The validity of the Depression Scale (DEPS) to assess the severity of depression in primary care patients

Poutanen, Outi; Koivisto, Anna‐Maija; Kääriä, Suvi; Salokangas, Raimo K. R.

doi:10.1093/fampra/cmq040

Cited by 34 publications

(30 citation statements)

References 34 publications

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“…The self‐rating Depression Scale (DEPS) was developed in Finland as a method to screen for symptoms of depression in primary care patients 24 . The psychometric properties of the DEPS have been demonstrated and found good 25,26 . The DEPS comprises 10 items depicting various aspects of depressed mood (item examples: During the last month I have “Felt low in energy or slowed down”, “Had feelings of worthlessness”).…”

Section: Methodsmentioning

confidence: 99%

Symptom severity in burning mouth syndrome associates with psychological factors

Forssell

Teerijoki-Oksa

Puukka

et al. 2020

J of Oral Rehabilitation

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Burning mouth syndrome (BMS) patients are psychologically distressed, but whether this associates with symptom severity is unclear. The aim was to investigate the association of psychological factors with pain intensity and interference in BMS. Fifty‐two women (mean age 63.1, SD 10.9) with BMS participated. Pain intensity and interference data were collected using 2‐week pain diaries. Psychological factors were evaluated using Depression Scale (DEPS), Pain Anxiety Symptom Scale (PASS) and Pain Vigilance and Awareness Questionnaire (PVAQ). The local ethical committee approved the study. Patients were divided into groups based on pain severity distribution tertiles: low intensity (NRS ≤ 3.7) or interference (NRS ≤ 2.9) (tertiles 1‐2, n = 35) and moderate to intense intensity (NRS > 3.7) or interference (>2.9) (tertile 3, n = 17). T test, Wilcoxon's test and Pearson's correlation coefficient were used in the analyses. Patients in the highest intensity and interference tertiles reported more depression (P = .0247 and P = .0169) and pain anxiety symptoms (P = .0359 and P = .0293), and were more preoccupied with pain (P = .0004 and P = .0003) than patients in the low intensity and interference groups. The score of the pain vigilance questionnaire correlated significantly with pain intensity (r = .366, P = .009) and interference (r = .482, P = .009). Depression (r = .399, P = .003) and pain anxiety symptoms (r = .452, P = .001) correlated with pain interference. Symptom severity in BMS associates with symptoms of psychological distress emphasising the need to develop multidimensional diagnostics for the assessment of BMS pain.

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Section: Methodsmentioning

confidence: 99%

Symptom severity in burning mouth syndrome associates with psychological factors

Forssell

Teerijoki-Oksa

Puukka

et al. 2020

J of Oral Rehabilitation

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“…The DEPS questionnaire consists of 10 items, and scores vary from 1 to 30 points. The cut‐off point for depressive symptoms is ≥9, while the cut‐off point for clinical depression is ≥12 …”

Section: Methodsmentioning

confidence: 99%

Implementation of a depression screening protocol among respiratory insufficiency patients

Kerminen

Jämsen

Jäntti

et al. 2019

Clinical Respiratory J

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Introduction Unnoticed and untreated depression is prevalent among patients with chronic respiratory insufficiency. Comorbid depression causes suffering and worsens patients’ outcomes. Objectives The objective of this evaluation was to assess preliminary outcomes of a depression screening protocol among chronic respiratory insufficiency patients at a tertiary care pulmonary outpatient clinic. Methods In the depression screening protocol, the patients filled the Depression Scale (DEPS) questionnaire. Patients whose scores suggested depression were offered the opportunity of a further evaluation of mood at a psychiatric outpatient clinic. The outcomes of the protocol were evaluated retrospectively from the patient records. Results During the period of evaluation, 238 patients visited the outpatient clinic. DEPS was administered to 176 patients (74%), of whom 60 (34%) scored ≥9 (out of 30), thus exceeding the cut‐off for referral. However, only 13 patients were referred, as the remainder declined the referral. Finally, seven patients were evaluated at the psychiatric clinic, and they all were deemed depressive. Symptoms of depression were most prevalent among patients with a long smoking history, refractory dyspnoea and a history of depression. Conclusion Depression screening was positive in a third of the patients. The depression screening protocol improved the detection of depression symptoms, but the effects on the patients’ treatment and clinical course were small. Rather than referring patients to a psychiatric unit, the evaluation and management of depression should be undertaken at the pulmonary unit.

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“…DEPS identifies two groups of patients; those with no depressive symptoms and those with depressive symptoms. The reported cut-off point for clinical depression is 12 points (sensitivity 75 %, specificity 70 %), which was used in the analysis of the present results [13].…”

Section: Depressive Symptomsmentioning

confidence: 99%

The prevalence of depressive symptoms before and after surgery and its association with disability in patients undergoing lumbar spinal fusion

et al. 2013

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One-third of our patients with chronic back pain undergoing spinal fusion had depressive symptoms pre-operatively. The prevalence of depressive symptoms decreased after surgery. Although disability remained higher in those patients who had reported depressive symptoms pre-operatively, disability did decrease significantly in both groups post-operatively. Thus, there is no need to exclude depressive patients from operation, but screening measures and appropriate treatment practises throughout both pre-operative and post-operative periods are encouraged.

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The validity of the Depression Scale (DEPS) to assess the severity of depression in primary care patients

Abstract: The DEPS has some ability to identify severity of depression in primary care patients. Further research with larger unscreened material is called for.

Cited by 34 publications

References 34 publications

Symptom severity in burning mouth syndrome associates with psychological factors

Symptom severity in burning mouth syndrome associates with psychological factors

Implementation of a depression screening protocol among respiratory insufficiency patients

The prevalence of depressive symptoms before and after surgery and its association with disability in patients undergoing lumbar spinal fusion

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