Abstract
Objectives: 1) Using standard cutoffs, to determine the accuracy of two Vietnamese-language depression screening instruments for major depression in a nonpsychiatric setting, 2) to examine the utility of other cutoffs, and 3) to compare the instruments' overall accuracies. Design: 1) A research assistant administered the Vietnamese Depression Scale (VDS) and the Indochinese Hopkins Symptom Checklist Depression Subscale (HSCL-D) to all subjects. 2) The "gold standard" was determined by a native Vietnamese-speaking psychiatrist using a written translation of a standard semistructured clinical interview. Setting: A health screening clinic at a large public hospital. Patients: A convenience sample of 206 newly arrived adult Vietnamese refugees undergoing routine, mandatory health screening. Results: The psychiatrist diagnosed 7% of the refugees as having major depression. At standard cutoffs, the VDS had a 64% sensitivity, a 98% specificity, a 75% positive predictive value, and a 97% negative predictive value. Corresponding results for the HSCL-D were 86%, 93%, 48%, and 99%. More than half of the patients who had false-positive results had other clinical disorders. For each instrument, adjusting the cutoff improved sensitivity and positive predictive value. Receiver operating characteristic (ROC) curve analysis showed no difference in accuracy between the two instruments. Each instrument took approximately 5-10 minutes to administer. Conclusions: These instruments accurately identified Vietnamese refugees with major depression and should be of use to clinicians in primary care settings. Standard cutoffs may need to be adjusted in nonpsychiatric settings.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 202-206 |
| Number of pages | 5 |
| Journal | Journal of General Internal Medicine |
| Volume | 9 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 1994 |
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Keywords
- depression
- screening
- Vietnamese refugees
ASJC Scopus subject areas
- Internal Medicine
Cite this
Screening for major depression in vietnamese refugees - A validation and comparison of two instruments in a health screening population. / Hinton, W Ladson; Du, Nang; Chen, Yung Cheng Joseph; Tran, Carolee Giaouyen; Newman, Thomas B.; Lu, Francis G.
In: Journal of General Internal Medicine, Vol. 9, No. 4, 04.1994, p. 202-206.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Screening for major depression in vietnamese refugees - A validation and comparison of two instruments in a health screening population
AU - Hinton, W Ladson
AU - Du, Nang
AU - Chen, Yung Cheng Joseph
AU - Tran, Carolee Giaouyen
AU - Newman, Thomas B.
AU - Lu, Francis G
PY - 1994/4
Y1 - 1994/4
N2 - Objectives: 1) Using standard cutoffs, to determine the accuracy of two Vietnamese-language depression screening instruments for major depression in a nonpsychiatric setting, 2) to examine the utility of other cutoffs, and 3) to compare the instruments' overall accuracies. Design: 1) A research assistant administered the Vietnamese Depression Scale (VDS) and the Indochinese Hopkins Symptom Checklist Depression Subscale (HSCL-D) to all subjects. 2) The "gold standard" was determined by a native Vietnamese-speaking psychiatrist using a written translation of a standard semistructured clinical interview. Setting: A health screening clinic at a large public hospital. Patients: A convenience sample of 206 newly arrived adult Vietnamese refugees undergoing routine, mandatory health screening. Results: The psychiatrist diagnosed 7% of the refugees as having major depression. At standard cutoffs, the VDS had a 64% sensitivity, a 98% specificity, a 75% positive predictive value, and a 97% negative predictive value. Corresponding results for the HSCL-D were 86%, 93%, 48%, and 99%. More than half of the patients who had false-positive results had other clinical disorders. For each instrument, adjusting the cutoff improved sensitivity and positive predictive value. Receiver operating characteristic (ROC) curve analysis showed no difference in accuracy between the two instruments. Each instrument took approximately 5-10 minutes to administer. Conclusions: These instruments accurately identified Vietnamese refugees with major depression and should be of use to clinicians in primary care settings. Standard cutoffs may need to be adjusted in nonpsychiatric settings.
AB - Objectives: 1) Using standard cutoffs, to determine the accuracy of two Vietnamese-language depression screening instruments for major depression in a nonpsychiatric setting, 2) to examine the utility of other cutoffs, and 3) to compare the instruments' overall accuracies. Design: 1) A research assistant administered the Vietnamese Depression Scale (VDS) and the Indochinese Hopkins Symptom Checklist Depression Subscale (HSCL-D) to all subjects. 2) The "gold standard" was determined by a native Vietnamese-speaking psychiatrist using a written translation of a standard semistructured clinical interview. Setting: A health screening clinic at a large public hospital. Patients: A convenience sample of 206 newly arrived adult Vietnamese refugees undergoing routine, mandatory health screening. Results: The psychiatrist diagnosed 7% of the refugees as having major depression. At standard cutoffs, the VDS had a 64% sensitivity, a 98% specificity, a 75% positive predictive value, and a 97% negative predictive value. Corresponding results for the HSCL-D were 86%, 93%, 48%, and 99%. More than half of the patients who had false-positive results had other clinical disorders. For each instrument, adjusting the cutoff improved sensitivity and positive predictive value. Receiver operating characteristic (ROC) curve analysis showed no difference in accuracy between the two instruments. Each instrument took approximately 5-10 minutes to administer. Conclusions: These instruments accurately identified Vietnamese refugees with major depression and should be of use to clinicians in primary care settings. Standard cutoffs may need to be adjusted in nonpsychiatric settings.
KW - depression
KW - screening
KW - Vietnamese refugees
UR - http://www.scopus.com/inward/record.url?scp=0028205992&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028205992&partnerID=8YFLogxK
U2 - 10.1007/BF02600124
DO - 10.1007/BF02600124
M3 - Article
C2 - 8014725
AN - SCOPUS:0028205992
VL - 9
SP - 202
EP - 206
JO - Journal of General Internal Medicine
JF - Journal of General Internal Medicine
SN - 0884-8734
IS - 4
ER -