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Screening for major depression in Asian‐Americans: a comparison of the Beck and the Chinese Depression Inventory
Author(s) -
Yeung A.,
Neault N.,
Sonawalla S.,
Howarth S.,
Fava M.,
Nierenberg A. A.
Publication year - 2002
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1034/j.1600-0447.2002.1092.x
Subject(s) - depression (economics) , receiver operating characteristic , beck depression inventory , cutoff , psychology , medicine , psychiatry , psychometrics , primary care , clinical psychology , family medicine , anxiety , physics , quantum mechanics , economics , macroeconomics
Objective: This study compares the effectiveness of the Chinese version of the Beck Depression Inventory (CBDI) and the Chinese Depression Inventory (CDI) in screening for depression among Chinese Americans. Method: Five hundred and three Chinese‐Americans in primary care were administered the CBDI and the CDI for depression screening. The results were compared with standard semistructured interview. Results: With empirically determined cutoff scores of the CBDI (≥13) and the CDI (≥16), both instruments have good sensitivity (0.78) and excellent specificity (0.91 and 0.93, respectively). The correlation between the total scores of the two instruments was high (0.785, P < 0.01). The areas under the Receiver Operating Characteristic (ROC) curve of the CBDI and the CDI were 0.94 and 0.95, respectively, and were not significantly different. Conclusion: When administered by nterviewers, the CBDI and the CDI have comparable effectiveness. Low participation among Chinese‐Americans with self‐report measures limits both scales as efficient depression screening instruments.