Evaluation of the YSR as a screening tool for depression in a population of adolescents

Authors

  • Marcos Antonio da Silva Cristovam Assistant Professor of Pediatrics in Western Paraná State University Cascavel-PR-Brazil http://orcid.org/0000-0003-2380-790X
  • Sandra Regina Baggio Muzzolon Psychologist at the Rehabilitation Service of Hospital de Clínicas at Universidade Federal do Paraná- Curitiba, Paraná, Brazil. Ph.D., Universidade Federal do Paraná, Curitiba, Paraná, Brazil
  • Lúcia Helena Coutinho dos Santos (in memorian) Assistant Professor in Neuropediatrics, Department of Pediatrics, Ph. D. Child Neurology Unit, Universidade Federal do Paraná, Curitiba, Paraná, Brazil

Abstract

Objectives: To detect the prevalence of depression in adolescents with the Youth Self-Report for Ages 11-18 (YSR) and the Beck Depression Inventory (BDI). To assess the sensitivity and specificity of the YSR, and determine using a receiver operating characteristic (ROC) curve the best cutoff point in the YSR that identifies patients with depression, using the BDI as a gold standard.

Methods: Cross-sectional study, which YSR and BDI questionnaires were completed by 206 adolescents attending 26 public schools in Cascavel, Brazil.  The participants responded the survey after signed consent was obtained from the parents. The study was approved by the Ethics Committee at Universidade Estadual do Oeste do Paraná.

Results: 206 adolescents (132 girls) completed the questionnaires. Mean age: 13 years.  Mean BDI score: 13.5. The BDI showed high specificity with Activities and Social, and Rule-Breaking Behavior, and high sensitivity with the Anxious/Depressed, Internalizing Problems, and Total Problems. There was a significant association of the BDI with the girls and YSR items 18 and 91, and of the Anxious/Depressed with item 91.

Conclusion: Scales assessing depressive symptoms are helpful in the evaluation of adolescents. The mean BDI score was high in this cohort, with a significant association of depression with girls.

Key-words: Adolescent; Tests/Interviews Psychometric; Epidemiology; Child Psychiatry; Mood Disorder Unipolar.

References

Kupfer DJ, Frank E, Phillips ML. Major depressive disorder: new clinical, neurobiological, and treatment perspectives. Lancet. 2012 March 17; 379(9820): 1045–1055. doi:10.1016/S0140-6736(11)60602-8.

Monteiro KCC, Lage AMV. A Depressão na Adolescência. Psicologia em Estudo, Maringá. 2007;12(2):257-265.

Bautista CF, Velázquez JV, Icaza MEMM, López MM, López MLG, Robles NO. Sociodemographic and personal factors related to depressive symptomatology in the Mexican population aged 12 to 65. Rev Bras Psiquiatr.2012;34:395-404

Aragão TA, Coutinho MPL, Araújo LF, Castanha AR. A psychosocial perspective of depressive symptoms in adolescence. Ciência & Saúde Coletiva. 2009; 14(2):395-405

Bahls SC. Epidemiology of depressive symptoms in adolescents of a public school in Curitiba, Brazil. Rev. Bras. Psiquiatr.2002;24(2):63-7

Birmaher V, Arbelaez C, Brent D. Course and outcome of child and adolescent major depressive disorder. Child Adolesc Psychiatr Clin N Am. 2002;11:619-637

Winter LB, Steer RA, Jones-Hicks L, Beck AT.Screening for Major Depression Disorders in Adolescent Medical Outpatients With the Beck Depression Inventory for Primary Care. Journal of Adolescent Health.1999; 24:389-394.

Duggal S. Carlson EA, Sroufe A, Egeland B. Depressive Symptomatology in Chilhood and Adolescence. Development and psychology. Cambridge:Cambridge University Press; 2001.

Ambrosini PJ, Metz C, Bianchi MD, Rabinovich H, Undie A. Concurrent Validity and Psychometric Properties of the Beck Depression Inventory in Outpatient Adolescents. J.Am.Acad.Child Adolesc Psychiatry.1991;30(1):51-57.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An Inventory for Measuring Depression. Archives of General Psychiatry.1961;4:561-571

Hatzenbuehler LC, Parpal M, Matthews L. Classifying College Students as Depressed or Nondepressed Using the Beck Depression Inventory: An Empirical Analysis. Journal of Consulting and Clinical Psychology. 1983;51(3):360-366.

Wang Y-P, Gorenstein C. Assessment of depression in medical patients: A systematic review of the utility of the Beck Depression Inventory-II. Clinics. 2013;68(9):1274-1287.

Shean G, Baldwin G. Sensitivity and Specificity of Depression Questionnaires in a College-Age Sample. The Journal of Genetic Psychology. 2008;169(3):281-288.

Basker M, Moses PD, Russel S, Russel PSS. The psychometric properties of Beck Depression Inventory for adolescent depression in a primary-care paediatric setting in India. 2007;1:1-8. Acesso em ,disponível em http://www.capmh.com/content/I/I/8

Bordin IA, Rocha MM, Paula CS, Teixeira MCTV, Achenbach TM, Rescorla LA, Silvares EFM. Child Behavior Checklist(CBCL), Youth Self-Report(YSR) and Teacher’s Report Form(TRF): an overview of the development of the original and Brazilian versions. Cad. Saúde Pública, Rio de Janeiro. Jan./2013;29(1):13-28

Bizeto J, Vieira Jr. AC. Dependências não químicas. In: Falcão LFR. Manual de Psiquiatria. São Paulo:Roca;2010.pág.169

Scivoletto S. Abuso e Dependência de Drogas. In: Saito MI, Silva LEV. Adolescência-Prevenção e Risco.São Paulo: Atheneu; 2001.pág.365-386

Cunha JA. Manual da versão em português das Escalas de Beck. São Paulo:Casa do Psicólogo, 2001

Reato LFN. Papel do Pediatra na Educação Sexual. In: Crespin J, Reato LFN. Hebiatria-Medicina da Adolescência. São Paulo:Roca editora, 2007.pp134-142

Stafford B. Child&Adolescent Psychiatric Disorders & Psychosocial Aspects of Pediatrics. In: Hay Jr.WW, Levin MJ, Sondheimer JM, Deterding RR. Current Diagnosis&Treatment Pediatrics. 20th Edition. New York:McGraw Hill Lange;2011. p.171-211.

Osman A, Barrios FX, Gutierrez PM, Williams JE, Bailey J. Psychometric Properties of the Beck Depression Inventory-II in Nonclinical Adolescent Samples. Journal of Clinical Psychology.2008;64(1):83-102

Lightfoot SL, Oliver JM. The Beck Inventory:Psychometric Properties in University Students. Journal of Personality Assessment.1985;49(4):434-436

Strober M, Green J, Carlson G. Utility of the Beck Inventory Depression with Psychiatrically hospitalized adolescentes. J. Consult. Clin. Psychol., 1981;49:482-483.

Lima D. Bipolar disorder and depression in childhood and adolescence. J.Ped.2004;80(S2):S11-S20

Teri L. The use of the Beck Depression Inventory with adolescentes.J. Abnorm. Child. Psychol.1982;10:277-284

Pietsch K, Hoyler A, Fruhe B, Kruse J, Schulte-Korne G, Allgaier AK. Early Detection of Major Depression in Paediatric Care: Validity of the Beck Depression Inventory-Second Edition(BDI-II) and the Beck Depression Inventory-Fast Screen for Medical Patients(BDI-FS). Psychother Psych Med.2012;62:418-424

Dutra SEM. Depressão e suicídio em crianças e adolescentes. Mudanças Psicoterapia e estudos Psicossociais. 2001;9(15):27-35

Alves VM, Silva AMS, Magalhães APN, Andrade TG, Faros ACM, Nardi AE. Suicide attempts in a emergency hospital. Arq. Neuropsiquiatr.2014;72(2):123-128

Weissman MM, Wickramaratine P, Merikangas KR, Leckman JF, Prusoff BA, Karuso KA, et al. Onset of major depression in early adulthood: increased familial loading and specificity. Arch Gen Psychiatry.1984;41(12):1136-43

Published

2019-07-17

How to Cite

Cristovam, Marcos Antonio da Silva, et al. “Evaluation of the YSR As a Screening Tool for Depression in a Population of Adolescents”. International Journal of Advances in Social Science and Humanities, July 2019, https://ijassh.com/index.php/IJASSH/article/view/320.

Issue

Volume 07 Issue 07 (2019) July 2019

Section

Research Articles

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