A preliminary investigation of the reliability and validity of the Brief Assessment Schedule Depression Cards and the Beck Depression Inventory-Fast Screen to screen for depression in older stroke survivors

A. K. Healey, Ian I. Kneebone, M. Carroll, S. J. Anderson

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    37 Citations (Scopus)

    Abstract

    Objective To conduct an initial assessment of the reliability and validity of the Brief Assessment Schedule Depression Cards (BASDEC) and the Beck Depression Inventory-Fast Screen (BDI-FS) to screen for depression in older stroke survivors. Methods Participants from four inpatient rehabilitation units completed the BASDEC and the BDI-FS together with the Hospital Anxiety and Depression Scale (HADS) for comparison. The Structured Clinical Interview for DSM-IV Axis 1 Disorders (SCID) was then completed with all participants to ascertain a criterion depression diagnosis. The BASDEC and BDI-FS were subsequently completed for a second time. Results Forty-nine stroke survivors (M = 78.80, SD = 6.79 years) were included. The BASDEC and BDI-FS demonstrated acceptable internal consistency and test–retest reliability. The BASDEC (cut-off ≥7) resulted in a sensitivity of 1.0 and specificity of 0.95 for detecting major depression whereas the BDI-FS (cut-off ≥4) had a sensitivity of 0.71 and specificity of 0.74. When participants with minor depression were included in analyses, sensitivity lowered to 0.69 (specificity = 0.97) for the BASDEC and 0.62 (specificity = 0.78) for the BDI-FS. Conclusions The BASDEC and BDI-FS were found to have acceptable reliability. The BASDEC demonstrated some advantage in criterion validity over the BDI-FS at the examined cut-offs.
    Original languageEnglish
    Pages (from-to)531-536
    Number of pages6
    JournalInternational Journal of Geriatric Psychiatry
    Volume23
    Issue number5
    DOIs
    Publication statusPublished - 2008

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