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Medline ® Abstract for Reference 77

of 'Screening for depression in adults'

Use of the Beck Depression Inventory for Primary Care to screen for major depression disorders.
Steer RA, Cavalieri TA, Leonard DM, Beck AT
Gen Hosp Psychiatry. 1999;21(2):106.
To ascertain how effective the Beck Depression Inventory for Primary Care (BDI-PC) was in screening for DSM-IV major depression disorders (MDD) in outpatients who were scheduled for routine office visits with physicians specializing in internal medicine, the BDI-PC was administered to 60 male and 60 female outpatients. The internal consistency of the BDI-PC was high (alpha 0.85), and the Mood Module from the Primary Care Evaluation of Mental Disorders was used to diagnose MDD. The BDI-PC scores were not significantly correlated with sex, age, ethnicity, or total number of medical diagnoses. A BDI-PC cutoff score of 4 and above yielded 98% maximum clinical efficiency with 97% (95% CI 82%-99%) sensitivity and 99% (95% CI 94%-99%) specificity rates, respectively, for identifying patients with and without MDD. The BDI-PC is discussed as an effective case-finding instrument for screening primary care patients for MDD.
University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, Department of Psychiatry, Stratford, New Jersey 08084-1350, USA.