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- Title
Diagnosis of depressed young people in primary health care—a validation of HSCL-10.
- Authors
Haavet, Ole Rikard; Sirpal, Manjit Kaur; Haugen, Wenche; Christensen, Kaj Sparle
- Abstract
Background. According to the World Health Organization, depression ranks as a major contributor to the global burden of disease. A large proportion of adult depressions had their first appearance in adolescence.Aim. Because primary health care professionals lack valid instruments for early identification of depression, we sought to validate HSCL-10. The design of study is a GP multicentre study conducted in Norway and Denmark. The setting of the study is adolescents (14–16 years) responded by answering a questionnaire and later completed a Composite International Diagnostic Interview, which was used as the gold standard. Depression was defined by International Classification of Diseases-10 (ICD-10). Both internal and external validity were examined, the likelihood between pretest and posttest measured and a cut-off point for depression calculated by using the Youden index.Results. The Hopkins Symptom Checklist-10 test (HSCL-10) met the criteria for external and internal validity. When analysed separately, the criteria were met both in Denmark and in Norway and both for paper and web. The optimal cut-off point for the HSCL-10 test was 16 (HSCL-10 = 16/10 items = 1.6), with no gender differences. For girls and boys, respectively, it yielded a sensitivity of 87.5% and 87.5%, specificity of 72.4% and 87.9% and likelihood of 3.2 and 7.2.Conclusion. HSCL-10 is a suitable and valid instrument for detecting depression in young people in primary care.
- Subjects
NORWAY; DENMARK; DIAGNOSIS of mental depression; PRIMARY health care; WORLD Health Organization; FAMILY medicine; QUESTIONNAIRES; GENERAL practitioners
- Publication
Family Practice, 2011, Vol 28, Issue 2, p233
- ISSN
0263-2136
- Publication type
Article
- DOI
10.1093/fampra/cmq078