Single-item measures for depression and anxiety: Validation of the Screening Tool for Psychological Distress in an inpatient cardiology setting

Young, Quincy-Robyn; Nguyen, Michelle; Roth, Susan; Broadberry, A.; Mackay, Martha

doi:10.1177/1474515114548649

Cited by 50 publications

(44 citation statements)

References 46 publications

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“…42,43 Single-item screening tools for anxiety have shown robust test performance in detection of validated measures of anxiety symptoms. 44 We coded a dichotomous variable indicating any endorsement of the symptom.…”

Section: Alcohol-clustering Conditions: Psychiatric Disorder Symptomsmentioning

confidence: 99%

Association of Alcohol Screening Scores With Adverse Mental Health Conditions and Substance Use Among US Adults

et al. 2020

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IMPORTANCE Alcohol screening may be associated with health outcomes that cluster with alcohol use (ie, alcohol-clustering conditions), including depression, anxiety, and use of tobacco, marijuana, and illicit drugs. OBJECTIVE To quantify the extent to which alcohol screening provides additional information regarding alcohol-clustering conditions and to compare 2 alcohol use screening tools commonly used for this purpose. DESIGN, SETTING, AND PARTICIPANTS This longitudinal cohort study used data from the Veterans Aging Cohort Study. Data were collected at 8 Veterans Health Administration facilities from 2003 through 2012. A total of 7510 participants were enrolled, completed a baseline survey, and were followed up. Veterans with HIV were matched with controls without HIV by age, race, sex, and site of care. Data were analyzed from January 2019 to December 2019. EXPOSURES The Alcohol Use Disorders Identification Test (AUDIT) and Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) were used to assess alcohol use, with 4 risk groups delineated for each test: score 0 to 7 (reference), score 8 to 15, score 16 to 19, and score 20 to 40 (maximum score) for the full AUDIT and score 0 to 3 (reference), score 4 to 5, score 6 to 7, and score 8 to 12 (maximum score) for the AUDIT-C. MAIN OUTCOMES AND MEASURES Alcohol-clustering conditions, including self-reported symptoms of depression and anxiety and use of tobacco, marijuana, cocaine, other stimulants, opioids, and injection drugs. RESULTS A total of 6431 US patients (6104 [95%] men; median age during survey years 2003-2004, 50 years [range, 28-86 years; interquartile range, 44-55 years]) receiving care in the Veterans Health Administration completed 1 or more follow-up surveys when the AUDIT was administered and were included in the present analyses. Of the male participants, 4271 (66%) were African American, 1498 (24%) were white, and 590 (9%) were Hispanic. The AUDIT and AUDIT-C scores were associated with each alcohol-clustering condition. In particular, an AUDIT score of 20 or higher

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Section: Alcohol-clustering Conditions: Psychiatric Disorder Symptomsmentioning

confidence: 99%

Association of Alcohol Screening Scores With Adverse Mental Health Conditions and Substance Use Among US Adults

et al. 2020

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“…Five studies examined instruments that were self-administered by patients [10][11][12][13][14] ; 9 studies assessed instruments administered by nurses, physicians, or research staff members without formal psychiatric training [15][16][17][18][19][20][21][22][23] ; and 6 studies evaluated instruments administered by mental health professionals. [24][25][26][27][28][29] Four studies compared different instruments that were administered in the same manner (eg, both self-administered by patients).…”

Section: Depression Screening Toolsmentioning

confidence: 99%

“…[24][25][26][27][28][29] Four studies compared different instruments that were administered in the same manner (eg, both self-administered by patients). [12][13][14]22 In the remaining studies, both instruments and methods of administration differed between the index and reference conditions.…”

Section: Depression Screening Toolsmentioning

confidence: 99%

“…12,[14][15][16][17][18][19]22 In 2 of these studies, instruments were self-administered. In 1 case, a single self-administered item from the STOP-D instrument ("Over the past 2 weeks, how much have you been bothered by feeling sad, down, or uninterested in life?")…”

Section: Depression Screening Toolsmentioning

confidence: 99%

“…performed nearly as well as the 14-item Hospital Anxiety and Depression Scale. 14 In the other 6 studies testing brief instruments, the instruments were administered by individuals without formal training. [15][16][17][18][19]22 In 1 such study, geriatricians asking 2 questions about depressed mood and anhedonia performed well compared with a formal psychiatric interview.…”

Section: Depression Screening Toolsmentioning

confidence: 99%

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Screening for Depression in Hospitalized Medical Patients

IsHak

Collison

Danovitch

et al. 2017

Journal of Hospital Medicine

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Depression among hospitalized patients is often unrecognized, undiagnosed, and therefore untreated. Little is known about the feasibility of screening for depression during hospitalization, or whether depression is associated with poorer outcomes, longer hospital stays, and higher readmission rates. We searched PubMed and PsycINFO for published, peer-reviewed articles in English (1990English ( -2016 using search terms designed to capture studies that tested the performance of depression screening tools in inpatient settings and studies that examined associations between depression detected during hospitalization and clinical or utilization outcomes. Two investigators reviewed each full-text article and extracted data. The prevalence of depression ranged from 5% to 60%, with a median of 33%, among hospitalized patients. Several screening tools identified showed high sensitivity and specificity, even when self-administered by patients or when abbreviated versions were administered by individuals without formal training. With regard to outcomes, studies from several individual hospitals found depression to be associated with poorer functional outcomes, worse physical health, and returns to the hospital after discharge. These findings suggest that depression screening may be feasible in the inpatient setting, and that more research is warranted to determine whether screening for and treating depression during hospitalization can improve patient outcomes.

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Vulnerability to intimate partner violence and poor mental health in the first 4-year postpartum among mothers reporting childhood abuse: an Australian pregnancy cohort study

Gartland

Woolhouse

Giallo

et al. 2016

Arch Womens Ment Health

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The purpose of this study was to investigate intergenerational patterns of abuse and trauma and the health consequences for women in the early childbearing years. A prospective pregnancy cohort of 1507 nulliparous women (≦24 weeks gestation) were recruited in Melbourne, Australia, 2003-2005. Follow-up was scheduled in late pregnancy, 3-, 6- and 12-month and 4-year postpartum. Childhood abuse was retrospectively reported at 4-year postpartum using the Child Maltreatment History Self Report. Intimate partner violence (IPV) was assessed at 1- and 4-year postpartum with the Composite Abuse Scale. Maternal depressive symptoms were assessed in all follow-ups using the Edinburgh Postnatal Depression Scale. Multivariable logistic regression was used to examine associations between childhood abuse, maternal mental health and IPV. Childhood abuse was reported by 41.1 % of women. In the 4 years after having their first child, 28.2 % of women reported IPV, 25.2 % depression and 31.6 % anxiety. Childhood abuse was associated with odds of depression or anxiety 1.5-2.6 times greater and 1.8-3.2 times greater for IPV. Childhood physical abuse remained significantly associated with depression and anxiety in pregnancy and postpartum after adjusting for IPV and stressful life events, while sexual abuse remained significantly associated only with anxiety. Women who begin childbearing with a history of childhood abuse are more vulnerable to IPV and poor mental health. All health care services and agencies in contact with children, young people and families should have adequate training to identify trauma associated with abuse and IPV and provide first line supportive care and referral.

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Single-item measures for depression and anxiety: Validation of the Screening Tool for Psychological Distress in an inpatient cardiology setting

Cited by 50 publications

References 46 publications

Association of Alcohol Screening Scores With Adverse Mental Health Conditions and Substance Use Among US Adults

Association of Alcohol Screening Scores With Adverse Mental Health Conditions and Substance Use Among US Adults

Screening for Depression in Hospitalized Medical Patients

Vulnerability to intimate partner violence and poor mental health in the first 4-year postpartum among mothers reporting childhood abuse: an Australian pregnancy cohort study

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