Utility of the Brief Symptom Inventory in the Assessment of Psychological Distress

RESUMOIntrodução: A estimulação cerebral profunda (ECP) é eficaz na doença de Parkinson (DP) avançada, melhorando sintomas motores, flutuações e a qualidade de vida. No entanto, têm sido reportados efeitos adversos psiquiátricos, mas de uma forma variável e não padronizada. O objectivo deste artigo é analisar e sumarizar a evidência publicada sobre sintomas depressivos e ansiedade em doentes com DP após ECP, através de revisão sistemática e meta-análise. Material e Métodos: A PubMed foi pesquisada até Maio 2012 para identificar os estudos que avaliaram sintomas depressivos e ansiedade em doentes com doença de Parkinson submetidos a estimulação cerebral profunda bilateral do núcleo subtalâmico (NST) ou globo pálido interno (GPi). Foram feitas meta-análises com modelo de efeitos aleatórios para grupos de pelo menos três estudos homogéneos em relação ao desenho e instrumentos utilizados. Resultados: Foram selecionadas 63 referências; 98,4% continham dados relativos a escalas de avaliação de depressão e 38,1% relativos a ansiedade. Dois estudos não discriminavam o alvo usado; nos restantes 61 foi feita avaliação de curto prazo em 37 (60,7%), de médio prazo em 36 (59,0%) e de longo prazo em 5 (8,2%). Foram encontrados dados sobre variação pré/pós operatória em 57 (93,4%) estudos e 16 (26,2%) continham dados comparando ECP-NST versus outros grupos: ECP-GPi (n = 4 estudos, 25,0%), elegíveis para cirurgia (n = 6, 37,5%), e tratamento médico (n = 7, 43,8%). Discussão: É aparente a melhoria de depressão e ansiedade após ECP, sobretudo a curto prazo, efeito que tende a esbater-se em avaliações posteriores. Em relação à depressão a ECP-NST mostrou-se superior ao tratamento médico, mas não em comparação com o grupo de controlo elegível para cirurgia. Verificou-se o resultado oposto para a ansiedade, uma vez que os resultados favorecem o tratamento médico sobre a ECP-NST, e esta sobre o grupo de elegíveis para cirurgia. Não é evidente a superioridade de um alvo sobre o outro, mas os dados favorecem ligeiramente o GPi para ambos os tipos de sintomas. Conclusões:O padrão e curso dos sintomas depressivos e ansiedade após ECP na DP não são claros, mas ambos parecem melhorar no curto prazo, especialmente a depressão após a ECP-NST. Os resultados são bastante heterogéneos. Devem ser promovidos esforços no sentido de haver padronização de procedimentos de avaliação nos vários centros. Palavras-chave: Doença de Parkinson; Estimulação Cerebral Profunda; Ansiedade; Depressão; Meta-Análise. ABSTRACT Introduction: Deep brain stimulation (DBS) is effective in advancedParkinson's disease (PD), improving motor symptoms, fluctuations and quality of life. However, adverse psychiatric outcomes have been reported, albeit variably and in an unstandardized fashion. We aimed to summarize the published evidence on the outcomes of anxiety and depressive symptoms in Parkinson's disease patients following DBS, through systematic review and meta-analysis. Material and Methods: PubMed was searched until May 2012 to identify studies assessing anxiety and...

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“…Test-retest coefficients have been collected for the several psychometric instruments. [79][80][81][82][83][84][85][86][87][88][89][90] …”

Section: Methodsmentioning

confidence: 99%

Depression and Anxiety Following Deep Brain Stimulation in Parkinson’s Disease: Systematic Review and Meta-Analysis

et al. 2014

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“…Internal consistency reliabilities across subscales are acceptable for clinical populations (range = .57 to .89; Boulet & Boss, 1991;Broday & Mason, 1991;Hayes, 1997;Kellett, Beail, Newman, & Frankish, 2003). Additionally, internal consistency reliabilities for nonclinical, community samples for the different subscales ranged from .60 to .81 (Kellett et al, 2003), whereas they ranged from .52 to .86 for forensic populations (Kellett et al, 2003;Zinger, Wichmann, & Andrews, 2001).…”

Section: Brief Symptom Inventory (Bsi)mentioning

confidence: 97%

“…Additionally, internal consistency reliabilities for nonclinical, community samples for the different subscales ranged from .60 to .81 (Kellett et al, 2003), whereas they ranged from .52 to .86 for forensic populations (Kellett et al, 2003;Zinger, Wichmann, & Andrews, 2001). Item-total correlations for the scales ranged from .57 to .79, with a median correlation of .69, for clinical populations (Hayes, 1997) and ranged from .73 to .91 for forensic populations (Boulet & Boss, 1991 Cundick, 1975;Kellett et al, 2003;Piersma, Reaume, Boes, 1994) across nonclinical, clinical, and forensic samples. The BSI has been shown to be valid for studying change over time (Long, Harring, Brekke, Test, & Greenberg, 2007).…”

Section: Brief Symptom Inventory (Bsi)mentioning

confidence: 99%

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

O'Keefe¹,

Klebe²,

Stucker³

et al. 2011

PsycEXTRA Dataset

105

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The researchers would also like to acknowledge the support of Mr. Aristedes Zavaras and the staff at the Department of Corrections. This project would never have been possible without the commitment and contributions of management, mental health, case management, offender services, and security staff.This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice.ii ABSTRACT One of the most widely debated topics in the field of corrections -the use of long-term administrative segregation (AS) -has suffered from a lack of empirical research. Critics have argued that the conditions of AS confinement exacerbate symptoms of mental illness and create mental illness where none previously existed. Empirical research has had little to offer this debate; the scant empirical research conducted to date suffers from research bias and serious methodological flaws. This study seeks to advance the literature in this regard.This study tested three hypotheses: (1) offenders in AS would develop an array of psychological symptoms consistent with the security housing unit (SHU) syndrome, (2) offenders with and without mental illness would deteriorate over time in AS, but at a rate more rapid and extreme for the mentally ill, and (3) inmates in AS would experience greater psychological deterioration over time than the comparison groups.Study participants included male inmates who were placed in AS and comparison inmates in the general population (GP). Placement into AS or GP conditions occurred as a function of routine prison operations. GP comparison participants included those at risk of AS placement due to their institutional behavior. Inmates in both of these study conditions (AS, GP) were divided into two groups -inmates with mental illness (MI) and with no mental illness (NMI). A third comparison group of inmates with severe mental health problems placed in San Carlos Correctional Facility, a psychiatric care prison facility, was also included. A total of 302 inmates were approached to participate in the study, and 55 refused to participate or later withdrew their consent. Participants were tested at 3-month intervals over a yearlong period.Standardized test data were collected through self-report, correctional staff and clinical staff measures. Tests with demonstrated reliability and validity were selected to assess the eight primary constructs of interest: (1) anxiety, (2) cognitive impairment, (3) depression-hopelessness, (4) hostility-anger control, (5) hypersensitivity, (6) psychosis, (7) somatization, and (8) withdrawal-alienation. Extensive analyses of psychometric properties revealed that inmates self-reported psychological and cognitive symptoms in remarkably reliable and valid ways.The results of this study were largely inconsistent with our hypotheses and the bulk of literature that indi...

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“…The BSI has been used both domestically and internationally with diverse populations, which limits the challenge of these findings. 11,[54][55][56][57][58][59] The limitations of this study include the use of self-report data, although these types of measurement are often the norm for initial assessments of psychological distress in a clinical setting. While this study reports the levels of psychological distress experienced among African Americans living with HIV at one mental health clinic in a southeastern U.S. city, this sample tends to be similar to other HIV-related care seeking populations in other major cities of the United States.…”

Section: Shacham Et Al 418mentioning

confidence: 99%

Symptoms of Psychological Distress among African Americans Seeking HIV-Related Mental Health Care

Shacham

Basta

Reece

2008

AIDS Patient Care and STDs

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The purpose of this study was to examine the prevalence of symptoms of psychological distress experienced by African Americans upon self-enrollment in HIV-related mental health care and to compare the symptoms in this sample to the Brief Symptom Inventory (BSI) normative sample, the instrument used in this study to assess symptoms of psychological distress. Data were collected from 575 African Americans living with HIV who self-enrolled at an HIV-related mental health clinic located in a large city in the southeastern United States. Nearly 20% of the sample reported a t score Ն 63 for both somatization and paranoid ideation, a level indicative of a need for further psychological evaluation. Compared to the normative sample, this sample had significantly lower levels (p Ͻ 0.05) of anxiety, depression, phobic anxiety, interpersonal sensitivity, and global severity index than the normative sample and had significantly higher levels of paranoid ideation and somatization than the normative sample. These results indicate that, overall, African Americans presented for mental health services with lower levels of symptoms of psychological distress than the normative sample. To that end, it is possible that African Americans living with HIV may underreport symptoms of psychological distress or may experience symptoms of psychological distress differently than other individuals. As a result, it is important that HIV-related service providers recognize these patterns of psychological distress and provide appropriate referrals to HIV-related mental health providers. 413

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Utility of the Brief Symptom Inventory in the Assessment of Psychological Distress

Cited by 100 publications

References 21 publications

Depression and Anxiety Following Deep Brain Stimulation in Parkinson’s Disease: Systematic Review and Meta-Analysis

Depression and Anxiety Following Deep Brain Stimulation in Parkinson’s Disease: Systematic Review and Meta-Analysis

One Year Longitudinal Study of the Psychological Effects of Administrative Segregation

Symptoms of Psychological Distress among African Americans Seeking HIV-Related Mental Health Care

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