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Two-question depression-screeners - the solution to all problems?

Cornelia Albani1, Harald Bailer, Gerd Blaser

  • 1University Clinic for Psychotherapy and Psychosomatic Medicine, University Hospital Leipzig, Leipzig, Germany.

Wiener Medizinische Wochenschrift (1946)
|July 11, 2006
PubMed
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A simple two-question depression screener effectively aids in excluding major depression diagnoses. Regular screening may reduce the number of undiagnosed depression cases.

Area of Science:

  • Psychiatry
  • Medical Screening

Background:

  • Depression is a significant medical issue with increasing prevalence.
  • A need exists for simple, rapid depression detection methods.
  • Recent literature suggests a two-question depression screener.

Purpose of the Study:

  • To evaluate the efficacy of a two-question depression screener.
  • To compare diagnostic accuracy metrics of the screener across different populations.

Main Methods:

  • The study compared sensitivity, specificity, and predictive values.
  • Data were analyzed from four clinical samples and one general population sample.

Main Results:

  • Depression prevalence varied from 6.9% to 18.1% across samples.

Related Experiment Videos

  • Sensitivity ranged from 72.6% to 96.6%, and specificity from 56.9% to 90.0%.
  • Negative predictive values were high (>97%), while positive predictive values were lower (17.8% to 38.5%).

    • Conclusions:

    • The two-question screener is effective for ruling out major depression.
    • Routine screening could decrease the rate of undiagnosed depression.