Web-based tools can be used reliably to detect patients with major depressive disorder and subsyndromal depressive symptoms

Chao-Cheng Lin; Ya-Mei Bai; Chia-Yih Liu; Mei-Chun Hsiao; Jen-Yeu Chen; Shih-Jen Tsai; Wen-Chen Ouyang; Chia-hsuan Wu; Yu-Chuan Li
January 2007
BMC Psychiatry;2007, Vol. 7, p12
Academic Journal
Background: Although depression has been regarded as a major public health problem, many individuals with depression still remain undetected or untreated. Despite the potential for Internet-based tools to greatly improve the success rate of screening for depression, their reliability and validity has not been well studied. Therefore the aim of this study was to evaluate the testretest reliability and criterion validity of a Web-based system, the Internet-based Self-assessment Program for Depression (ISPD). Methods: The ISP-D to screen for major depressive disorder (MDD), minor depressive disorder (MinD), and subsyndromal depressive symptoms (SSD) was developed in traditional Chinese. Volunteers, 18 years and older, were recruited via the Internet and then assessed twice on the online ISP-D system to investigate the test-retest reliability of the test. They were subsequently prompted to schedule face-to-face interviews. The interviews were performed by the research psychiatrists using the Mini-International Neuropsychiatric Interview and the diagnoses made according to DSM-IV diagnostic criteria were used for the statistics of criterion validity. Kappa (?) values were calculated to assess test-retest reliability. Results: A total of 579 volunteer subjects were administered the test. Most of the subjects were young (mean age: 26.2 ± 6.6 years), female (77.7%), single (81.6%), and well educated (61.9% college or higher). The distributions of MDD, MinD, SSD and no depression specified were 30.9%, 7.4%, 15.2%, and 46.5%, respectively. The mean time to complete the ISP-D was 8.89 ± 6.77 min. One hundred and eighty-four of the respondents completed the retest (response rate: 31.8%). Our analysis revealed that the 2-week test-retest reliability for ISP-D was excellent (weighted ? = 0.801). Fifty-five participants completed the face-to-face interview for the validity study. The sensitivity, specificity, positive, and negative predictive values for major depressive disorder were 81.8% and 72.7%, 66.7%, and 85.7% respectively. The overall accuracy was 76.4%. Conclusion: The evidence indicates the ISP-D is a reliable and valid online tool for assessing depression. Further studies should test the ISP-D in clinical settings to increase its applications in clinical environments with different populations and in a larger sample size.


Related Articles

  • An Evaluation of a Computer-Based Psychiatric Assessment: Evidence for Expanded Use. Cawthorpe, David // CyberPsychology & Behavior;Aug2001, Vol. 4 Issue 4, p503 

    The purpose of this study was to examine the psychiatric diagnoses of depression made using the structured interview, the Computer-Based Diagnostic Inventory Schedule for Children - Revised (CDISC-R) and diagnoses of depression made by pediatric psychiatrists. One hundred and twenty-two...

  • Rhetoric and Psychiatry: A Szaszian Perspective on a Political Case Study. VATZ, RICHARD E. // Current Psychology;Fall2006, Vol. 25 Issue 3, p174 

    Ever since the time of Aristotle the field of rhetoric has been loosely defined as pertaining to a rhetor's effecting of persuasion with chosen audiences. In fact, the most well-known definition of rhetoric is Aristotle's "faculty [power] of discovering in the particular case what are the...

  • Relative Frequency of Depression and Anxiety in Chronic Hepatitis C Patients. Ataei, Behrooz; Javadi, Abbas Ali; Salehi, Mehrdad; Mortazavi, Reihaneh; Kassaian, Nazila; Babak, Anahita; Nokhodian, Zari; Ataei, Mehdi // Journal of Isfahan Medical School;2/6/2012, Vol. 29 Issue 165, p1 

    Background: Hepatitis C, as a major public health problem, is associated with increased prevalence of psychiatric disorders, particularly depression. This study was performed to determine the prevalence of depression and anxiety in patients with hepatitis C and to detect related risk factors...

  • Clinical use of the DST in a Psychogeriatric Population. McKeith, Ian G. // British Journal of Psychiatry;Oct84, Vol. 145, p389 

    The dexamethasone suppression test (DST) was administered to 95 patients referred to a psychogeriatric assessment service. Non-suppression of plasma cortisol was found in 28 out of 48 patients (58%) with senile dementia and all patients with arteriosclerotic dementia or acute confusional states....

  • The dexamethasone suppression test as a variable in clinical diagnosis and research: a review. Oei, T. I. // Journal of the Royal Society of Medicine;Jan1988, Vol. 81 Issue 1, p31 

    The article discusses the use of dexamethasone suppression diagnostic test (DST) in diagnosing melancholia. The accuracy of DTS as a biological measure of hypothalamo-hypophyseo-adrenal axis disorder and serum cortisol concentration is discussed. Clinical findings suggest that DST could be an...

  • Screening for maternal depression in a low education population using a two item questionnaire. Cutler, C. B.; Legano, L. A.; Dreyer, B. P.; Fierman, A. H.; Berkule, S. B.; Lusskin, S. I.; Tomopoulos, S.; Roth, M.; Mendelsohn, A. L. // Archives of Women's Mental Health;2007, Vol. 10 Issue 6, p277 

    Objective: To assess a two-question screening tool, the Patient Health Questionnaire-2 (PHQ-2), for identifying depressive symptomatology in economically disadvantaged mothers of children in pediatric settings and to explore risk factors associated with a positive depression screen. Methods: A...

  • OD REDAKCJI. Aleksandrowicz, Jerzy; Marek, Katarzyna // Psychiatria Polska;2011, Vol. 45 Issue 4, p643 

    No abstract available.

  • Comparing the accuracy of brief versus long depression screening instruments which have been validated in low and middle income countries: a systematic review. Dickens Akena, Dickens; Joska, John; Okubu, Ekwaro A; Amos, Taryn; Musisi, Seggane; Stein, Dan J // BMC Psychiatry;2012, Vol. 12 Issue 1, p187 

    Background: Given the high prevalence of depression in primary health care (PHC), the use of screening instruments has been recommended. Both brief and long depression screening instruments have been validated in low and middle income countries (LMIC), including within HIV care settings....

  • Association between mortality from suicide in England and antidepressant prescribing: an ecological study. Morgan, Oliver W. C.; Griffiths, Clare; Majeed, Azeem // BMC Public Health;2004, Vol. 4, p63 

    Background: Antidepressant prescribing has been increasing in England. Studies in other countries suggest that while this may be associated with reduced suicide rates, it may also be associated with increased fatal poisoning from antidepressant drugs. We therefore conducted an ecological study...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics