RESUMO
Background: Depressive disorder is common among haemodialysis patients. The purpose of this study was to explore approaches to diagnosing depression in the context of a real-life setting, with the view of creating practical recommendations. It also aimed to evaluate the prevalence of depression and dementia. Methods: We conducted a cross-sectional study in two Dialysis Centres in Poland. Cognitive functions were evaluated using Mini-Mental State Examination (MMSE). The screening for depressive symptoms was assessed using Beck Depression Inventory II (BDI-II). The diagnosis of major depressive disorder was confirmed by a psychiatrist using Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5). Sociodemographic and clinical data were also collected. Results: Initially, 136 patients agreed to participate in the study. Dementia was found in 13% of the study group. Sixty-two patients did not agree to perform all the proposed tests and were not included in the analysis, which eventually consisted of 70 patients. According to BDI-II, depressive symptoms were present in 35.7% of patients, while the diagnosis of major depressive disorder (MDD) was confirmed by the psychiatrist in 25.7%. According to the ROC analysis the optimal cut-off score for diagnosing MDD using BDI-II was ≥13 points. Conclusions: This study suggests that the regular screening for depressive symptoms, followed by a psychiatric consultation in selected patients, might improve diagnosing depression with the goal of achieving a higher quality of life and a lower mortality rate. It may also be a cost-effective model for the management of depression among the haemodialysis population.
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Cancer patients experience psychological symptoms such as depression during the cancer treatment period, which increases the burden of symptoms. Depression severity can be assessed using the beck depression inventory (BDI II). The purpose of the study was to use BDI-II scores to measure depression symptoms in cancer patients at a large tertiary hospital in Palestine. A convenience sample of 271 cancer patients was used for a cross-sectional survey. There are descriptions of demographic, clinical, and lifestyle aspects. In addition, the BDI-II is a tool for determining the severity of depression. Two hundred seventy-one patients participated in the survey, for a 95% response rate. Patients ranged in age from 18 to 84 years, with an average age of 47 years. The male-to-female ratio was approximately 1:1, and 59.4% of the patients were outpatients, 153 (56.5%) of whom had hematologic malignancies. Most cancer patients (n = 104, 38.4%) had minimal depression, while 22.5%, 22.1%, and 17.0% had mild, moderate, and severe depression, respectively. Education level, economic status, smoking status, and age were significantly associated with depression. The BDI-II is a useful instrument for monitoring depressive symptoms. The findings support the practice of routinely testing cancer patients for depressive symptoms as part of standard care and referring patients who are at a higher risk of developing psychological morbidity to specialists for treatment as needed.
Assuntos
Depressão , Países em Desenvolvimento , Neoplasias , Humanos , Masculino , Pessoa de Meia-Idade , Feminino , Adulto , Estudos Transversais , Neoplasias/psicologia , Neoplasias/epidemiologia , Neoplasias/complicações , Depressão/epidemiologia , Idoso , Adolescente , Idoso de 80 Anos ou mais , Adulto Jovem , Escalas de Graduação Psiquiátrica , Inquéritos e QuestionáriosRESUMO
Este estudo tem o objetivo de avaliar as propriedades psicométricas do Inventário de Depressão de Beck Segunda Versão (BDI-II), que visa avaliar a gravidade dos sintomas depressivos. A amostra contou com 2.385 participantes (13 a 85 anos) da região metropolitana de Porto Alegre, Rio Grande do Sul. Os seguintes métodos da Teoria do Traço Latente foram utilizados: Modelagem de Equação Estrutural Exploratória, Análise de Classe Latente e Análise Fatorial Confirmatória Multigrupo. Observou-se a possibilidade de que o BDI-II possa ser um instrumento unidimensional com subfatores mais restritos (modelo bifator). Encontrou-se evidências de que o instrumento apresente precisão de medida para a mensuração da gravidade dos sintomas depressivos. Também, pontos de corte foram sugeridos, verificando a possibilidade de três classes em termos de gravidade dos sintomas depressivos: mínimos, leves e moderados/graves. Dentre as limitações deste estudo, destaca-se que não foi efetuada a comparação com outras amostras com características diferenciadas. (AU)
This study aims to evaluate psychometric properties of the Beck Depression Inventory - Second Version (BDI-II), which aims to evaluate the severity of depressive symptoms. The following methods of the Latent Trace Theory were used: Exploratory Structural Equation Modeling, Latent Class Analysis and Multi-group Confirmatory Factor Analysis. The possibility that BDI-II could be a one-dimensional instrument with more restricted subfactors (bi-factor model) was observed. There was evidence that the instrument presented precision in measuring the severity of depressive symptoms. Cutoff points were also suggested, verifying the possibility of three classes in terms of depressive symptoms severity: minimal, mild, and moderate/severe. Among the limitations of this study, it should be noted that the comparison with other samples with different characteristics was not performed. (AU)
Este estudio tiene el objetivo de evaluar las propiedades psicométricas del Inventario de Depresión de Beck - Segunda Versión (BDIII), que busca evaluar la gravedad de los síntomas depresivos. La muestra contó con 2.385 participantes (13 a 85 años) de la región metropolitana de Porto Alegre, en la provincia de Rio Grande do Sul. Se utilizaron los siguientes métodos de la Teoría del Trazo Latente: Modelo de Ecuación Estructural Exploratoria, Análisis de Clase Latente y Análisis Factorial Confirmatorio Multigrupo. Se observó la posibilidad de que el BDI-II pueda ser un instrumento unidimensional con subfactores más restringidos (modelo bifator). Quedó evidente la precisión del instrumento utilizado para medir la gravedad de los síntomas depresivos. También, fueron sugeridos puntos de corte, verificando la posibilidad de tres distintas clases en términos de gravedad de los síntomas depresivos: mínimos, leves y moderados/graves. Entre las limitaciones de este estudio, cabe destacar, que no se efectuó la comparación con otras muestras con características diferenciadas. (AU)
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Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Transtorno Depressivo/psicologia , Análise FatorialRESUMO
En este trabajo, se analizan las propiedades psicométricas de la versión española (Sanz, Navarro, & Vázquez, 2003) del Inventario para la Depresión de Beck ([BDI-II]; Beck, Steer, & Brown, 1996) en muestras mexicanas no clínicas: 474 estudiantes universitarios y 478 personas de población general. La consistencia interna resultó satisfactoria en ambas muestras siendo alfa de Cronbach 0.901 para la muestra total. Los resultados coinciden con los reportados en estudios previos españoles (Sanz, Navarro & Vázquez, 2003; Sanz, Perdigón & Vazquez, 2003) acerca de las propiedades psicométricas del instrumento, así como otros estudios internacionales revisados. El análisis factorial confirmatorio muestra buenos índices de ajuste al modelo bifactorial de la escala. Se encontraron diferencias significativas en las puntuaciones en función del sexo, pero no se observan efectos significativos de la edad. Se concluye que la versión española del BDI-II puede ser un instrumento válido y fiable para evaluar la sintomatología depresiva en la población general adulta mexicana y en estudiantes universitarios.
The purpose of this study was to test the Spanish version (Sanz, Navarro, & Vazquez, 2003) of the Beck Depression Inventory-II ([BDI-II]; Beck, Steer, & Brown, 1996) in the Mexican general population and undergraduate university students on non clinical samples. The reliability and construct validity obtained in a sample of 474 university students and 478 people from the general population, confirmed good psychometric properties: Cronbach alpha of 0.901 and Confirmatory factor analysis, showed good adjustment indices to two-factor model scale. These results agree with those reported in previous studies both international and Spanish studies on the psychometric properties of the instrument (Sanz, Navarro, & Vázquez, 2003; Sanz, Perdigón & Vázquez, 2003). Confirmatory factor analysis showed a good fit of the Mexican population data, the two-factor model reported in the Spanish population. Finally, the distributions of scores were similar to those found in Spanish studies. There were significant differences in scores by gender, but there are no significant effects of age. It is concluded that the Spanish version of the BDI-II may be a valid and reliable instrument to assess depressive symptoms in college students and the general population of Mexican adults.
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Psicometria , Depressão , UniversidadesRESUMO
OBJECTIVE: To identify the level of depressive symptoms among patients with HIV infection and to examine the reported patterns of depressive symptoms not confounded by the physical manifestations of HIV-infection. METHOD: A total of 191 patients with HIV infection (75 males (39%) and 116 females (61%), mean age 40.48 ± 10 years), from three HIV clinics were administered the Beck Depression Inventory - II as well as a demographic questionnaire as part of a larger study. RESULTS: Moderate to severe depressive symptoms were reported by 17.3% of the HIV-infected patients with females reporting significantly higher levels of depressive symptoms than males. A principal components analysis identified three clusters of depressive symptoms: cognitive-affective, negative cognitions and somatic symptoms. The HIV-infected patients were found to display mainly cognitive-affective symptoms of depression. CONCLUSION: HIV-infected patients, especially female patients, may be at an increased risk of experiencing high levels of depressive symptoms. It is recommended that HIV-infected patients be routinely screened for depression, particularly cognitive-affective symptoms of depression.
OBJETIVO: Identificar el nivel de sintomas depresivos entre pacientes con infección por VIHy examinar los patrones reportados sobre los sintomas de depresión, no confundidos por las manifestaciones físicas de la infección por VIH. MÉTODO: A un total de 191 pacientes con infección por VIH (75 varones (39%) y 116 hembras (61%), con edadpromedio 40.45 ± 10 anos), de tres clinicas de VIH, se les aplicó el Inventario de Depresión de Beck II, asi como una encuesta demográfica como parte de un estudio más grande. RESULTADOS: Un 17.3% de los pacientes infectados por VIH, informaron sintomas depresivos de moderados a severos, reportando las hembras niveles de sintomas de depresión significativamente más altos que los varones. Un análisis de los componentes principales identificó tres grupos de sintomas depresivos: cognitivos afectivos, cogniciones negativas y sintomas somáticos. Se halló que los pacientes infectados por VIHpresentaban principalmente sintomas afectivos cognitivos de depresión. CONCLUSIÓN: Los pacientes infectados con VIH, especialmente las hembras, pueden hallarse en un mayor riesgo de experimentar niveles altos de sintomas depresivos. Se recomienda que los pacientes infectados con VIHsean sometidos deforma rutinaria a tamizajes de depresión, particularmente de los sintomas de depresión cognitivos afectivos.