Screening depressiver Störungen mittels Allgemeiner Depressions-Skala (ADS-K) und State-Trait Depressions Scales (STDS-T). Eine vergleichende Evaluation von Cut-Off-Werten
Research output: Journal contributions › Journal articles › Research › peer-review
Authors
Using cut-off scores in screening tests is an economical way to identify disorders in individuals. Two case-control studies were conducted among healthy and inpatient psychotherapy samples. Patients were suffering from depressive disorders. In the first study (N = 296) we used a German short form of the Center for Epidemiologic Studies-Depression Scale (CES-D) for screening purposes. In the second study (N = 154) we used the trait scale of the State-Trait Depression Scales (STDS-T). Based on Rasch model analyses, the item-person maps showed that both instruments are suitable to assess depressive mood in healthy and patient samples. Analyses of the areas under the receiver-operating characteristic curves revealed a high diagnostic power of both instruments. Several cut-off scores were evaluated regarding sensitivity, specificity, and Youden-criterion. Following the Youden-criterion, the optimal cut-off scores for diagnosing depressive disorders were ≥ 18 for the CES-D and ≥ 25 for the STDS-T. The analyses provide empirical evidence for clinical decision-making.
Translated title of the contribution | Assessing depressive disorders using the Center for Epidemiologie Studies-Depression Scale (CES-D) and State-Trait Depression Scales (STDS-T): A comparative analysis of cut-off scores |
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Original language | German |
Journal | Diagnostica |
Volume | 54 |
Issue number | 2 |
Pages (from-to) | 61-70 |
Number of pages | 10 |
ISSN | 0012-1924 |
DOIs | |
Publication status | Published - 2008 |
Externally published | Yes |
- Health sciences - depression, item-response-theory, receiver-operation-characteristic (ROC) curve, sensitivity, specificity, cut-off scores
- Psychology