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Cited by 62Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesTreatment of Major Depression

Screening for depressive disorders in patients with skin diseases: a comparison of three screeners

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Picardi, Angelo, Adler, David, Abeni, Damiano, Chang, Hong, Pasquini, Paolo, Rogers, William, Bungay, Kathleen·2005·Acta Dermato Venereologica
DOI 10.1080/00015550510034966
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Abstract

Despite being common, depression often goes undetected in patients with skin diseases. Our aim was to examine and compare the performance of three depression screeners. We studied dermatological inpatients aged 18-65 years. They completed the questionnaires Primary Care Screener for Affective Disorders (PC-SAD), Patient Health Questionnaire (PHQ) and General Health Questionnaire (GHQ-12) and were administered a standardized psychiatric interview (SCID-I) by a mental health professional, who was unaware of the questionnaire answers. The analysis was performed on 141 patients with complete data (79% of all eligible patients, 89% of all patients who agreed to participate). The prevalence of the main forms of depression, major depressive disorder and dysthymic disorder, was 8.4% and 6.3%, respectively. For major depressive disorder, the sensitivity and specificity of the questionnaires were as follows: PC-SAD, 73% and 88%; PHQ, 55% and 91%; GHQ-12, 73% and 78%. For dysthymic disorder, the sensitivity and specificity were as follows: PC-SAD, 56% and 95%; PHQ, 44% and 90%; GHQ-12, 56% and 76%. The small sample size suggests caution in drawing conclusions about the relative merits of these screeners. Although both the GHQ and the PHQ are short and easily hand scored, the first is a generic screener for psychiatric morbidity that is not specific for depression, while the second displayed modest sensitivity. The PC-SAD, with short average administration time, acceptable sensitivity and high specificity, might be particularly useful in settings where the technology for computer automated scoring is available. Although screening programmes might be useful, they should be supplemented by quality improvement programmes and by the development of consultation-liaison services.

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Authors
Picardi, A., Adler, D., Abeni, D., Chang, H., Pasquini, P., Rogers, W., & Bungay, K.
Affiliations
  • Istituto Dermopatico dell'Immacolata (IT)
  • Tufts University (US)
ORCID
Venue
Acta Dermato Venereologica
Publisher
MJS Publishing, Medical Journals Sweden AB
Published
2005-09-01
Volume
85
Issue
5
Pages
414-419
ISSN
0001-5555 (ISSN-L)
DOI
10.1080/00015550510034966
OpenAlex
W2051606095
Cited by
62
References
38
Citations by year
2026: 3 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 2 · 2012: 7
FWCI
4.01
Type
journal article
Language
en
Open access
Locations
  • Acta Dermato Venereologica (publishedVersion)
  • PubMed (publishedVersion)
  • INFM-OAR (INFN Catania) (submittedVersion, other-oa)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
depression screening, skin diseases, dermatology inpatients, major depressive disorder, dysthymia, Patient Health Questionnaire, General Health Questionnaire, sensitivity and specificity, psychiatric morbidity, consultation-liaison services
MeSH terms
Adolescent, Adult, Depression, Depressive Disorder, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Surveys and Questionnaires, Sensitivity and Specificity, Skin Diseases, Dysthymic Disorder

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