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Quick rating of depressed mood in patients with anxiety disorders

Published online by Cambridge University Press:  02 January 2018

Nigel McKenzie  and
Isaac Marks
Nigel McKenzie*
Affiliation:
Camden and Islington Community Health Services NHS Trust and Department of Psychiatry and Behavioural Sciences, University College London Medical School
Isaac Marks
Affiliation:
Institute of Psychiatry, London
*
Dr Nigel McKenzie, Waterlow Unit, Highgate Hill, London N19 5NF; e-mail: [email protected]
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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-patients) 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.

Type
Papers
Information
The British Journal of Psychiatry , Volume 174 , Issue 3 , March 1999 , pp. 266 - 269
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

None.

References

Beck, A. T., Rush, A. J., Shaw, B. F., et al (1979) Cognitive Therapy of Depression. New York: Guilford Press.Google Scholar
Bentler, P. M. (1989) EQS: Structural Equations Manual. Los Angeles. CA: BMDP Statistical Software.Google Scholar
Berwick, D. M., Murphy, J. M., Goldman, P. A., et al (1991) Performance of a five-item mental health screening test. Medical Care, 29, 169–176.CrossRefGoogle ScholarPubMed
Chochinov, H. M., Wilson, K. G., Enns, M., et al (1997) ‘Are you depressed’? Screening for depression in the terminally ill. American Journal of Psychiatry, 154, 674–676.Google ScholarPubMed
Mahoney, J., Drinka, T. J. K., Abler, R., et al (1994) Screening for depression: single question vs GDS. Journal of the American Geriatric Society, 42, 1006–1008.Google Scholar
Marks, I. M. (1986) Behavioural Psychotherapy: Maudsley Pocket Book of Clinical Management. Bristol: Wright.Google Scholar
Marks, I. M. & Mathews, A. M. (1979) Brief standard self-rating for phobic patients. Behaviour Research and Therapy, 17, 263–267.CrossRefGoogle ScholarPubMed
Steer, R. A., Beck, A. T., Riskind, J. H., et al (1986) Differentiation of depressive disorders from generalised anxiety by the Beck Depression Inventory. Journal of Clinical Psychology, 42, 475–478.3.0.CO;2-D>CrossRefGoogle ScholarPubMed
Tanaka, J. S. & Huba, G. J. (1984) Confirmatory hierarchical factor analyses of psychological distress measures. Journal of Personality and Social Psychiatry, 44, 621–635.CrossRefGoogle Scholar
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