Depression rating scales

Question 1

2 Questions scale (also called PHQ-2)

Answer 1

• screening measure
• 1. over the past two weeks have you ever felt down, depressed, or hopeless
• 2. Have you felt little interest or pleasure in doing things

Question 2

HAMD/HDRS

Answer 2

-Hamilton depression rating scale
-observer rated
17-21 items
-refers to last 1-2 weeks
-more items for biological features
-remains reference standard

Question 3

MADRS

Answer 3

• Montgomery-Asberg Depression Rating Scale
• 10 item version
• most sensitive to change
• requires clinical inverview
• observer rated

Question 4

BDI

Answer 4

• Beck depression inventory
• self-rating
• 21 items- max score 63
• last 2 weeks
• 0-13 minimal, 14-19 mild, 20-28 moderate, >28 severe
• lacks discriminatory power among very severely ill
• more psychological than somatic factors included
• can be repeated at short intervals
• need to be 14 and older

Question 5

Zung Depression Inventory

Answer 5

• 20 items
• self rated
• avoids imbalance towards psychological factors seen in Becks
• poor correlation with observer rating
• insensitive to change

Question 6

Visual analogue Scale

Answer 6

• Easiest way to quantify depression severity

- 10 cm line where patient indicates the state of mood

Question 7

Child Depression Inventory

Answer 7

• 7-17 years old
• 27 items
• screening version has 10 items

Question 8

Reynolds Child Depression Inventory

Answer 8

aged 8-12

Question 9

Mood and Feelings Questionnaire

Answer 9

• MFQ
• 8-18 years old
• endorsed by NICE

Question 10

Centre for Epidemiological Studies-Depression Scale

Answer 10

• 14 and older

- can be used in post partum depression and adolescents

Question 11

Edinburgh Postnatal Depression Scale

Answer 11

• specifically developed for assessing postpartum depression and relies much less on somatic questions
• 10 items
• self or clinician rated
• framed within the past 7 days

Question 12

Geriatric Depression Scale

Answer 12

• developed for use in geriatric patients and contains fewer somatic items
• questions are within the last week and responses are yes or no

Question 13

Cornell Scale for Depression in Dementia

Answer 13

• in patients with cognitive deficits, interviewer-administered instruments are preferred
• needs to be administered to the patient’s primary caregiver

Question 14

Brief Assessment Schedule Depression Cards (BASDEC)

Answer 14

• designed for general hospital use and eliminates the likelihood of questions being overheard on geriatric wards
• patients choose answers from a deck of 19 cards presented one at a time

Question 15

Calgary Depression Scale for Schizophrenia (CDSS)

Answer 15

-focuses on symptoms of depression in the presence of schizophrenia