Comparing depression screening tools in persons with multiple sclerosis (MS)

Joshua Hanna; Jonathan B. Santo; Mervin Blair; Kathy Smolewska; Erin Warriner; Sarah A. Morrow

doi:10.1037/rep0000115

Comparing depression screening tools in persons with multiple sclerosis (MS)

Joshua Hanna, Jonathan B. Santo, Mervin Blair, Kathy Smolewska, Erin Warriner, Sarah A. Morrow

Psychology

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Objective: Depression is more common among persons with multiple sclerosis (MS) than the general population. Depression in MS is associated with reduced quality of life, transition to unemployment, and cognitive impairment. Two proposed screening measures for depression in MS populations are the Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory-Fast Screen (BDI-FS). Our objective was to compared the associations of the BDI-FS and the HADS-D scores with history of depressive symptoms, fatigue, and functional outcomes to determine the differential clinical utility of these screening measures among persons with MS. Method: We reviewed charts of 133 persons with MS for demographic information; scores on the HADS, BDI-FS, a fatigue measure, and a processing speed measure; and employment status. Results: Structural equation modeling results indicated the HADS-D predicted employment status, disability status, and processing speed more effectively than did the BDI-FS, whereas both measures predicted fatigue. Conclusions: This study suggests the HADS-D is more effective than the BDI-FS in predicting functional outcomes known to be associated with depression among persons with MS.

Original language	English (US)
Pages (from-to)	20-24
Number of pages	5
Journal	Rehabilitation Psychology
Volume	62
Issue number	1
DOIs	https://doi.org/10.1037/rep0000115
State	Published - Feb 1 2017

Keywords

Cognitive impairment
Depression
Disability status
Multiple sclerosis
Processing speed

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation
Clinical Psychology
Psychiatry and Mental health

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10.1037/rep0000115

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title = "Comparing depression screening tools in persons with multiple sclerosis (MS)",

abstract = "Objective: Depression is more common among persons with multiple sclerosis (MS) than the general population. Depression in MS is associated with reduced quality of life, transition to unemployment, and cognitive impairment. Two proposed screening measures for depression in MS populations are the Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory-Fast Screen (BDI-FS). Our objective was to compared the associations of the BDI-FS and the HADS-D scores with history of depressive symptoms, fatigue, and functional outcomes to determine the differential clinical utility of these screening measures among persons with MS. Method: We reviewed charts of 133 persons with MS for demographic information; scores on the HADS, BDI-FS, a fatigue measure, and a processing speed measure; and employment status. Results: Structural equation modeling results indicated the HADS-D predicted employment status, disability status, and processing speed more effectively than did the BDI-FS, whereas both measures predicted fatigue. Conclusions: This study suggests the HADS-D is more effective than the BDI-FS in predicting functional outcomes known to be associated with depression among persons with MS.",

keywords = "Cognitive impairment, Depression, Disability status, Multiple sclerosis, Processing speed",

author = "Joshua Hanna and Santo, {Jonathan B.} and Mervin Blair and Kathy Smolewska and Erin Warriner and Morrow, {Sarah A.}",

year = "2017",

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doi = "10.1037/rep0000115",

language = "English (US)",

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AU - Hanna, Joshua

AU - Santo, Jonathan B.

AU - Blair, Mervin

AU - Smolewska, Kathy

AU - Warriner, Erin

AU - Morrow, Sarah A.

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Objective: Depression is more common among persons with multiple sclerosis (MS) than the general population. Depression in MS is associated with reduced quality of life, transition to unemployment, and cognitive impairment. Two proposed screening measures for depression in MS populations are the Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory-Fast Screen (BDI-FS). Our objective was to compared the associations of the BDI-FS and the HADS-D scores with history of depressive symptoms, fatigue, and functional outcomes to determine the differential clinical utility of these screening measures among persons with MS. Method: We reviewed charts of 133 persons with MS for demographic information; scores on the HADS, BDI-FS, a fatigue measure, and a processing speed measure; and employment status. Results: Structural equation modeling results indicated the HADS-D predicted employment status, disability status, and processing speed more effectively than did the BDI-FS, whereas both measures predicted fatigue. Conclusions: This study suggests the HADS-D is more effective than the BDI-FS in predicting functional outcomes known to be associated with depression among persons with MS.

AB - Objective: Depression is more common among persons with multiple sclerosis (MS) than the general population. Depression in MS is associated with reduced quality of life, transition to unemployment, and cognitive impairment. Two proposed screening measures for depression in MS populations are the Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory-Fast Screen (BDI-FS). Our objective was to compared the associations of the BDI-FS and the HADS-D scores with history of depressive symptoms, fatigue, and functional outcomes to determine the differential clinical utility of these screening measures among persons with MS. Method: We reviewed charts of 133 persons with MS for demographic information; scores on the HADS, BDI-FS, a fatigue measure, and a processing speed measure; and employment status. Results: Structural equation modeling results indicated the HADS-D predicted employment status, disability status, and processing speed more effectively than did the BDI-FS, whereas both measures predicted fatigue. Conclusions: This study suggests the HADS-D is more effective than the BDI-FS in predicting functional outcomes known to be associated with depression among persons with MS.

KW - Cognitive impairment

KW - Depression

KW - Disability status

KW - Multiple sclerosis

KW - Processing speed

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Comparing depression screening tools in persons with multiple sclerosis (MS)

Abstract

Keywords

ASJC Scopus subject areas

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