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ABSTRACT: Background/objective
Screening for depression in patients with cancer can be difficult due to overlap between symptoms of depression and cancer. We assessed validity of the Beck Depression Inventory (BDI-II) in this population.Method
Data was obtained in an outpatient neuropsychiatry unit treating patients with and without cancer. Psychometric properties of the BDI-II Portuguese version were assessed separately in 202 patients with cancer, and 376 outpatients with mental health complaints but without cancer.Results
Confirmatory factor analysis suggested a three-factor structure model (cognitive, affective and somatic) provided best fit to data in both samples. Criterion validity was good for detecting depression in oncological patients, with an area under the ROC curve (AUC) of 0.85 (95% confidence interval [CI], 0.76-0.91). A cut-off score of 14 had sensitivity of 87% and specificity of 73%. Excluding somatic items did not significantly change the ROC curve for BDI-II (difference AUCs = 0.002, p=0.9). A good criterion validity for BDI-II was also obtained in the non-oncological population (AUC = 0.87; 95% CI 0.81-0.91), with a cut-off of 18 (sensitivity=84%; specificity=73%).Conclusions
The BDI-II demonstrated good psychometric properties in patients with cancer, comparable to a population without cancer. Exclusion of somatic items did not affect screening accuracy.
SUBMITTER: Almeida S
PROVIDER: S-EPMC9709241 | biostudies-literature | 2023 Apr-Jun
REPOSITORIES: biostudies-literature
Almeida Sílvia S Camacho Marta M Barahona-Corrêa J Bernardo JB Oliveira José J Lemos Raquel R da Silva Daniel Rodrigues DR da Silva Joaquim Alves JA Baptista Telmo Mourinho TM Grácio Jaime J Oliveira-Maia Albino J AJ
International journal of clinical and health psychology : IJCHP 20221125 2
<h4>Background/objective</h4>Screening for depression in patients with cancer can be difficult due to overlap between symptoms of depression and cancer. We assessed validity of the Beck Depression Inventory (BDI-II) in this population.<h4>Method</h4>Data was obtained in an outpatient neuropsychiatry unit treating patients with and without cancer. Psychometric properties of the BDI-II Portuguese version were assessed separately in 202 patients with cancer, and 376 outpatients with mental health c ...[more]