Screening Test for Depression Using the SF-36 Health Survey in Patients with Chronic Musculoskeletal Pain.
- Author:
Dong Hyun KIM
1
;
Tae Hoon KIM
;
Jun Lae KIM
;
Hyuck LEE
;
Soo A KIM
;
Ki Young OH
Author Information
1. Department of Rehabilitation Medicine, Soonchunhyang University College of Medicine, Korea. redhot911@hanmail.net
- Publication Type:Original Article
- Keywords:
SF-36;
Chronic pain;
Musculoskeletal pain;
Depression;
CES-D
- MeSH:
Ambulatory Care Facilities;
Chronic Pain;
Depression*;
Diagnosis;
Epidemiologic Studies;
Health Surveys*;
Humans;
Mass Screening*;
Musculoskeletal Pain*;
Surveys and Questionnaires;
ROC Curve;
Sensitivity and Specificity
- From:Journal of the Korean Academy of Rehabilitation Medicine
2007;31(4):434-439
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the usefulness of the mental component summary (MCS) from the short form 36-item health survey (SF-36) as a screening test for depression in patients with chronic musculoskeletal pain and identify the optimal cut-off value that predicts a positive depression score measured by the center for epidemiological study depression survey (CES-D). METHOD: This study was designed as a questionnaire survey. 502 patients who visited our outpatient clinics due to chronic musculoskeletal pain were evaluated. They completed the SF-36 and the CES-D. The correlation between the MCS score from the SF-36 and the CES-D was identified, and also the cut-off value of the MCS score was determined with ROC curves used the CES-D as the standard measure for depression. The MCS scores were compared according to age, sex, duration of diseases, diagnosis, and the presence of depression. RESULTS: The mean overall score of CES-D and the MCS score were 17.5+/-10.2, 52.2+/-16.4 respectively. The MCS scores negatively correlated with the CES-D (gamma=-0.879, p<0.01). There were no significant differences of the MCS scores in each group according to age, sex, duration of diseases, and diagnosis (p>0.05). However, patients with depression had significantly lower MCS scores than patients without depression (p<0.05). The cut-off value was 42.4 with 88.1% of sensitivity and 92.6% of specificity. CONCLUSION: The MCS scores would be useful screening test for depression with cut-off value of 42.4 that predicts the closest result of the CES-D.
