Short Depression Screening Test for Patients with Epilepsy:CES-D with 10 Items
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Abstract
Objective: Depression is the most common co-morbid psychiatric disorder in patients with epilepsy. Yet it remains under recognized and under-treated. For depression screening in this patient need to a convenient questionnaire for patients with epilepsy. This questionnaire has shown high sensitivity for depression screening in many studies. The center for Epidemiological Studies Depression Scale (CES-D) has been widely used in studies of late-life depression. The CES-D is easy to use in most settings.
Method: Two groups of patients from two hospital centers were selected to participate in this study: the control group and the experimental group which included patients with approved diagnosis of epilepsy, regardless of any type of seizures. Then all the subjects went through a semi structural clinical interview for (SCID-I) DSM-IV by one psychiatrist. Consequently, all the patients completed the CES-D 10 items questionnaire along with the interview. In the two groups, the CESD scale cut-off point was obtained using ROC analysis.
Results: The optimal cut-off score of CES-D in the both group was .3. Sensitivity, specificity, and positive predicted values in the epileptic group were 86.4%, 55.3%and 60% ; and sensitivity, specificity, and positive predictedvalues in the control group were 72.7% ,68.6%, 38.3% respectively.
Conclusion: It appears that CES-D 10 items is an appropriate tool for screening patients with epilepsy, particularly if the multi-stage screening system is used with other methods.
Kanner AM. Depression in epilepsy: a frequently neglected multifaceted disorder. Epilepsy Behav 2003; 4 Suppl 4: 11-19.
Musselman DL, DeBattista C, Nathan K I. Biology of mood disorders. In: Krishnan KR, Schatzberg AF, Nemeroff, CB, editor. Textbook of psychopharmacology (2nd ed). Washington, DC: The American Psychiatric Press; 1998. p. 549-588.
Kanner AM. Depression in epilepsy: prevalence, clinical semiology, pathogenic mechanisms, and treatment. Biol Psychiatry 2003; 54: 388-398.
Wiegartz P ,Seidenberg M, Woodard A, Gidal B, Hermann B. Co-morbid psychiatric disorder in chronic epilepsy: recognition and etiology of depression. Neurology 1999; 53: S3-8.
Ettinger AB, Weisbrot DM, Nolan EE, Gadow KD, Vitale SA, Andriola MR, et al. Symptoms of depression and anxiety in pediatric epilepsy patients. Epilepsia 1998; 39: 595-599.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association; 2005.
Hermann BP, Seidenberg M, Bell B. Psychiatric comorbidity in chronic epilepsy: identification, consequences, and treatment of major depression. Epilepsia 2000; 41 Suppl 2: S31-41.
Jacoby A, Baker GA, Steen N, Potts P, Chadwick DW. The clinical course of epilepsy and its psychosocial correlates: findings from a U.K. Community study. Epilepsia 1996; 37: 148-161.
O'Donoghue MF, Goodridge DM, Redhead K, Sander JW, Duncan JS. Assessing the psychosocial consequences of epilepsy: a community-based study. Br J Gen Pract 1999; 49: 211-214.
Edeh J, Toone B. Relationship between interictal psychopathology and the type of epilepsy. Results of a survey in general practice. Br J Psychiatry 1987; 151: 95-101.
Blum D, Reed M, Metz A. Prevalence of major affective disorders and manic/hypomanic symptoms in persons with epilepsy: a community survey. Neurology 2002; 58: A174.
O' Shea MF. Hypomania and epilepsy. Br J Psychiatry 1988; 15: 571.
Radloff LS. The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Appl Psychol Meas 1977; 1: 385- 401.
Jones JE, Hermann BP, Woodard JL, Barry JJ, Gilliam F, Kanner AM, et al. Screening for major depression in epilepsy with common self-report depression inventories. Epilepsia 2005; 46: 731-735.
Schein RL, Koenig HG. The Center for Epidemiological Studies-Depression (CES-D) Scale: assessment of depression in the medically ill elderly. Int J Geriatr Psychiatry 1997; 12: 436-446.
Haringsma R, Engels GI, Beekman AT, Spinhoven P. The criterion validity of the Center for Epidemiological Studies Depression Scale (CES-D) in a sample of self-referred elders with depressive symptomatology. Int J Geriatr Psychiatry 2004; 19: 558-563.
Parikh RM, Eden DT, Price TR, Robinson RG. The sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale in screening for post-stroke depression. Int J Psychiatry Med 1988; 18: 169-181.
Martin CS, Pollock NK, Bukstein OG, Lynch KG. Inter-rater reliability of the SCID alcohol and substance use disorders section among adolescents. Drug Alcohol Depend 2000; 59: 173-176.
Sartorius N, Janca A. Psychiatric assessment instruments developed by the World Health Organization. Soc Psychiatry Psychiatr Epidemiol 1996.۶٩-۵۵ :٣١ ;
Segal DL, Kabacoff RI, Hersen M, Van Hasselt VB, Ryan CF. Update on the reliability of diagnosis in older psychiatric outpatients using the Structured Clinical Interview for DSM-III-R. J Clin Geropsychol. 1995; 1: 313–321.
Skre I, Onstad S, Torgersen S, Kringlen E. High interrater reliability for the Structured Clinical Interview for DSM-III-R Axis I (SCID-I). Acta Psychiatr Scand 1991; 84: 167-173.
Irwin M, Artin KH, Oxman MN. Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Arch Intern Med 1999; 159: 1701-1704.
Blumer D. Psychiatric aspects of intractable epilepsy. Adv Exp Med Biol 2002; 497: 133- 147.
Kanner AM, Barry JJ. The impact of mood disorders in neurological diseases: should neurologists be concerned? Epilepsy Behav 2003; 4 Suppl 3: S3-13.
Boylan LS, Flint LA, Labovitz DL, Jackson SC, Starner K, Devinsky O. Depression but not seizure frequency predicts quality of life in treatment-resistant epilepsy. Neurology 2004; 62: 258-261.
Gilliam F. Optimizing health outcomes in active epilepsy. Neurology 2002; 58: S9-20.
Jones JE, Hermann BP, Barry JJ, Gilliam FG, Kanner AM, Meador KJ. Rates and risk factors for suicide, suicidal ideation, and suicide attempts in chronic epilepsy. Epilepsy Behav 2003; 4 Suppl 3: S31-38.
Robertson MM. Suicide, parasuicide, and epilepsy. In: Engel JJr, Pedley TA, eds, editor. Epilepsy: a comprehensive textbook. New York: Lippincott-Raven; 1997. p. 2141–2151.
Beekman AT, Deeg DJ, Van Limbeek J, Braam AW, De Vries MZ, Van Tilburg W. Criterion validity of the Center for Epidemiologic Studies Depression scale (CES- D): results from a community-based sample of older subjects in The Netherlands. Psychol Med 1997; 27: 231-235.
Caracciolo B, Giaquinto S. Criterion validity of the center for epidemiological studies depression (CES-D) scale in a sample of rehabilitation inpatients. J Rehabil Med 2002; 34: 221-225.
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| Issue | Vol 3 No 1 (2008) | |
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