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Depression measures in outcomes research.

V J Vahle1, E M Andresen, K J Hagglund

  • 1Department of Community Health, Saint Louis University School of Public Health, MO 63108, USA. vahlev@neuro.wustl.edu

Archives of Physical Medicine and Rehabilitation
|December 29, 2000
PubMed
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This review critically examines depression screening tools for disability outcomes research. While generally easy to use, some measures overlap with physical impairment symptoms, requiring careful application.

Area of Science:

  • Psychiatry
  • Rehabilitation Medicine
  • Health Outcomes Research

Background:

  • Depression screening is crucial for disability outcomes research.
  • Existing measures need critical evaluation for this specific population.
  • The Brief Symptom Inventory and Center for Epidemiologic Studies Depression Scale are commonly used.

Purpose of the Study:

  • To critically review depression screening measures for disability outcomes research.
  • To recommend appropriate measures and identify areas for future research.
  • To assess the suitability of current instruments for individuals with disabilities.

Main Methods:

  • A comprehensive literature review was conducted using MEDLINE.
  • Instruments were selected based on their use in disability populations and their psychometric properties (reliability and validity).

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  • Two instruments underwent a full review, and five underwent a brief review.

    • Main Results:

    • A critical review of depression measures applicable to individuals with disabilities was performed.
    • Screening measures are generally easy to administer and score, with low respondent burden and good face validity.
    • High participation rates are often achieved due to the usability of these instruments.

    Conclusions:

    • Screening measures for depression are practical for disability outcomes research.
    • A key challenge is the overlap between depressive symptoms and physical impairment indicators.
    • Further research is needed to refine or develop measures that accurately capture depression in people with disabilities.