Although sensitivity was less than 50% for all other physical symptoms, specificity was greater than 78% for all symptoms except fatigue. She was unable to use public transport or to walk any distance alone. Patients suffered from a variety of advanced cancers 23% colon carcinoma, 16% breast cancer, 8% head and neck cancer, 8% lung cancer, 45% some other malignancy. He would also be interested in the somatic symptoms of depression e. If a patient is depressed, the therapist will look at how the negative view of the self, the world and the future is operating in his or her life. The Beck Depression Inventory offers a method for brief and sensitive detection of depressive disorder in this specific group of patients. Evidence of construct validity: The responses of 500 psychiatric outpatients were subjected to an unrotated principal components analysis and subsequent Promax- rotated iterated principal factor analysis yielding a two-factor solution: Somatic-Affective and Cognitive.
A broader concept of depression in general practice is recommended to improve the diagnosis and treatment of mood disorders in patients in the last phase of life. Erford Loyola College in Maryland 1. Its psychometric properties have also been extensively studied cf. Screening instruments could facilitate diagnosing depressive disorder in patients with advanced cancer. Urban based populations make up two subsamples and rural based populations make up another two subsamples. A bibliography of 36 research-based sources is included.
Lack of insight and impulsivity might be the main characteristics of the patient. Depressive disorder is assumed to be highly prevalent in advanced cancer patients, but the diagnosis of depressive disorder in patients with advanced cancer is difficult. The administration of the age range for the Beck Depression Inventory also has a large age range. Taddei, in , 2017 5. Although early intervention is increasingly advocated to prevent and relieve distress in patients with metastatic cancer, the risk factors for such symptoms and their trajectory are not well established.
Depression Test History The Beck Depression Inventory was created by Dr. The single screening question showed a sensitivity of 50% and a specificity of 94%. Predominantly white females from the east coast are used in the sample. Firstly, the relatively small sample size was recruited from the recently started outpatient department for palliative care. Therefore, oncologists need to recognize the problems experienced by their patients and, when possible, help resolve these problems. Numerous studies have shown that depression is a substantial complication in cancer patients that may lead to a variety of psychological and physical somatic symptoms.
Depression is assumed to be common in chronically ill patients during their last phase of life and is associated with poorer outcomes. This article will describe what the Beck Depression Inventory is, in addition to what types of questions are asked on the Beck Depression Inventory. Screening for emotional distress is becoming increasingly common in cancer care. The results of this study differ somewhat from previous findings on psychometric properties of the Beck Depression Inventory in a cancer patient sample. Most importantly, this review may be a valuable resource for practicing clinicians and researchers who wish to develop state-of-the-science assessment strategies for clinical problems and make informed choices about which instruments best suit their purposes in older populations. The incidence of depressive disorder in the last phase of life is remarkably low in this study. Items involving changes in body image, somatic preoccupation, and work difficulty were replaced.
The usefulness of a screening tool depends on the positive and negative predictive value considering the main aim of the screening. Registration The trial is registered in Clinicaltrials. Item option characteristic curves were presented in the manual as an interpretive aid for the sophisticated user interested in maximizing sensitivity or specificity. However, agreement between physicians and patients is most frequently clustered when patients report little or no depressive symptoms. The interpretation of the final score requires a professional with clinical training and experience. Philippa was the daughter of an alcoholic. Having been designed for use by trained mental health professionals, of course, it was never intended to be self-administered.
Hurting herself with a razor blade and using physical violence against her environment are frequently encountered situations. Objective: To compare two self-report questionnaires for identifying possible depression in women with metastatic breast cancer. I am currently heading into my final semester of graduate school for Mental Health Counseling in the Spring of 2016. However, depression not only affects the quality of life, but also affects physical health. We conducted a focus group study in a sample of family physicians with varied practice locations and varying expertise in palliative care. It is important to note that the clinical trial above used the aqueous extract form of kava and the duration of the intervention period was only one week.
The average ages of the clinical and student samples were, respectively, 37. Among the ultrashort measures ie, those containing one to four items , the Combined Depression Questions performed best in patients receiving palliative care. Scales to assess catastrophizing, anxiety, depression, and sleep disturbances were also applied. We hypothesize that they associated, thus, we conducted a cross-sectional exploratory study. The low sensitivity of the single screening question in this study may point to difficulties regarding the meaning of the question. This new edition of the Beck Depression Inventory®, the most widely used instrument for detecting depression, takes just five minutes to complete and is more clinically sensitive than ever.
The single screening question is less adequate to detect depression in palliative care patients, considering the low sensitivity. Screening for depression in women with metastatic breast cancer: a comparison of the Beck Depression Inventory Short Form and the Hospital Anxiety and Depression Scale. This approach fits with the patient-centered care that is promoted in primary care. The configuration of the validity scales showed that the patient acknowledged her personal and emotional difficulties and that, being unable to cope with her problems, she asked for help. Scoring Q-global This test is available on - Pearson's new web-based platform for scoring and reporting.
Gillen 25 studied coping during inpatient stroke rehabilitation and noted that the ability to cope with life circumstances is core to one's ability to have hope and to engage in occupation-based approaches. Patients who were unable to read and understand the Dutch language were excluded from participating in this study. Neuropathy of small nerve fibers has been implicated due to related pain descriptors, psychophysical pain, and neurophysiological testing, as well as skin biopsy studies. Using a cut-off point of 16, it has good sensitivity 90% and acceptable specificity 69%. Comments regarding adequacy of norms: In the standardization sample, minority populations were extremely under-represented. Clinical implications for treating depressed cancer patients are discussed.