Evidence map›Paper›PMID 29668911›Full record

ArticleInflammatory bowel diseases2018

The Validity and Reliability of Screening Measures for Depression and Anxiety Disorders in Inflammatory Bowel Disease.

Charles N Bernstein, Lixia Zhang, Lisa M Lix, Lesley A Graff, John R Walker, John D Fisk, Scott B Patten, Carol A Hitchon, James M Bolton, Jitender Sareen and 4 more

Open access · hybridAbstract readEvaluation StudyValidation Study
In one paragraph

Article in Inflammatory bowel diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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  17. The impact of restrictions on psychological outcomes in patients with inflammatory bowel disease on biological treatment during the coronavirus pandemic in Norway.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Charles N BernsteinDepartment of Internal Medicine, University of Manitoba, Winnipeg, Canada.
Lixia ZhangDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Lisa M LixDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Lesley A GraffDepartment of Clinical Health Psychology, University of Manitoba, Winnipeg, Canada.
John R WalkerDepartment of Clinical Health Psychology, University of Manitoba, Winnipeg, Canada.
John D FiskNova Scotia Health Authority, Departments of Psychiatry, Psychology and Neuroscience, and Medicine, Dalhousie University, Halifax, Canada.
Scott B PattenDepartments of Community Health Sciences and Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Carol A HitchonDepartment of Internal Medicine, University of Manitoba, Winnipeg, Canada.
James M BoltonDepartment of Psychiatry, University of Manitoba, Winnipeg, Canada.
Jitender SareenDepartment of Psychiatry, University of Manitoba, Winnipeg, Canada.
Renée El-GabalawyDepartment of Clinical Health Psychology, University of Manitoba, Winnipeg, Canada.
James MarriottDepartment of Internal Medicine, University of Manitoba, Winnipeg, Canada.
Ruth Ann MarrieDepartment of Internal Medicine, University of Manitoba, Winnipeg, Canada.
CIHR Team in Defining the Burden and Managing the Effects of Immune-mediated Inflammatory Disease
University of Manitoba · CANova Scotia Health Authority · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated the validity and reliability of multiple symptom scales for depression and anxiety for persons with inflammatory bowel disease (IBD).

methodsIBD participants in a cohort study completed a Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID) and completed the Patient Health Questionnaire (PHQ-9), Hospital Anxiety and Depression Scale (HADS), Kessler-6 Distress Scale, PROMIS Emotional Distress Depression Short-Form 8a (PROMIS Depression) and Anxiety Short-Form 8a (PROMIS Anxiety), Generalized Anxiety Disorder 7-item Scale, and Overall Anxiety and Severity Impairment Scale. We computed sensitivity, specificity, and positive and negative predictive values for the screening measures with the SCID diagnoses as the reference standard, conducted receiver operating curve (ROC) analysis, and assessed internal consistency and test-retest reliability.

resultsOf 242 participants, the SCID classified 8.7% as having major depression and 17.8% as having anxiety disorders. Among the depression scales, the PHQ-9 had the highest sensitivity (95%). Specificity was generally higher than sensitivity and was highest for the HADS-D (cut-point of 11; 97%). The area under the ROC curve (AUC) did not differ significantly among depression scales. Among the anxiety scales, sensitivity was highest for the PROMIS (79%). Specificity ranged from 82% to 88% for all tools except the HADS-A (cut-point of 8; 65%). The AUC did not differ between depression and anxiety tools.

conclusionsOverall, the symptom scales for depression and anxiety were similar in their psychometric properties. The anxiety scales did not perform as well as the depression scales. Alternate cut-points may be more relevant when these scales are used in an IBD sample.

Indexed as

AdultAnxiety DisordersCohort StudiesColitis, UlcerativeCrohn DiseaseDepressive DisorderFemaleHumansMaleMiddle AgedPatient Health QuestionnairePredictive Value of TestsPsychiatric Status Rating ScalesPsychometricsReproducibility of ResultsROC Curveanxietydepressioninflammatory bowel diseasepsychometric properties

Identifiers

PMID29668911
PMCPMC6124738
OpenAlexW2798168252

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.