|
| | |
|
Am J Psychiatry 1997; 154:674-676
Copyright © 1997 by American Psychiatric Association
"Are you depressed?" Screening for depression in the terminally ill
HM Chochinov, KG Wilson, M Enns and S Lander
Department of Psychiatry, University of Manitoba, Winnipeg, Canada.
OBJECTIVE: This study compared the performance of four brief screening
measures for depression in a group of terminally ill patients. The methods
included 1) a single-item interview assessing depressed mood, 2) a two-item
interview assessing depressed mood and loss of interest in activities, 3) a
visual analog scale for depressed mood, and 4) the Beck Depression
Inventory-Short Form. METHOD: Semistructured diagnostic interviews for
depression were administered to 197 patients receiving palliative care for
advanced cancer. The interview diagnoses served as the standards against
which the screening performance of the four brief screening methods was
assessed. RESULTS: Single-item interview screening correctly identified the
eventual diagnostic outcome of every patient, substantially outperforming
the questionnaire and visual analog measures. CONCLUSIONS: Brief screening
measures for depression are important clinical tools for terminally ill
patients. For diagnostic purposes, however, they do not approach the
validity of a single-item interview that asks, in effect, "Are you
depressed?"
This article has been cited by other articles:
|
|
|
|
 
U. Wedding, A. Koch, B. Rohrig, L. Pientka, H. Sauer, K. Hoffken, and I. Maurer
Requestioning depression in patients with cancer: Contribution of somatic and affective symptoms to Beck's Depression Inventory
Ann. Onc.,
November 1, 2007;
18(11):
1875 - 1881.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. J. Mitchell
Pooled Results From 38 Analyses of the Accuracy of Distress Thermometer and Other Ultra-Short Methods of Detecting Cancer-Related Mood Disorders
J. Clin. Oncol.,
October 10, 2007;
25(29):
4670 - 4681.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S.C.C.M. Teunissen, A. de Graeff, E.E. Voest, and J.C.J.M. de Haes
Are anxiety and depressed mood related to physical symptom burden? A study in hospitalized advanced cancer patients
Palliative Medicine,
June 1, 2007;
21(4):
341 - 346.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. V. Doering, R. Cross, M. C. Magsarili, L. Y. Howitt, and M. J. Cowan
Utility of Observer-Rated and Self-Report Instruments for Detecting Major Depression in Women After Cardiac Surgery: A Pilot Study
Am. J. Crit. Care.,
May 1, 2007;
16(3):
260 - 269.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Payne, S. Barry, B. Creedon, C. Stone, C. Sweeney, T. O' Brien, and K. O' Sullivan
Sensitivity and specificity of a two-question screening tool for depression in a specialist palliative care unit
Palliative Medicine,
April 1, 2007;
21(3):
193 - 198.
[Abstract]
[PDF]
|
|
|
|
|
|
|
P. K. Maciejewski, B. Zhang, S. D. Block, and H. G. Prigerson
An Empirical Examination of the Stage Theory of Grief
JAMA,
February 21, 2007;
297(7):
716 - 723.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. Lyness
End-of-Life Care: Issues Relevant to the Geriatric Psychiatrist
Focus,
January 1, 2007;
5(4):
459 - 471.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J C Huffman, F A Smith, M A Blais, M E Beiser, J L Januzzi, and G L Fricchione
Rapid screening for major depression in post-myocardial infarction patients: an investigation using Beck Depression Inventory II items
Heart,
November 1, 2006;
92(11):
1656 - 1660.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y. Guo, D. L. Musselman, A. K. Manatunga, N. Gilles, K. C. Lawson, M. R. Porter, J. S. McDaniel, and C. B. Nemeroff
The Diagnosis of Major Depression in Patients With Cancer: A Comparative Approach
Psychosomatics,
October 1, 2006;
47(5):
376 - 384.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. B. Francoeur
A Flexible Item to Screen for Depression in Inner-City Minorities During Palliative Care Symptom Assessment
Am J Geriatr Psychiatry,
March 1, 2006;
14(3):
228 - 236.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. M. Chochinov
Dying, Dignity, and New Horizons in Palliative End-of-Life Care.
CA Cancer J Clin,
March 1, 2006;
56(2):
84 - 103.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. E. Steinhauser, C. I. Voils, E. C. Clipp, H. B. Bosworth, N. A. Christakis, and J. A. Tulsky
"Are You at Peace?": One Item to Probe Spiritual Concerns at the End of Life
Arch Intern Med,
January 9, 2006;
166(1):
101 - 105.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. J. Emanuel
Depression, Euthanasia, and Improving End-of-Life Care
J. Clin. Oncol.,
September 20, 2005;
23(27):
6456 - 6458.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. W. Barnhill
Book Review: Psychosocial Issues in Palliative Care
American Journal of Hospice and Palliative Medicine,
September 1, 2005;
22(5):
397 - 398.
[PDF]
|
|
|
|
|
|
|
J. A Robinson and G. B Crawford
Identifying palliative care patients with symptoms of depression: an algorithm
Palliative Medicine,
June 1, 2005;
19(4):
278 - 287.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. D. Block and for the American College of Physicians-American So
Assessing and Managing Depression in the Terminally Ill Patient
Focus,
April 1, 2005;
3(2):
310 - 319.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. Lyness
End-of-Life Care: Issues Relevant to the Geriatric Psychiatrist
Focus,
April 1, 2005;
3(2):
341 - 353.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Wilhelm, B. Kotze, M. Waterhouse, D. Hadzi-Pavlovic, and G. Parker
Screening for Depression in the Medically Ill: A Comparison of Self-Report Measures, Clinician Judgment, and DSM-IV Diagnoses
Psychosomatics,
December 1, 2004;
45(6):
461 - 469.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Greenberg, M. S. Lantz, A. Likourezos, O. R. Burack, E. Chichin, and J. Carter
Screening for Depression in Nursing Home Palliative Care Patients
J Geriatr Psychiatry Neurol,
December 1, 2004;
17(4):
212 - 218.
[Abstract]
[PDF]
|
|
|
|
|
|
|
D. E. Weissman
Decision Making at a Time of Crisis Near the End of Life
JAMA,
October 13, 2004;
292(14):
1738 - 1743.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. M. Lyness
End-of-Life Care: Issues Relevant to the Geriatric Psychiatrist
Am J Geriatr Psychiatry,
October 1, 2004;
12(5):
457 - 472.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Lloyd-Williams, M. Dennis, and F. Taylor
A prospective study to determine the association between physical symptoms and depression in patients with advanced cancer
Palliative Medicine,
September 1, 2004;
18(6):
558 - 563.
[Abstract]
[PDF]
|
|
|
|
|
|
|
W. F. Pirl
Evidence Report on the Occurrence, Assessment, and Treatment of Depression in Cancer Patients
J Natl Cancer Inst Monographs,
July 1, 2004;
2004(32):
32 - 39.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. J. Massie
Prevalence of Depression in Patients With Cancer
J Natl Cancer Inst Monographs,
July 1, 2004;
2004(32):
57 - 71.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. B. Greenberg
Barriers to the Treatment of Depression in Cancer Patients
J Natl Cancer Inst Monographs,
July 1, 2004;
2004(32):
127 - 135.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. K. Vig and R. A. Pearlman
Good and Bad Dying From the Perspective of Terminally Ill Men
Arch Intern Med,
May 10, 2004;
164(9):
977 - 981.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. Lawrie, M. Lloyd-Williams, and F. Taylor
How do palliative medicine physicians assess and manage depression
Palliative Medicine,
April 1, 2004;
18(3):
234 - 238.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. Blank, C. Gruman, and J. T. Robison
Case-Finding for Depression in Elderly People: Balancing Ease of Administration With Validity in Varied Treatment Settings
J. Gerontol. A Biol. Sci. Med. Sci.,
April 1, 2004;
59(4):
M378 - M384.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. E. Bride, M. M. Robinson, B. Yegidis, and C. R. Figley
Development and Validation of the Secondary Traumatic Stress Scale
Research on Social Work Practice,
January 1, 2004;
14(1):
27 - 35.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Lloyd-Williams
Depression--the hidden symptom in advanced cancer
J R Soc Med,
December 1, 2003;
96(12):
577 - 581.
[Full Text]
[PDF]
|
|
|
|
|
|
|
H A M. Meyer, C. Sinnott, and P. T Seed
Depressive symptoms in advanced cancer. Part 1. Assessing depression: the Mood Evaluation Questionnaire
Palliative Medicine,
October 1, 2003;
17(7):
596 - 603.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M. Lloyd-Williams, M. Dennis, F. Taylor, and I. Baker
Is asking patients in palliative care, "Are you depressed?" appropriate? Prospective study
BMJ,
August 16, 2003;
327(7411):
372 - 373.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. J. Fisch, P. J. Loehrer, J. Kristeller, S. Passik, S.-H. Jung, J. Shen, M. A. Arquette, M. J. Brames, and L. H. Einhorn
Fluoxetine Versus Placebo in Advanced Cancer Outpatients: A Double-Blinded Trial of the Hoosier Oncology Group
J. Clin. Oncol.,
May 15, 2003;
21(10):
1937 - 1943.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Lloyd-Williams, J. Spiller, and J. Ward
Which depression screening tools should be used in palliative care?
Palliative Medicine,
January 1, 2003;
17(1):
40 - 43.
[Abstract]
[PDF]
|
|
|
|
|
|
|
H. PESSIN, B. ROSENFELD, and W. BREITBART
Assessing Psychological Distress Near the End of Life
American Behavioral Scientist,
November 1, 2002;
46(3):
357 - 372.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. M. Cohen, S. K. Dobscha, K. C. Hails, P. S. Pekow, and H. M. Chochinov
Depression and Suicidal Ideation in Patients Who Discontinue the Life-Support Treatment of Dialysis
Psychosom Med,
November 1, 2002;
64(6):
889 - 896.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. B. Bascom and S. W. Tolle
Responding to Requests for Physician-Assisted Suicide: "These Are Uncharted Waters for Both of Us. . . ."
JAMA,
July 3, 2002;
288(1):
91 - 98.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. E. Jesse, D. C. Wallace, and W. Seaver
A Holistic Approach to Risk-Screening in Pregnancy with Appalachian Women
J Holist Nurs,
June 1, 2002;
20(2):
133 - 151.
[Abstract]
[PDF]
|
|
|
|
|
|
|
M Hotopf, J Chidgey, J Addington-Hall, and K L. Ly
Depression in advanced disease: a systematic review Part 1. Prevalence and case finding
Palliative Medicine,
March 1, 2002;
16(2):
81 - 97.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. Homsi, K. A. Nelson, N. Sarhill, L. Rybicki, S. B. LeGrand, M. P. Davis, and D. Walsh
A phase II study of methylphenidate for depression in advanced cancer
American Journal of Hospice and Palliative Medicine,
November 1, 2001;
18(6):
403 - 407.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. Barroso and M. Sandelowski
In the Field with the Beck Depression Inventory
Qual Health Res,
July 1, 2001;
11(4):
491 - 504.
[Abstract]
[PDF]
|
|
|
|
|
|
|
R. J. Kohlwes, T. D. Koepsell, L. A. Rhodes, and R. A. Pearlman
Physicians' Responses to Patients' Requests for Physician-Assisted Suicide
Arch Intern Med,
March 12, 2001;
161(5):
657 - 663.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Lloyd-Williams
Screening for depression in palliative care
American Journal of Hospice and Palliative Medicine,
March 1, 2001;
18(2):
79 - 80.
[PDF]
|
|
|
|
|
|
|
J A. Billings
Recent advances: Palliative care
BMJ,
September 2, 2000;
321(7260):
555 - 558.
[Full Text]
|
|
|
|
|
|
|
J. L. Werth Jr. and D. J. Holdwick Jr.
A Primer on Rational Suicide and Other Forms of Hastened Death
The Counseling Psychologist,
July 1, 2000;
28(4):
511 - 539.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L. M. Cohen, M. D. Steinberg, K. C. Hails, S. K. Dobscha, and S. V. Fischel
Psychiatric Evaluation of Death-Hastening Requests: Lessons From Dialysis Discontinuation
Psychosomatics,
June 1, 2000;
41(3):
195 - 203.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
T. Morita, J. Tsunoda, S. Inoue, and S. Chihara
Terminal sedation for existential distress
American Journal of Hospice and Palliative Medicine,
May 1, 2000;
17(3):
189 - 195.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. D. Block and for the ACP-ASIM End-of-Life Care Consensus Panel
Assessing and Managing Depression in the Terminally Ill Patient
Ann Intern Med,
February 1, 2000;
132(3):
209 - 218.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Lo, T. Quill, J. Tulsky, and for the ACP-ASIM End-of-Life Care Consensus Panel
Discussing Palliative Care with Patients
Ann Intern Med,
May 4, 1999;
130(9):
744 - 749.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P. R. Muskin
The Request to Die: Role for a Psychodynamic Perspective on Physician-Assisted Suicide
JAMA,
January 28, 1998;
279(4):
323 - 328.
[Abstract]
[Full Text]
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1997
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
