Matthew Carolyn, Dahle Nina, Roskvist Rachel, Moir Fiona, Arroll Bruce
Department of General Practice and Primary Health Care, University of Auckland, Auckland, New Zealand.
Centre for Clinical Research, Uppsala University, Falun, Sweden.
J Family Med Prim Care. 2023 Jul;12(7):1367-1370. doi: 10.4103/jfmpc.jfmpc_9_23. Epub 2023 Jul 14.
Case finding for low mood is essential in primary care, but it is time-consuming using current depression inventories. The Burns Depression Scale Today (BDST) is a short, simple inventory which assesses mood for today, and we aimed to validate it in this study.
Consecutive patients with emotional distress seen in a single primary care clinic by one of the authors over 22 months were eligible for this retrospective audit ( = 160). Multiple visits ( = 421) from the same patient were included in the study. The index test was BDST, which assesses the patient's mood for today. The reference standard was the 9-item Patient Health Questionnaire (PHQ-9), which assesses mood over the past 2 weeks. PHQ-9 had a cut-off point of ≥10 and BDST had a cut-off point of ≥6 for a significant mood issue.
The median age of patients was 35 years, and 63% of the cohort were women. The median BDST score was 8, indicative of moderately low mood, and the median PHQ-9 score was 15, indicative of moderately severe depression. For patients with a BDST score ≥6, the likelihood ratio of a positive test was 2.67. The sensitivity was 85% (95% confidence interval [CI]: 89%-96%) and the specificity was 68% (95% CI: 60%-76%). The area under the curve was 84% (95% CI: 80%-87%).
This audit validates BDST against PHQ-9 and finds it an excellent case-finding tool compared to PHQ-9. This is the first validation study of BDST.
在初级医疗保健中，发现情绪低落的病例至关重要，但使用当前的抑郁量表耗时较长。《今日伯恩斯抑郁量表》（BDST）是一个简短、简单的量表，用于评估当日情绪，我们旨在本研究中对其进行验证。
在22个月内由作者之一在单一初级医疗保健诊所接诊的连续情感困扰患者符合本回顾性审计要求（n = 160）。研究纳入了同一患者的多次就诊情况（n = 421）。指标测试为BDST，用于评估患者当日情绪。参考标准为9项患者健康问卷（PHQ - 9），用于评估过去2周的情绪。对于显著的情绪问题，PHQ - 9的临界值为≥10，BDST的临界值为≥6。
患者的中位年龄为35岁，队列中63%为女性。BDST的中位得分为8，表明情绪为中度低落，PHQ - 9的中位得分为15，表明为中度严重抑郁。对于BDST得分≥6的患者，阳性检测的似然比为2.67。敏感性为85%（95%置信区间[CI]：89% - 96%），特异性为68%（95% CI：60% - 76%）。曲线下面积为84%（95% CI：80% - 87%）。
本审计通过PHQ - 9对BDST进行了验证，发现与PHQ - 9相比，它是一种出色的病例发现工具。这是BDST的首次验证研究。
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