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Assessing depression in fibromyalgia (FM) patients

  [ 59 votes ]   [ Discuss This Article ]
www.ProHealth.com • March 2, 1994


PURPOSE. This study investigated the relationships among four
methods of detecting depression in patients with fibromyalgia.

METHODS. Data were obtained from 100 women (mean age 43 years)
who had been diagnosed with fibromyalgia. Instruments included
a computerized Diagnostic Interview Schedule (C-DIS), Beck
Depression Inventory (BDI), an adjusted "disease-free" BDI
(BDI-A), and Minnesota Multiphasic Personality Inventory
depression subscale (MMPI-D). Chance-corrected concordance,
sensitivity, specificity, and accuracy among the four methods
were calculated.

RESULTS. The C-DIS detected 22% and BDI-A 29%
with current major depression. The BDI and MMPI-D yielded
higher estimates of 55% of the 44%, respectively. Agreement on
the diagnosis among the four methods was significantly greater
than chance. When compared with the C-DIS, the BDI was the
most sensitive instrument and the BDI-A most specific.

Burckhardt CS, O'Reilly CA, Wiens AN, Clark SR, Campbell SM, Bennett
RM




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