Major depressive disorder is frequent in Mexican palliative patients. The Spanish-language Mexican version of the BEDS is the first valid case-finding tool in advanced cancer patients in this setting.

Keywords

Brief Edinburgh Depression Scale (BEDS)DepressionAdvanced cancerScreeningPalliative care
Type
Original Article
Information
Palliative & Supportive Care , Volume 17 , Issue 4 , August 2019 , pp. 436 - 440
Copyright
Copyright © Cambridge University Press 2018 

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