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Screening for depression in adolescent paediatric patients: validity of the new Depression Screener for Teenagers (DesTeen).
Pietsch, Kathrin; Allgaier, Antje-Kathrin; Frühe, Barbara; Rohde, Sabine; Hosie, Stuart; Heinrich, Martina; Schulte-Körne, Gerd.
Afiliação
  • Pietsch K; Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Ludwig-Maximilians-University, Nussbaumstrasse 5a, D-80336 Munich, Germany.
J Affect Disord ; 133(1-2): 69-75, 2011 Sep.
Article em En | MEDLINE | ID: mdl-21497911
ABSTRACT

BACKGROUND:

Depression in adolescents is often hard to detect. In many cases paediatricians are the first point of contact. In order to increase recognition rates, screening instruments may be a helpful support for health care professionals. However, there is a lack of valid and economical screening instruments for primary care patients. Thus, the aim of the study was the development of the new Depression Screener for Teenagers (DesTeen) and its validation in a paediatric sample.

METHOD:

326 patients between 13 and 16 years old completed the DesTeen and a diagnostic interview, serving as gold standard. Prevalence rate for any depressive disorder (minor depression, major depression and dysthymia) was 12.6%. Psychometric properties were calculated. For validity measures, the area under the receiver operating characteristic curves (AUC) for any depressive disorder and the diagnostic subgroups was computed.

RESULTS:

DesTeen showed a high reliability (Cronbach's α=.87) and a high validity (AUC=.91). For the diagnostic subgroups AUC values did not significantly differ from overall accuracy of any depressive disorder (major depression AUC=.95, p=.179; dysthymia AUC=.88, p=.605; minor depression AUC=.87, p=.327). The optimal cut-off point for any depressive disorder according to the Youden-Index yielded a sensitivity of .90 and a specificity of .80. An abbreviated 5-item version of DesTeen showed no loss in validity (AUC=.90, p=.695).

CONCLUSIONS:

Overall, DesTeen can be regarded as a valid screening instrument for adolescent paediatric patients. For practical use, the 5-item version is even more promising. A replication of these results is essential.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Programas de Rastreamento / Transtorno Depressivo Idioma: En Ano de publicação: 2011 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Programas de Rastreamento / Transtorno Depressivo Idioma: En Ano de publicação: 2011 Tipo de documento: Article