TY - JOUR
T1 - Il Primary Care Screener for Affective Disorders (PC-SAD), un nuovo strumento per lo screening dei disturbi depressivi
T2 - Sviluppo e validazione della versione Italiana
AU - Picardi, Angelo
AU - Adler, David A.
AU - Abeni, Damiano
AU - Chang, Hong
AU - Rogers, William H.
AU - Bungay, Kathleen M.
AU - Bitetti, Daniela
AU - Bolli, Simone
AU - Fassone, Giovanni
AU - Mazzotti, Eva
AU - Lega, Ilaria
AU - Ramieri, Luisa
AU - Sagoni, Emanuele
AU - Pasquini, Paolo
PY - 2003/11
Y1 - 2003/11
N2 - Introduction. Depressive disorders are frequent and are associated with increased mortality, disability, and secondary morbidity. However, they are often not recognised and adequately treated. There is a need for valid screeners, suitable for routine use. The objective of this study was to develope an Italian version of the questionnaire 'Primary Care Screener for Affective Disorders' (PC-SAD) and to test its validity against the SCID-I. Methods. We studied inpatient aged 18-65 years, free from dementia and cognitive impairment. Patients completed the PC-SAD shortly after admission, then they were administered the SCID-I within 48 hours by a trained physician, unaware of the questionnaire results. Sensitivity and specificity of the PC-SAD were computed, with the SCID-I as criterion standard. Results. The analysis was performed on 148 patients with complete data. The SCID-I-diagnosed prevalence of major depression and dysthymia was 8.1% and 6.8%, respectively. For Dysthymic Disorder, the sensitivity and specifity were 50% and 96%, respectively. Discussion. The PC-SAD is a brief, self-administered instrument which is suitable for routine use. Our findings provide evidence of the validity of the Italian version of the PC-SAD to screen for major depression, and they suggest that it can also be useful to screen for dysthymia.
AB - Introduction. Depressive disorders are frequent and are associated with increased mortality, disability, and secondary morbidity. However, they are often not recognised and adequately treated. There is a need for valid screeners, suitable for routine use. The objective of this study was to develope an Italian version of the questionnaire 'Primary Care Screener for Affective Disorders' (PC-SAD) and to test its validity against the SCID-I. Methods. We studied inpatient aged 18-65 years, free from dementia and cognitive impairment. Patients completed the PC-SAD shortly after admission, then they were administered the SCID-I within 48 hours by a trained physician, unaware of the questionnaire results. Sensitivity and specificity of the PC-SAD were computed, with the SCID-I as criterion standard. Results. The analysis was performed on 148 patients with complete data. The SCID-I-diagnosed prevalence of major depression and dysthymia was 8.1% and 6.8%, respectively. For Dysthymic Disorder, the sensitivity and specifity were 50% and 96%, respectively. Discussion. The PC-SAD is a brief, self-administered instrument which is suitable for routine use. Our findings provide evidence of the validity of the Italian version of the PC-SAD to screen for major depression, and they suggest that it can also be useful to screen for dysthymia.
KW - Depression
KW - Questionnaire
KW - Screening
KW - Sensitivity
KW - Specificity
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M3 - Articolo
AN - SCOPUS:0347719725
VL - 38
SP - 323
EP - 332
JO - Rivista di Psichiatria
JF - Rivista di Psichiatria
SN - 0035-6484
IS - 6
ER -