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Screening for Depression in the Medically Ill: A Comparison of Self-Report Measures, Clinician Judgment, and DSM-IV Diagnoses

Received June 2, 2003; revision received Jan. 6, 2004; accepted Jan. 30, 2004. From St. Vincent's Hospital; the School of Psychiatry, University of New South Wales, Kensington, Sydney, Australia; and the Mood Disorders Unit, Black Dog Institute, Prince of Wales Hospital, Randwick, Sydney, Australia. Address reprint requests to Dr. Wilhelm, Consultation Liaison Psychiatry, Level 4 DeLacy Building, St. Vincent's Hospital, Victoria Street, Darlinghurst, Sydney, NSW, 2010, Australia; kwilhelm{at}stvincents.com.au (e-mail).

The performance of the self-report 10-item Depression in the Medically Ill scale was observed in 210 patients as part of clinical assessment by consultation-liaison psychiatry clinicians. Both the Depression in the Medically Ill scale and the Beck Depression Inventory for Primary Care were completed by the patient, and the clinicians made their judgment of the presence and severity of "clinical depression" and DSM-IV affective disorder diagnoses. Both the Depression in the Medically Ill scale and the Beck Depression Inventory for Primary Care detected 85% of patients with DSM-IV major depressive episode. The Depression in the Medically Ill scale was slightly superior to the Beck Depression Inventory for Primary Care in its relationship to clinicians' judgments of clinical depression caseness.

Key Words: Depression • Syndromes Secondary to General Medical Disorders • DSM • Diagnostic Criteria • Other Diagnostic Tools • Primary Care

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