Cited by 176Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessPsychometric Methodologies and Testing

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The validity of the Dutch K10 and extended K10 screening scales for depressive and anxiety disorders

Donker, Tara, Comijs, Hannie, Cuijpers, Pim, Terluin, Berend, Nolen, Willem, Zitman, Frans, Penninx, Brenda·2010·Psychiatry Research

DOI 10.1016/j.psychres.2009.01.012

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Abstract

The aim of this study was to validate the Dutch version of the Kessler-10 (K10) as well as an extended version (EK10) in screening for depressive and anxiety disorders in primary care. Data are from 1607 participants (18 through 65 years, 68.8% female) of the Netherlands Study of Depression and Anxiety (NESDA), recruited from 65 general practitioners. Participants completed the K10, extended with five additional questions focusing on core anxiety symptoms, and were evaluated with the WHO Composite International Diagnostic Interview (CIDI lifetime version 2.1) to assess DSM-IV disorders (major depressive disorder, dysthymia, generalized anxiety disorder, social phobia, panic disorder, agoraphobia). Reliability (Cronbach's alpha) of the Dutch K10 was 0.94. Based on Receiver Operating Characteristics (ROC) analysis, the area under the curve (AUC) for the K10 for any depressive and/or anxiety disorder was found to be 0.87. The extended questions on the EK10 significantly improved the detection of anxiety disorders in particular. With a cut-off point of 20, the K10 reached a sensitivity of 0.80 and a specificity of 0.81 for any depressive and/or anxiety disorder. For the EK10, a cut-off point of 20 and/or at least one positive answer on the additional questions provided a sensitivity of 0.90 and a specificity of 0.75 for detecting any depressive and/or anxiety disorder. The Dutch version of the K10 is appropriate for screening depressive disorders in primary care, while the EK10 is preferred in screening for both depressive and anxiety disorders.

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Authors: Donker, T., Comijs, H., Cuijpers, P., Terluin, B., Nolen, W., Zitman, F., & Penninx, B.
Affiliations: Amsterdam Public Health (NL)
University Medical Center Groningen (NL)
Leiden University Medical Center (NL)
Corresponding author: Donker, Tara
ORCID: Donker, Tara
Comijs, Hannie
Cuijpers, Pim
Terluin, Berend
Nolen, Willem
Zitman, Frans
Penninx, Brenda
Venue: Psychiatry Research
Publisher: Elsevier BV
Published: 2010-03
Volume: 176
Issue: 1
Pages: 45-50
ISSN: 0165-1781 (ISSN-L)
DOI: 10.1016/j.psychres.2009.01.012
OpenAlex: W2119394554
Cited by: 175
References: 36
Citations by year: 2026: 5 · 2025: 10 · 2024: 7 · 2023: 15 · 2022: 10 · 2021: 22 · 2020: 8 · 2019: 3 · 2018: 9 · 2017: 7 · 2016: 7 · 2015: 15 · 2014: 17 · 2013: 11 · 2012: 10
FWCI: 15.49
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Psychiatry Research (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Leiden Repository (Leiden University) (submittedVersion)
Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
VU Research Portal (submittedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders: Rivierduinen
GGZ Friesland
GGZ Drenthe
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords: Kessler K10, screening tool, depressive disorders, anxiety disorders, primary care, Dutch translation, psychometric validation, sensitivity and specificity, major depressive disorder, generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, dysthymia, NESDA
MeSH terms: Adolescent, Adult, Aged, Anxiety Disorders, Depression, Female, Humans, Male, Mass Screening, Middle Aged, Netherlands, Psychiatric Status Rating Scales, Psychometrics, ROC Curve, Reproducibility of Results, Young Adult

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The validity of the Dutch K10 and extended K10 screening scales for depressive and anxiety disorders

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