Brief self-rated screening for depression on the Internet

Donker, Tara; van Straten, Annemieke; Marks, Isaac; Cuijpers, Pim

doi:10.1016/j.jad.2009.07.013

Cited by 88Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

Brief self-rated screening for depression on the Internet

Donker, Tara, van Straten, Annemieke, Marks, Isaac, Cuijpers, Pim·2010·Journal of Affective Disorders

DOI 10.1016/j.jad.2009.07.013

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Abstract

Background The Internet offers promising possibilities for the quick screening of depression for treatment and research purposes. This paper aims to validate three self-rated measures to screen for depression on the Internet: SID (single-item depression scale), CES-D (Center for Epidemiological Studies Depression scale) and K10 (Kessler psychological distress scale).Methods Of the 502 subjects aged 18-80 who rated the SID, CES-D and K10 measures on the Internet, 157 (31%) subjects were also interviewed by telephone using the WHO Composite International Diagnostic Interview (C)IDI) for DSM-IV-disorders.Results Cronbach's alpha for both web self-rated measures CES-D and K10 was 0.90. The SID correlated 0.68 (P<0.001) with the CES-D and with the K10. The CES-D correlated 0.84 with the K10 (P<0.001). Subjects with a DSM-IV diagnosis for any depressive disorder had significantly higher means (P<0.001) on the three self-rated measures for depressive symptoms than subjects without a diagnosis of any depressive disorder. Using any depressive disorder as the gold standard, the area under the curve (AUC) of the SID was 0.71 (95% CI: 0.63-0.79), which was significantly lower than the AUC of the CES-D (AUC: 0.84; 95% CI: 0.77-0.90, P=0.003) and of the K10 (AUC: 0.81; 95% CI: 0.73-0.88, P=0.0024). The AUCs for the K10 and CES-D did not differ significantly from each other.Limitations The CIDI interviews were not recorded, so inter-rater reliability could not be calculated.Conclusions The CES-D and K10 are reliable, valid tools for care providers to quickly screen depressive patients on the Internet and for researchers to collect data.

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A Dutch version of the Center for Epidemiological Studies-Depression Scale (CES-D) has been validated in an Internet-administrated form.
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Authors: Donker, T., van Straten, A., Marks, I., & Cuijpers, P.
Affiliations: Vrije Universiteit Amsterdam (NL)
ORCID: Donker, Tara
Cuijpers, Pim
Venue: Journal of Affective Disorders
Publisher: Elsevier BV
Published: 2010-05
Volume: 122
Issue: 3
Pages: 253-259
ISSN: 0165-0327 (ISSN-L)
DOI: 10.1016/j.jad.2009.07.013
OpenAlex: W2164760639
Cited by: 88
References: 56
Citations by year: 2026: 2 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 6 · 2018: 1 · 2017: 4 · 2016: 6 · 2015: 7 · 2014: 8 · 2013: 11 · 2012: 7
FWCI: 10.19
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Affective Disorders (publishedVersion)
PubMed (publishedVersion)
VU Research Portal (publishedVersion)
Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: Vrije Universiteit Amsterdam
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords: depression screening, internet-based screening, CES-D, Kessler K10, psychological distress, psychometric validation, area under the curve
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Depression, Female, Humans, Male, Middle Aged, Personality Inventory, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Self Concept, Reproducibility of Results, Area Under Curve, Internet, Young Adult

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Brief self-rated screening for depression on the Internet

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