The development of the Brief Edinburgh Depression Scale (BEDS) to screen for depression in patients with advanced cancer

Lloyd‐Williams, Mari; Shiels, Christopher; Dowrick, Chris

doi:10.1016/j.jad.2006.09.015

Cited by 58 publications

(39 citation statements)

References 16 publications

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“…The EDS can be abbreviated to a 6-item questionnaire, the Brief Edinburgh Depression Scale, which has been shown to maintain sensitivity and specificity in screening for depression in advanced cancer patients [27]. Further work could investigate whether this more efficient screening tool could be used with acceptable sensitivity and specificity in breast cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of screening instruments for depression and anxiety in breast cancer survivors

Alexander

Palmer

Stone

2009

Breast Cancer Res Treat

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Although cases of anxiety and depression postbreast cancer can be reliably identified using a structured psychiatric interview, such interviews are time consuming for both practitioner and patient and effective screening tools would increase detection rates. The purpose of this study was to evaluate the effectiveness of the Edinburgh Depression Scale (EDS) and the Hospital Anxiety and Depression Scale (HADS) in screening for depression and anxiety in a population of breast cancer survivors. For this purpose, The Structured Clinical Interview for the Diagnostic and Statistical Manual of mental disorders was administered to 200 breast cancer survivors to identify those suffering from an anxiety and/or depressive disorder. All study participants also completed the EDS and the HADS. Using the recommended cut-off score of [12 to screen for depression, the sensitivity and specificity of the EDS were found to be 72 and 90%, respectively. Lowering the cut-off score to [9 resulted in a sensitivity of 94% and a specificity of 78%. At the recommended cut-off score of [10, the HADS had a sensitivity of 50% and a specificity of 97% for depression, and a sensitivity of 71% and a specificity of 86% when screening for anxiety. A HADS total score (HADS-T) of [13 and an EDS of [9 had sensitivities of 96 and 91% and specificities of 74 and 84%, respectively, in screening for anxiety and/or depression. In conclusion, the study demonstrated that both the EDS and HADS can be used reliably as screening tests for anxiety and depression in this cohort. In both cases, a lower cut-off score than normally recommended delivers optimal screening properties.

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Section: Discussionmentioning

confidence: 99%

Evaluation of screening instruments for depression and anxiety in breast cancer survivors

Alexander

Palmer

Stone

2009

Breast Cancer Res Treat

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“…After careful analysis, three tools were selected as being the strongest based upon empirical support for evidence-based practice methods, strength of the studies, and sensitivity to a community and palliative care setting. The tools selected to create a coding system in order to analyse the case notes were the WHOQOL-100 (The World Health Organisation), the Brief Edinburgh Depression Scale [21], and the DSM-IV criteria for depression, with the removal of somatic symptoms [5,13].…”

Section: Planned Cyclesmentioning

confidence: 99%

“…The instruments incorporated in the examination of case notes were the WHOQOL-100 [22], the Brief Edinburgh Depression Scale [21], and the DSM-IV [5] diagnostic criteria with the removal of somatic signs. The three instruments were coalesced to create two individual coding schemes.…”

Section: Planned Cyclesmentioning

confidence: 99%

Diagnosing Levels of Distress in Specialist Palliative Care

Draper¹,

Herman²

2015

J Palliat Care Med

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This paper makes the case for the use of the Distress Thermometer (DT) as a standardised diagnostic tool in End of Life Care. It explores the current situation in palliative care health services, building an argument that there is an under-diagnosis of depression and mental distress in the fields of palliative care due to a lack of standardisation and screening. The paper sets out its hypothesis and follows this with an account of repeat audit cycles and action research interventions in the implementation and use of the DT within a National Health Service and voluntary sector context.

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“…Both 10-item (EPDS) and 6-item (BEDS) scales have been validated in the palliative care population. 14,15 One-or two-item questions (1. Are you depressed?…”

Section: Questionnairementioning

confidence: 99%

Depression in palliative care patients: a survey of assessment and treatment practices of Australian and New Zealand palliative care specialists

Porche¹,

Reymond

Callaghan

et al. 2014

Aust. Health Review

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Objective. To explore the practices of members of the Australian and New Zealand Society of Palliative Medicine (ANZSPM) in assessing and treating depression in palliative care patients.Methods. Semistructured questionnaires were forwarded to ANZSPM members in consecutive mail-outs to survey diagnostic and treatment practices for depression.Results. The response rate was 62.3%. The median prevalence of depression, as perceived by respondents, in the present respondent patient populations was 20% (range 0%-90%); 57.1% of respondents always assessed for depression, whereas 42.9% assessed for depression sometimes. The majority (98.9%) of respondents relied on clinical interviews to assess depression; non-somatic symptoms of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria were more useful than somatic symptoms. The depression screening tools most frequently used were one-and twoitem questions. Pharmacological and non-pharmacological methods were used to treat depression, with selective serotonin reuptake inhibitors the most frequently prescribed medications. Psycho-educational and supportive counselling were the most frequently used non-pharmacological interventions. Nominated measures to augment depression management included improving access to psychiatry, psychology and other allied health services, the development of a screening tool specific to palliative care patients and associated guidelines for depression management.Conclusions. This is the first Australasian study to explore the practice of medical practitioners regarding depression in palliative patients. Incorporation of screening tool questions into palliative care assessment interviews may warrant future research.What is known about the topic? Depression in palliative care patients has a negative impact on quality of life; however, little is known about how Australasian palliative care medical practitioners manage depression in this patient population. What does this paper add? To the researchers' knowledge, this is the first Australasian study that explores the practices of local palliative care specialists in the management of depression in palliative patients. What are the implications for practitioners? Overall management of depression in palliative care populations by Australasian practitioners is similar to that of their European colleagues. Consensus is that for assessment of depression in palliative patients, non-somatic symptoms of DSM-IV criteria are more useful than somatic symptoms. Practitioners report the need for improved access to psychiatric, psychological and other support services, for a palliative care-specific depression screening tool and for depression management guidelines applicable to palliative care patients.

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The development of the Brief Edinburgh Depression Scale (BEDS) to screen for depression in patients with advanced cancer

Cited by 58 publications

References 16 publications

Evaluation of screening instruments for depression and anxiety in breast cancer survivors

Evaluation of screening instruments for depression and anxiety in breast cancer survivors

Diagnosing Levels of Distress in Specialist Palliative Care

Depression in palliative care patients: a survey of assessment and treatment practices of Australian and New Zealand palliative care specialists

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