The Standardization of the Korean Version of Brief Edinburgh Depression Scale as a Screening Tool for Depression in Cancer Patients

암 환자에서 우울증의 선별도구로서 단축형 에딘버러 우울증 척도의 한국 표준화

  • Lee, Jung Hyun (Department of Psychiatry, Seoul National University Hospital) ;
  • Kim, Tae-Suk (Department of Psychiatry, The Catholic University of Korea, College of Medicine) ;
  • Ko, Yoon-Ho (Department of Medical Oncology, The Catholic University of Korea, College of Medicine) ;
  • Yoon, Sujung J. (Department of Psychiatry, The Catholic University of Korea, College of Medicine) ;
  • Lyoo, In Kyoon (Department of Psychiatry, Seoul National University Hospital) ;
  • Jun, Tae-Youn (Department of Psychiatry, The Catholic University of Korea, College of Medicine) ;
  • Lee, Chul (Department of Psychiatry, The Catholic University of Korea, College of Medicine)
  • 이정현 (서울대학교병원 정신과) ;
  • 김태석 (가톨릭대학교 의과대학 정신과학교실) ;
  • 고윤호 (가톨릭대학교 의과대학 종양내과학교실) ;
  • 윤수정 (가톨릭대학교 의과대학 정신과학교실) ;
  • 류인균 (서울대학교병원 정신과) ;
  • 전태연 (가톨릭대학교 의과대학 정신과학교실) ;
  • 이철 (가톨릭대학교 의과대학 정신과학교실)
  • Published : 2009.05.31

Abstract

Objectives : Depression is a common psychiatric disorder in cancer patients. The Brief Edinburgh Depression Scale(BEDS), which is an abbreviated version of the Edinburgh Depression Scale, may serve as a useful tool in screening for the depression in patients with the medical illnesses. This report investigated the reliability and validity of the Korean Version of the BEDS(K-BEDS) for the depression in cancer patients. Methods : One-hundred cancer patients were enrolled in this study. All subjects completed the K-BEDS, the Hospital Anxiety Depression Scale(HADS), and the Karnofsky Performance Status Scale(KPSS). Reliability, validity and Receiver Operating Characteristic(ROC) curve analysis measures were assessed. Results : The K-BEDS showed good internal consistency(Cronbach ${\alpha}$=0.77) and test-retest reliability(0.94, p<0.001). All item-total correlations were above 0.3. Also, it revealed moderate correlation with the depression subscale of the HADS(r=0.617), but no correlation with the KPSS. Exploratory factor analysis produced only one factor, accounting for 47.1% of the total variance. The most valid cutoff value to screen for depression was a total score of 5 on the K-BEDS, which showed sensitivity of 62.5% and specificity of 86.4% with a positive predictive value of 4.60 and a negative predictive value of 0.43.

Keywords