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Clinical utility of the Montgomery-Åsberg Depression Rating Scale for the detection of depression among bariatric surgery candidates.
Duarte-Guerra, Leorides Severo; Gorenstein, Clarice; Paiva-Medeiros, Paula Francinelle; Santo, Marco Aurélio; Lotufo Neto, Francisco; Wang, Yuan-Pang.
Afiliação
  • Duarte-Guerra LS; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, Brazil.
  • Gorenstein C; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, Brazil.
  • Paiva-Medeiros PF; Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.
  • Santo MA; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, Brazil.
  • Lotufo Neto F; Department of Surgery, University of São Paulo Medical School, São Paulo, Brazil.
  • Wang YP; Department and Institute of Psychiatry (LIM-23), University of São Paulo Medical School, São Paulo, Brazil.
BMC Psychiatry ; 16: 119, 2016 Apr 30.
Article em En | MEDLINE | ID: mdl-27138750
BACKGROUND: Clinical assessment of depression is an important part of pre-surgical assessment among individuals with morbid obesity. However, there is no agreed-upon instrument to identify mood psychopathology in this population. We examined the reliability and criterion validity of the clinician-administered Montgomery-Åsberg Depression Rating Scale (MADRS) and the utility of a short version for bariatric surgery candidates. METHODS: The sample was 374 patients with obesity, consecutively recruited from the waiting list of a bariatric surgery clinic of University Hospital, Brazil: women 80%, mean BMI 47 kg/m(2), mean age 43.0 years. The 10-item MADRS was analyzed against the SCID-I. Items that showed small relevance to sample's characteristics and contribution to data variability were removed to develop the short 5-item version of scale. We calculated the sensitivity and specificity of cutoff points of both versions MADRS, and values were plotted as a receiver operating characteristic curve. RESULTS: For the 10-item MADRS, the Cronbach's alpha coefficient was 0.93. When compared against SCID-I, the best cut-off threshold was 13/14, yielding sensitivity of 0.81 and specificity 0.85. Following items were removed: reduced appetite, reduced sleep, concentration difficulties, suicide thought and lassitude. The 5-item version showed an alpha coefficient of 0.94 and a best cut-off threshold of 10/11, yielding sensitivity of 0.81 and specificity 0.87. Similar overall ability to discriminate depression of almost 90% was found for both 10-item and 5-item MADRS. CONCLUSION: The MADRS is a reliable and valid instrument to assess depressive symptoms among treatment-seeking bariatric patients. Systematic application of the abbreviated version of the MADRS can be recommended for enhancing the clinical detection of depression during perioperative period.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Mental / Depressão / Cirurgia Bariátrica Tipo de estudo: Diagnostic_studies / Etiology_studies / Evaluation_studies / Prognostic_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: BMC Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Mental / Depressão / Cirurgia Bariátrica Tipo de estudo: Diagnostic_studies / Etiology_studies / Evaluation_studies / Prognostic_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: BMC Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido