Abstract:
AIMS:The aim of this study was to determine if chronic pain patients with symptoms of depression could be identified by one single question. METHODS:Data from 595 patients, 55% women, and 45% men, from three different patient populations; low back pain patients (n = 387), whiplash patients (n = 119), and disability pensioners (n = 89), were analysed. We evaluated the test characteristics of one question on depression from the Subjective Health Complaints (SHC) Inventory. The respondents report if, and to what extent, they have been affected by sadness/depression in the last 30 days. The Hopkins Symptom Checklist-25 (HSCL-25) was used as the criterion standard. HSCL-25 is a self-report symptom rating scale with two dimensions: depression and anxiety. ''Depressed'' was defined as having a score above 1.75 on the depression subscale. RESULTS:Thirty-three per cent of the patients were depressed according to HSCL-25. The sensitivity of the single SHC depression-question was 79%, and the specificity was 81%. Positive predictive value was 67% while negative predictive value was 89%. Kappa value for all groups combined was 0.58 (p < 0.001). The receiver operating characteristic (ROC) curve showed an area under the curve of 0.83. CONCLUSIONS:The depression-question from SHC identified most of the depressed patients measured by HSCL-25 in low back pain patients, whiplash patients, and disability pensioners, and can therefore be considered an indicator of depression. Satisfactory sensitivity and specificity were detected, as well as similar responsiveness as determined by the ROC analyses. The results indicate that one simple question could replace a whole questionnaire (HSCL-25) in identifying depressive patients.
journal_name
Scand J Public Healthjournal_title
Scandinavian journal of public healthauthors
Reme SE,Eriksen HRdoi
10.1177/1403494810376559subject
Has Abstractpub_date
2010-08-01 00:00:00pages
618-24issue
6eissn
1403-4948issn
1651-1905pii
1403494810376559journal_volume
38pub_type
杂志文章abstract:UNLABELLED:Hearing difficulties is a growing public health problem and more knowledge of consequences of those difficulties in working life is warranted. AIMS:To study the future risk of being granted a disability pension (DP) among people with sickness absence with an otoaudiological diagnoses (OAD) compared to other...
journal_title:Scandinavian journal of public health
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pub_type: 杂志文章,meta分析
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abstract::The study examines gender-related injury frequency by the type of school activity. Data were taken from an injury register created during the school year 1996/97 with the help of 79 Swedish public-sector schools. Injury ratios (IRs) by gender, type of municipality, and type of school were computed for injuries during ...
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abstract:AIMS:To examine the development in pedometer-determined physical activity from 2007-2008 to 2011-2012 in the adult Danish population. METHODS:The study population comprised two random samples of 18-75-year-old individuals who took part in cross-sectional studies in 2007-2008 (n=224) and 2011-2012 (n=1515). Pedometer d...
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