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Assessing depression in fibromyalgia (FM) patients

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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

1 Star2 Stars3 Stars4 Stars5 Stars (59 votes, average: 2.95 out of 5)
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