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Criterion and construct validity of the Beck Depression Inventory (BDI-II) to measure depression in patients with cancer: The contribution of somatic items

2023Journal article Open access
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dc.contributor.authorAlmeida, Sílvia
dc.contributor.authorCamacho, Marta
dc.contributor.authorBarahona-Corrêa, J. Bernardo
dc.contributor.authorOliveira, José
dc.contributor.authorLemos, Raquel
dc.contributor.authorDa Silva Rodrigues, Daniel
dc.contributor.authorda Silva, Joaquim Alves
dc.contributor.authorBaptista, Telmo Mourinho
dc.contributor.authorGrácio, Jaime
dc.contributor.authorOliveira-Maia, Albino J.
dc.date.accessioned2022-12-29T16:21:10Z
dc.date.available2022-12-29T16:21:10Z
dc.date.issued2023
dc.description.abstractBackground/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 accuracypt_PT
dc.description.sponsorshipFundação para a Ciência e Tecnologia - FCTpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlmeida, S., Camacho, M., Barahona-Corrêa, J. B., Oliveira, J., Lemos, R., da Silva, D. R., da Silva, J. A., Baptista, T. M., Grácio, J., & Oliveira-Maia, A. J. (2023). Criterion and construct validity of the Beck Depression Inventory (BDI-II) to measure depression in patients with cancer: The contribution of somatic items. International Journal of Clinical and Health Psychology, 23(2). https://doi.org/10.1016/j.ijchp.2022.100350pt_PT
dc.identifier.doi10.1016/j.ijchp.2022.100350pt_PT
dc.identifier.issn16972600
dc.identifier.urihttp://hdl.handle.net/10400.12/8893
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Doymapt_PT
dc.relationCEECIND/04157/2018pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectDepressionpt_PT
dc.subjectCancerpt_PT
dc.subjectBDI-IIpt_PT
dc.subjectPsychometrypt_PT
dc.subjectAssessmentpt_PT
dc.titleCriterion and construct validity of the Beck Depression Inventory (BDI-II) to measure depression in patients with cancer: The contribution of somatic itemspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/9471 - RIDTI/PTDC%2FMEC-PSQ%2F30302%2F2017/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/3599-PPCDT/PTDC%2FMED-NEU%2F31331%2F2017/PT
oaire.citation.conferencePlaceSpainpt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage100350pt_PT
oaire.citation.titleInternational Journal of Clinical and Health Psychologypt_PT
oaire.citation.volume23pt_PT
oaire.fundingStream9471 - RIDTI
oaire.fundingStream3599-PPCDT
person.familyNameBaptista de Lemos Guerra de Oliveira
person.familyNameda Silva Rodrigues
person.familyNameMourinho Baptista
person.givenNameRaquel Maria
person.givenNameDaniel
person.givenNameTelmo
person.identifier.ciencia-id4C1D-F1CC-B987
person.identifier.ciencia-id9A1D-9FC7-0B17
person.identifier.orcid0000-0003-1221-915X
person.identifier.orcid0000-0003-4257-8858
person.identifier.orcid0000-0002-4577-841X
person.identifier.scopus-author-id7004762927
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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