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Lien IA, Bolstad I, Lien L, et al. Screening for depression in patients in treatment for alcohol use disorder using the Beck Depression Inventory-II and the Hopkins Symptom Checklist-10. Psychiatry Res. 2021;308:114363doi: 10.1016/j.psychres.2021.114363.
Lien, I. A., Bolstad, I., Lien, L., & Bramness, J. G. (2021). Screening for depression in patients in treatment for alcohol use disorder using the Beck Depression Inventory-II and the Hopkins Symptom Checklist-10. Psychiatry research, 308114363. https://doi.org/10.1016/j.psychres.2021.114363
Lien, Ingebjørg Aspeland, et al. "Screening for depression in patients in treatment for alcohol use disorder using the Beck Depression Inventory-II and the Hopkins Symptom Checklist-10." Psychiatry research vol. 308 (2021): 114363. doi: https://doi.org/10.1016/j.psychres.2021.114363
Lien IA, Bolstad I, Lien L, Bramness JG. Screening for depression in patients in treatment for alcohol use disorder using the Beck Depression Inventory-II and the Hopkins Symptom Checklist-10. Psychiatry Res. 2021 Dec 27;308:114363. doi: 10.1016/j.psychres.2021.114363. Epub 2021 Dec 27. PMID: 34979381.
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Psychiatry Res. 2021 Dec 27;308:114363. doi: 10.1016/j.psychres.2021.114363. Epub 2021 Dec 27.

Screening for depression in patients in treatment for alcohol use disorder using the Beck Depression Inventory-II and the Hopkins Symptom Checklist-10.

Psychiatry research

Ingebjørg Aspeland Lien, Ingeborg Bolstad, Lars Lien, Jørgen G Bramness

Affiliations

  1. Department of Acute Psychiatric Ward, Nordland Hospital, Bodø, Norway.
  2. National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Hamar, Norway; Faculty of Social and Health Sciences, Inland University of Applied Sciences, Hamar, Norway.
  3. National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Hamar, Norway; Faculty of Social and Health Sciences, Inland University of Applied Sciences, Hamar, Norway. Electronic address: [email protected].
  4. National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Hamar, Norway; Norwegian Institute of Public Health, Oslo, Norway; Institute of Clinical Medicine, University of Tromsø, - The Arctic University of Norway, Tromsø, Norway.

PMID: 34979381 DOI: 10.1016/j.psychres.2021.114363

Abstract

Alcohol use disorder (AUD) and major depressive disorder (MDD) are prevalent disorders that often co-occur. The aim of the study was to investigate how the Beck Depression Inventory (BDI-II) and Hopkins Symptom Checklist (HSCL-10) perform as screening instruments for MDD in AUD patients in treatment. The study included 127 mainly AUD inpatients currently in treatment at rehabilitation clinics in Norway. Demographic and clinical variables were examined using questionnaires and clinical interviews. The factor structures of the BDI-II and HCSL-10 were examined, as well as internal consistency and receiver operating characteristic (ROC) curve analyses. The Mini International Neuropsychiatric Interview (M.I.N.I.) was used as standard for diagnosing MDD. In total, 14% of the participants were diagnosed with MDD. BDI-II factor analysis retrieved three factors; cognition, somatic complaints and affect, and factor analysis for the HSCL-10 retrieved two factors; depression and anxiety. The optimal cut-off for the BDI-II was 24.5 with sensitivity of 80% and specificity of 78%. For HSCL-10 the optimal cut-off was 2.35, giving sensitivity of 80% and specificity of 69%. Both the BDI-II and HSCL-10 may be clinically useful screening instruments for MDD in AUD patients. There was a tendency that the affect factor of the BDI-II and the depression factor of the HSCL-10 were slightly more suitable for identifying MDD than the other factors. Optimal cut-offs for both the BDI-II and the HSCL-10 in this patient group were higher than cut-offs commonly used in the general population.

Copyright © 2021 The Author(s). Published by Elsevier B.V. All rights reserved.

Keywords: Alcohol use disorders (AUD); Beck Depression Inventory (BDI-II); Hopkins Symptom Checklist (HSCL-10); Major depressive disorder (MDD)

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