Sensitivity and Specificity of the Beck Depression Inventory-II in Persons With Traumatic Brain Injury
| Autor: | Lisa A. Brenner, Beeta Y. Homaifar, James P. Kelly, Lawrence E. Adler, Peter M. Gutierrez, Jeri E. F. Harwood, Caitlin Thompson, Christopher M. Filley |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Traumatic brain injury Physical Therapy Sports Therapy and Rehabilitation Sensitivity and Specificity Article Stress Disorders Post-Traumatic Confidence Intervals Odds Ratio medicine Humans False Positive Reactions Glasgow Coma Scale Psychiatry False Negative Reactions Veterans Affairs Depression (differential diagnoses) Aged Veterans Psychiatric Status Rating Scales Depressive Disorder Major Receiver operating characteristic Rehabilitation Beck Depression Inventory Middle Aged medicine.disease humanities Diagnostic and Statistical Manual of Mental Disorders ROC Curve Brain Injuries Major depressive disorder Female Psychology Clinical psychology |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 90:652-656 |
| ISSN: | 0003-9993 |
| Popis: | Homaifar BY, Brenner LA, Gutierrez PM, Harwood JF, Thompson C, Filley CM, Kelly JP, Adler LE. Sensitivity and specificity of the Beck Depression Inventory-II in persons with traumatic brain injury. Objectives Our objective was to examine the Beck Depression Inventory-II (BDI-II) in a traumatic brain injury (TBI) sample using a receiver operating characteristic (ROC) curve to determine how well the BDI-II identifies depression. An ROC curve allows for analysis of the sensitivity and specificity of a diagnostic test using various cutoff points to determine the number of true positives, true negatives, false positives, and false negatives. Design This was a secondary analysis of data gathered from an observational study. We examined BDI-II scores in a sample of 52 veterans with remote histories of TBI. Setting This study was completed at a Veterans Affairs (VA) Medical Center. Participants Participants were veterans eligible to receive VA health care services. Interventions Not applicable. Main Outcome Measures Outcome measures included the BDI-II and the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-IV). Results We generated an ROC curve to determine how well the BDI-II identifies depression using the SCID-IV as the criterion standard for diagnosing depression, defined here as a diagnosis of major depressive disorder. Results indicated a cutoff score of at least 19 if one has a mild TBI or at least 35 if one has a moderate or severe TBI. These scores maximize sensitivity (87%) and specificity (79%). Conclusions Clinicians working with persons with TBI can use the BDI-II to determine whether depressive symptoms warrant further assessment. |
| Databáze: | OpenAIRE |
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