Loading...
Research Project
Untitled
Funder
Authors
Publications
Criterion and construct validity of the Beck Depression Inventory (BDI-II) to measure depression in patients with cancer: The contribution of somatic items
Publication . Almeida, Sílvia; Camacho, Marta; Barahona-Corrêa, J. Bernardo; Oliveira, José; Lemos, Raquel; Da Silva Rodrigues, Daniel; da Silva, Joaquim Alves; Baptista, Telmo Mourinho; Grácio, Jaime; Oliveira-Maia, Albino J.
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], 0.760.91). 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 0.810.91), 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
Organizational Units
Description
Keywords
Contributors
Funders
Funding agency
Fundação para a Ciência e a Tecnologia
Funding programme
3599-PPCDT
Funding Award Number
PTDC/MED-NEU/31331/2017