Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale

Detalhes bibliográficos
Autor(a) principal: Silberman,Cláudia Débora
Data de Publicação: 2006
Outros Autores: Laks,Jerson, Capitão,Cláudia Figueiredo, Rodrigues,Cláudia Soares, Moreira,Irene, Engelhardt,Eliasz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000300011
Resumo: This study aimed to find cut-off scores for the Montgomery-Asberg rating scale (MADRS) and the Beck depression inventory (BDI) that can relate to specific clinical diagnoses of depression in Parkinson´s disease (PD). Mild and moderate PD patients (n=46) were evaluated for depression according to the DSM IV criteria. All patients were assessed with the MADRS and the BDI. A "receiver operating characteristics" (ROC) curve was obtained and the sensibility, specificity, positive and the negative predictive values were calculated for different cut-off scores of the MADRS and the BDI. The Kappa statistic was calculated for different cut-off scores to assess the agreement between the clinical judgment and both scales. Depression was present in 18 patients. MADRS cut-off scores of 6 and 10 showed Kappa 0.5 and 0.56, respectively. Specificity of cut-off score of 6 was 78.6% and of cut-off score of 10 was 96.4%. Kappa agreement of BDI cut-off scores of 10 and 18 were 0.36 and 0.62, respectively. Specificity was 60.7% for 10 and 92.9% for 18. Both rating scales show similar accuracy within the ROC curves (84.3% for MADRS and 79.7% for BDI). The MADRS and the BDI show a good accuracy and correlation to the clinical diagnosis when a cut-off score of 10 is used to MADRS and a cut-off score of 18 is used to BDI to recognize depression in mild to moderate PD patients. This may help clinicians to recognize depression in PD.
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spelling Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scaledepressionParkinson’s diseaseMontgomery-Asberg rating scaleBeck depression inventoryThis study aimed to find cut-off scores for the Montgomery-Asberg rating scale (MADRS) and the Beck depression inventory (BDI) that can relate to specific clinical diagnoses of depression in Parkinson´s disease (PD). Mild and moderate PD patients (n=46) were evaluated for depression according to the DSM IV criteria. All patients were assessed with the MADRS and the BDI. A "receiver operating characteristics" (ROC) curve was obtained and the sensibility, specificity, positive and the negative predictive values were calculated for different cut-off scores of the MADRS and the BDI. The Kappa statistic was calculated for different cut-off scores to assess the agreement between the clinical judgment and both scales. Depression was present in 18 patients. MADRS cut-off scores of 6 and 10 showed Kappa 0.5 and 0.56, respectively. Specificity of cut-off score of 6 was 78.6% and of cut-off score of 10 was 96.4%. Kappa agreement of BDI cut-off scores of 10 and 18 were 0.36 and 0.62, respectively. Specificity was 60.7% for 10 and 92.9% for 18. Both rating scales show similar accuracy within the ROC curves (84.3% for MADRS and 79.7% for BDI). The MADRS and the BDI show a good accuracy and correlation to the clinical diagnosis when a cut-off score of 10 is used to MADRS and a cut-off score of 18 is used to BDI to recognize depression in mild to moderate PD patients. This may help clinicians to recognize depression in PD.Academia Brasileira de Neurologia - ABNEURO2006-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000300011Arquivos de Neuro-Psiquiatria v.64 n.2b 2006reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2006000300011info:eu-repo/semantics/openAccessSilberman,Cláudia DéboraLaks,JersonCapitão,Cláudia FigueiredoRodrigues,Cláudia SoaresMoreira,IreneEngelhardt,Eliaszeng2006-08-02T00:00:00Zoai:scielo:S0004-282X2006000300011Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2006-08-02T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
title Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
spellingShingle Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
Silberman,Cláudia Débora
depression
Parkinson’s disease
Montgomery-Asberg rating scale
Beck depression inventory
title_short Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
title_full Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
title_fullStr Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
title_full_unstemmed Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
title_sort Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale
author Silberman,Cláudia Débora
author_facet Silberman,Cláudia Débora
Laks,Jerson
Capitão,Cláudia Figueiredo
Rodrigues,Cláudia Soares
Moreira,Irene
Engelhardt,Eliasz
author_role author
author2 Laks,Jerson
Capitão,Cláudia Figueiredo
Rodrigues,Cláudia Soares
Moreira,Irene
Engelhardt,Eliasz
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Silberman,Cláudia Débora
Laks,Jerson
Capitão,Cláudia Figueiredo
Rodrigues,Cláudia Soares
Moreira,Irene
Engelhardt,Eliasz
dc.subject.por.fl_str_mv depression
Parkinson’s disease
Montgomery-Asberg rating scale
Beck depression inventory
topic depression
Parkinson’s disease
Montgomery-Asberg rating scale
Beck depression inventory
description This study aimed to find cut-off scores for the Montgomery-Asberg rating scale (MADRS) and the Beck depression inventory (BDI) that can relate to specific clinical diagnoses of depression in Parkinson´s disease (PD). Mild and moderate PD patients (n=46) were evaluated for depression according to the DSM IV criteria. All patients were assessed with the MADRS and the BDI. A "receiver operating characteristics" (ROC) curve was obtained and the sensibility, specificity, positive and the negative predictive values were calculated for different cut-off scores of the MADRS and the BDI. The Kappa statistic was calculated for different cut-off scores to assess the agreement between the clinical judgment and both scales. Depression was present in 18 patients. MADRS cut-off scores of 6 and 10 showed Kappa 0.5 and 0.56, respectively. Specificity of cut-off score of 6 was 78.6% and of cut-off score of 10 was 96.4%. Kappa agreement of BDI cut-off scores of 10 and 18 were 0.36 and 0.62, respectively. Specificity was 60.7% for 10 and 92.9% for 18. Both rating scales show similar accuracy within the ROC curves (84.3% for MADRS and 79.7% for BDI). The MADRS and the BDI show a good accuracy and correlation to the clinical diagnosis when a cut-off score of 10 is used to MADRS and a cut-off score of 18 is used to BDI to recognize depression in mild to moderate PD patients. This may help clinicians to recognize depression in PD.
publishDate 2006
dc.date.none.fl_str_mv 2006-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000300011
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000300011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-282X2006000300011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.64 n.2b 2006
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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