Premium
Abbreviated brief symptom inventory for use as an anxiety and depression screening instrument in primary care
Author(s) -
Lang Ariel J.,
Norman Sonya B.,
MeansChristensen Adrienne,
Stein Murray B.
Publication year - 2009
Publication title -
depression and anxiety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 129
eISSN - 1520-6394
pISSN - 1091-4269
DOI - 10.1002/da.20471
Subject(s) - anxiety , depression (economics) , primary care , clinical psychology , psychiatry , psychology , construct validity , medicine , psychometrics , family medicine , economics , macroeconomics
Abstract Background: Screening for anxiety and depression in primary‐care clinics has the potential to increase identification and treatment of affected patients. The feasibility of such screening, however, depends on the availability of quick, easily interpretable screening tools. Methods: In this pair of studies, a 4‐item screening instrument was developed from the depression and anxiety scales of the Brief Symptom Inventory. One sample of undergraduate volunteers was used to identify pairs of items to be included in the screener. A second sample of primary‐care patients was used to evaluate the performance of these items as compared to other measures of the same construct and a standardized clinical interview. Results: The studies suggest that 4 items from the Brief Symptom Inventory can be used to identify patients with depression and/or anxiety in primary care. Conclusions: Circumstances under which this measure, compared to other measures such as the Patient Health Questionnaire, would be appropriate are discussed. Depression and Anxiety, 2009. Published 2008 Wiley‐Liss, Inc.