PMID: 8598516Jan 1, 1996Paper

Anxiety and depressive symptom identification using the Duke Health Profile

Journal of Clinical Epidemiology
G R ParkersonC K Tse

Abstract

Duke Health Profile (DUKE) subscales were compared for their ability to identify anxiety and depressive symptoms as measured by the State Anxiety Inventory (SAI) and the Center for Epidemiologic Studies Depression Scale (CES-D) in 413 primary care patients. The seven-item Duke Anxiety-Depression Scale (DUKE-AD) was the best symptom identifier, with sensitivities and specificities greater than 70% for high scores on both the SAI and CES-D. Also, baseline DUKE-AD scores predicted five clinical outcomes during an 18-month follow-up period, with receiver operating characteristic (ROC) curve areas ranging from 57.1 to 58.7%. Patients shown by DUKE-AD scores to be at high risk (>30, scale 0-100) for symptoms of anxiety and/or depression were more often women, less well-educated, not working, and with lower socioeconomic status. The severity of illness was higher than that of low-risk patients. Although the providers did not know which patients were at high risk, they made a clinical diagnosis of anxiety or depression more often in high-risk patients.

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Citations

Aug 1, 1995·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·C A McHorney, A R Tarlov
Jan 20, 2009·Rheumatology International·Omer Nuri PamukNecati Cakir
Mar 17, 2006·Clinical Rheumatology·Omer Nuri Pamuk, Necati Cakir
Nov 23, 2006·Transactions of the Royal Society of Tropical Medicine and Hygiene·Stephanie A RichardYao K Sodahlon
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Sep 12, 2013·Health Care for Women International·Sanaa K AbujilbanOhood Mosemli
Nov 15, 2011·Journal of Occupational and Environmental Medicine·Nearkasen ChauUNKNOWN Lorhandicap Group
Jun 24, 2017·Psychology & Health·Alexandra J WerntzBethany A Teachman
Apr 25, 2020·Journal of Patient-reported Outcomes·Chindhu ShunmugasundaramHaryana M Dhillon
Sep 4, 2017·Journal of Affective Disorders·Sarira El-DenClaire L O'Reilly
Jul 1, 1997·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·R A RettigD L Patrick

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