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Screening for depression in movement disorders clinic.
Neurological Sciences ( IF 3.3 ) Pub Date : 2020-07-17 , DOI: 10.1007/s10072-020-04571-7
Parviz Bahadoran 1 , Rita Varela 1 , Andrea De Angelis 1 , Dominic Paviour 1 , Niruj Agrawal 1
Affiliation  

Background

Depression is the most common, though often under-recognised, neuropsychiatric disturbance in movement disorders (MD).

Objective

This study aimed to establish whether a briefer screening measure such as a visual analogue screening measure (Emotions Thermometer) or Neurological Disorders Depression Inventory for Epilepsy (NDDI-E) could be a potentially suitable screening tool for depression in MD patients.

Method

Patients attending a regional MD outpatient clinic completed the Emotional Thermometer 7-item tool (ET7), the Hospital Anxiety and Depression Scale (HADS) and the Neurological Disorders Depression Inventory for Epilepsy (NDDIE). We used the Major Depression Inventory which provided the diagnosis of depression based on ICD-10 and DSM-IV as our diagnostic gold standard to compare the performance of ET7 and its individual sub-scales, its briefer version ET4, HADS, and NDDIE. Sensitivity, specificity, positive predictive value, negative predictive value and receiver operating characteristic curves were calculated to compare the performance of the screening tools.

Results

In total, 188 patients were included in the analysis. The most accurate tools as determined by Receiver Operating Characteristics curve were HADS-D for ICD-10 depressive episode and DepT for DSM-IV major depression. ET4 performed well as a ‘rule-out’ screening tool for both DSM-IV and ICD-10 depression. ET4 performance was comparable to HADS without the need for clinician scoring. The briefer ET4 performed almost as well as ET7.

Conclusion

Emotions Thermometer and NDDI-E are quick and reliable screening tools for depression in the MD population and are comparable to HADS. We suggest routine use of visual analogue ET4 as it is briefer, requires less time to complete and does not require scoring from the clinicians. It has the potential to be widely implemented across busy neurology clinics to assist in depression screening.



中文翻译:

在运动障碍诊所筛查抑郁症。

背景

抑郁症是运动障碍(MD)中最常见的神经精神障碍,尽管这种认识通常未被充分认识。

目的

这项研究旨在确定更简短的筛查措施,例如视觉模拟筛查措施(情绪温度计)或癫痫症神经疾病抑郁量表(NDDI-E)是否可能是潜在的适合MD患者抑郁症的筛查工具。

方法

在地区MD门诊就诊的患者完成了情绪温度计7项工具(ET7),医院焦虑和抑郁量表(HADS)和癫痫性神经疾病抑郁量表(NDDIE)。我们使用主要抑郁量表(根据ICD-10和DSM-IV提供抑郁症诊断)作为我们的诊断金标准,以比较ET7及其各个子量表,简明版ET4,HADS和NDDIE的表现。计算敏感性,特异性,阳性预测值,阴性预测值和受体工作特征曲线以比较筛选工具的性能。

结果

分析中总共包括188名患者。由接收器操作特性曲线确定的最准确的工具是:针对ICD-10抑郁发作的HADS-D和针对DSM-IV重度抑郁的DepT。ET4作为DSM-IV和ICD-10抑郁症的“排除”筛查工具表现良好。无需临床医生评分,ET4的性能可与HADS媲美。简报ET4的表现几乎与ET7一样。

结论

情绪温度计和NDDI-E是快速,可靠的筛查MD人群抑郁症的工具,与HADS相当。我们建议常规使用视觉类似物ET4,因为它更简短,需要更少的时间来完成并且不需要临床医生的评分。它有可能在繁忙的神经病学诊所中广泛实施,以协助抑郁症筛查。

更新日期:2020-07-18
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