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The differentiation between depressive and anxious adolescent females and controls by behavioural self-rating scales
Karolinska Institutet, University of California San Francsisco. (Barn- och Ungdomspsykiatri)ORCID iD: 0000-0001-5790-0518
2010 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 122, no 3, 232-240 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: This study aimed to validate the ability of frequently used self-assessment scales in Swedish child and adolescent psychiatric practice to differentiate between adolescent girls with manifest anxiety disorders and depression from those with less severe symptoms.

METHODS: The receiver-operating characteristic (ROC) curve was calculated for Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), Hospital Anxiety and Depression Scale (HAD), the emotional subscale (SDQ-em), the impact score and the total difficulties score of the Strengths and Difficulties Questionnaire and Sense of Coherence (SOC) in a sample of 73 adolescent, female patients, diagnosed with one or several anxiety disorders and/or depression. ROC was also calculated for 66 age-matched controls.

RESULTS: SOC and the SDQ-em showed the best ability to differentiate cases of anxiety disorders and/ or depression from non-cases. SOC and SDQ-em had an equivalent ability to differentiate depression from non-cases compared to the specialised scales for depression, BDI and HAD-dep. SOC and SDQ-em were significantly better in differentiating cases of anxiety from non-cases than the specialised scales BAI and HAD-anx. Selection bias and several forms to fill in can have influenced the result.

CONCLUSIONS: SOC and SDQ-em seemed to be valid tools for identifying girls with anxiety disorders and depression. This is of clinical importance since self-reported symptoms of anxiety and depression show a major increase in adolescent girls and methods to identify those in need of treatment are needed.

Place, publisher, year, edition, pages
2010. Vol. 122, no 3, 232-240 p.
Keyword [en]
Adolescent females, Behavioural self-rating scales, Anxiety disorders, Major depression, Differentiating cases/ non-cases, Receiver-operating characteristic curve
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:umu:diva-135793DOI: 10.1016/j.jad.2009.07.006PubMedID: 19695710OAI: oai:DiVA.org:umu-135793DiVA: diva2:1120521
Available from: 2017-07-06 Created: 2017-07-06 Last updated: 2017-08-18Bibliographically approved

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CiteExportLink to record
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