Oct, 1, 2023

Vol.30 No.2, pp. 84-88


Review

  • Korean Journal of Biological Psychiatry
  • Volume 16(2); 2009
  • Article

Review

Korean Journal of Biological Psychiatry 2009;16(2):112-20. Published online: Feb, 1, 2009

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

  • Jung Hyun Lee, MD1;Tae-Suk Kim, MD, PhD2,4,5;Yoon-Ho Ko, MD3;Sujung J. Yoon, MD, PhD2;In Kyoon Lyoo, MD, PhD1;Tae-Youn Jun, MD, PhD2,5; and Chul Lee, MD, PhD2;
    1;Department of Psychiatry, Seoul National University Hospital, Seoul, 2;Department of Psychiatry, The Catholic University of Korea, College of Medicine, Seoul, 3;Department of Medical Oncology, The Catholic University of Korea, College of Medicine, Seoul, 4;Cancer Distress Clinic, Catholic Cancer Comprehensive Institute, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, 5;Clinical Research Center for Depression, Seoul, Korea
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 α=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.

Conclusion:The present findings suggested that the K-BEDS would have good psychometric properties to screen for the depression in cancer patients.

Keywords Brief edinburgh depression scale;Cancer;Depression;Reliability;Validity;Cutoff value.