期刊
GENERAL HOSPITAL PSYCHIATRY
卷 42, 期 -, 页码 60-66出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2016.07.005
关键词
Depression; Chronic kidney disease; Comorbidity; Screening; Assessment
类别
资金
- Veterans Affairs MERIT grant [CX000217-01]
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK, NIH) [R01DK085512]
- NIMH [K23MH104768]
- Hersh Foundation
- Center for Depression Research and Clinical Care
Objective: Because there is overlap between somatic symptoms of depression and symptoms of chronic kidney disease (CKD), it is unclear if self-reported depression rating scales can be used accurately in predialysis CKD patients, especially if CKD and other comorbidities are symptomatic. We assessed the performance of two depression scales - the Beck Depression Inventory (BDI) and the Quick Inventory of Depression Symptomatology (QIDS-SR16) - by CKD stage, diagnosis of diabetes and total medical comorbidity burden using item response theory (IRT) in a sample of 272 predialysis CKD patients. Methods: We performed IRT by low versus high CKD stage, diabetes versus no diabetes and high (>3 diagnoses) versus low medical comorbidity burden. Results: IRT models of each rating scale were affected in a limited way by CKD stage, diabetes and medical comorbidity burden. Sleep disturbances on the QIDS-SR16 were more discriminatory for depression in diabetics and those with high comorbidity burden. Pessimism and guilt from the BDI compared to QIDS-SR16 were more discriminatory of depression in the high CKD and high comorbidity groups, respectively. Conclusions: Overall item differences were modest, and chronic disease severity by CKD stage, diabetes mellitus or other medical comorbidities did not appreciably contribute to differences in scale performance. (C) 2016 Published by Elsevier Inc.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据