Validity of the Beck Depression Inventory-Fast Screen in multiple sclerosis

Benedict, Ralph H. B.; Fishman, Inna; McClellan, Michelle; Bakshi, Rohit; Weinstock‐Guttman, Bianca

doi:10.1191/1352458503ms902oa

Cited by 294 publications

(199 citation statements)

References 24 publications

(20 reference statements)

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“…The MFIS, EDSS, BDI-FS, and MOS PES are all validated instruments that are wellcharacterized in the MS population. [22][23][24][25] Subjective sleepiness was evaluated using the Epworth Sleepiness Scale (ESS), which is a validated widely-used measure in the sleep literature. 26 Subjective sleep characteristics were assessed using a sleep questionnaire for common sleep habits.…”

Section: Methodsmentioning

confidence: 99%

Multiple Sclerosis Fatigue is Associated with Reduced Psychomotor Vigilance

Rotstein

O’Connor²,

Lee³

et al. 2012

Can. J. Neurol. Sci.

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Fatigue is a common and disabling symptom in those who suffer from multiple sclerosis (MS). Studies indicate that more than 75% of MS patients suffer from fatigue. 1-3 Two-thirds of MS patients rank fatigue as one of their three most debilitating symptoms. 1 Multiple sclerosis fatigue is particularly aggravated by heat and can significantly impair physical activity. 1 It is one of the main causes of work absenteeism in individuals with MS. 4 Yet fatigue is a lay term that remains subjectively defined and assessment of fatigue is therefore dependent on self-report. Perhaps as a result, the physiologic substrates of MS fatigue are not well-described. The subjective experience of fatigue is multifactorial and has been correlated with factors such as disability, depression, and pain. [5][6][7] Interestingly, no clear association has been established between MS fatigue and demographic factors, such as age and gender; lesion burden; or the clinical form of MS. 1,[7][8][9] ABSTRACT: Background: Fatigue is common and disabling in multiple sclerosis, yet its physiologic substrates remain poorly defined. The aim of this study was to determine the relationship between fatigue and an objective measure of alertness in MS patients. Methods: This study enrolled 49 consecutive MS clinic patients at two academic hospitals in Toronto. Alertness was assessed with the psychomotor vigilance test (PVT), a ten-minute reaction-time test that measures attention and is sensitive to sleep loss. Patients with visual impairment or arm weakness were excluded. Validated tools were used to assess fatigue, disability, mood, and pain. Results: The average age was 43; 65% were women. Median EDSS was 2.0 (range 0-7.5). Fifty-five percent reported a high impact of fatigue on their lives. Psychomotor vigilance test performance was worse than in an age-and sex-matched population, with a mean reaction time of 315 msecs and 3.98 lapses >500 msec (p<0.001). In a multiple regression analysis, fatigue was the most significantly correlated factor with mean PVT reaction time (p<0.05), and disability was also significantly correlated (p<0.01). Mood and pain did not correlate with the PVT. Eighteen (37%) reported often experiencing restlessness in their legs at night. Conclusion: Subjective fatigue and disability were associated with poor performance on alertness testing in MS patients. This research highlights a potential role for psychomotor vigilance testing in providing a standardized assessment tool for an important aspect of MS-related fatigue.RÉSUMÉ: La fatigue dans la sclérose en plaques est associée à une diminution de la vigilance psychomotrice. Contexte : La fatigue est un symptôme fréquent et invalidant chez les patients atteints de la sclérose en plaques (SP) et sa cause physiologique demeure mal définie. Le but de cette étude était de déterminer la relation entre la fatigue et une mesure objective de vigilance chez des patients atteints de la SP. Méthode : Nous avons inclus 49 patients consécutifs de cliniques de SP situées dans deux hôpitaux ac...

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Section: Methodsmentioning

confidence: 99%

Multiple Sclerosis Fatigue is Associated with Reduced Psychomotor Vigilance

Rotstein

O’Connor²,

Lee³

et al. 2012

Can. J. Neurol. Sci.

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“…8,9 However, these studies have not used a gold standard comparison, which is necessary to assess criterion-related validity. Within psychiatric disorders the gold standard is considered to be a structured diagnostic interview.…”

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confidence: 99%

Validation of Mood Measures for People with Multiple Sclerosis

Watson¹,

Ford²,

Worthington³

et al. 2014

International Journal of MS Care

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“…As in previous work (Benedict et al, 2003) patients were considered to be depressed if their score on the BDIFS was .3 (Beck et al, 2000). ANCOVA, with age as the covariate, comparing group means on the total score of the BDI-FS showed no significant group differences.…”

Section: Analysis B Correlation With Depressionmentioning

confidence: 75%

“…The Delis-Kaplan Executive Function System Sorting Test (DKEFS) (Delis et al, 2001) was employed for the assessment of executive function, including the Correct Sorts and Descriptions scores. Finally, the Beck Depression Inventory-Fast Screen (BDIFS) (Beck et al, 2000), validated in the MS population (Benedict et al, 2003), was included as an index of depression.…”

Section: Methodsmentioning

confidence: 99%

Influence of recruitment and participation bias in neuropsychological research among MS patients

Duquin

Parmenter

Benedict

2008

J Inter Neuropsych Soc

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The potential influence of recruitment context in neuropsychological (NP) research is seldom addressed in the literature. Our experience with a previous large-scale study of MS cognitive impairment led us to speculate that referral questions and motivation bias significantly impact conclusions drawn from NP testing. We re-analyzed data from Benedict et al. (2006) and compared the results obtained across three groups of patients: paid research volunteers, clinical patients undergoing evaluation for routine monitoring of cognitive status, and clinical patients referred for diagnostic clarification, determination of disability benefits, and other more complex issues. Research volunteers were significantly younger and less frequently cognitively impaired compared to the clinical groups, greatly affecting prevalence estimates (45.6 to 65.6%). Significant correlations between depression and cognitive impairment were present only among the research volunteers. NP testing significantly predicted vocational outcomes in all groups. These results suggest that greater attention should be paid to the reasons patients agree to participate in NP testing. (JINS, 2008, 14, 494-498.)

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Validity of the Beck Depression Inventory-Fast Screen in multiple sclerosis

Abstract: These data support the concurrent and discriminative validity of the BDI-FS in MS. As the test is brief and not confounded with neurological symptoms, it is recommended for depression screening in this population.

Cited by 294 publications

References 24 publications

Multiple Sclerosis Fatigue is Associated with Reduced Psychomotor Vigilance

Multiple Sclerosis Fatigue is Associated with Reduced Psychomotor Vigilance

Validation of Mood Measures for People with Multiple Sclerosis

Influence of recruitment and participation bias in neuropsychological research among MS patients

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