Correspondence between clinical diagnoses of depressive and anxiety disorders and diagnostic screening via the Hopkins Symptom Check List-25 in the Lundby Study.
(2013) In Nordic Journal of Psychiatry 67(3). p.204-213- Abstract
- Aim:
To compare clinical assessments of mental disorders with the Hopkins Symptom Check List-25 (HSCL-25) in a population-based sample consisting of middle-aged and elderly subjects.
Background:
The Lundby Study is a prospective cohort study that evaluated mental disorders and personality traits in an unselected Swedish population. The study commenced in 1947, with follow-ups in 1957, 1972 and 1997 (n = 3563).
Method:
Psychiatrists evaluated participants for mental disorders at several field investigations. In 1997, participants were also asked to complete the HSCL-25. Subjects with diagnoses of schizophrenia, dementia and certain other conditions were excluded leaving... (More) - Aim:
To compare clinical assessments of mental disorders with the Hopkins Symptom Check List-25 (HSCL-25) in a population-based sample consisting of middle-aged and elderly subjects.
Background:
The Lundby Study is a prospective cohort study that evaluated mental disorders and personality traits in an unselected Swedish population. The study commenced in 1947, with follow-ups in 1957, 1972 and 1997 (n = 3563).
Method:
Psychiatrists evaluated participants for mental disorders at several field investigations. In 1997, participants were also asked to complete the HSCL-25. Subjects with diagnoses of schizophrenia, dementia and certain other conditions were excluded leaving 1189 subjects aged 40-96 years. Diagnostic assessments by psychiatrists were compared with the results of the HSCL-25. Sensitivity and specificity were calculated at two cut-off levels of the HSCL-25 (1.55 and 1.75), and receiver operating characteristic (ROC) curves were plotted. The performance of the HSCL-25 was analysed with regard to anxiety and depression subscales.
Results:
The concordance of HSCL-25 with clinical best-estimate diagnoses was low. The anxiety subscale discriminated better than the depressive subscale.
Conclusions:
The correspondence between the clinical diagnoses made by psychiatrists and the HSCL-25 was not acceptable at a cut-off level 1.55. The HSCL-25 is limited in its ability to identify clinical syndromes. The HSCL-25 should be applied only as a preliminary screen for emotional distress and anxiety syndromes. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3047366
- author
- Mattisson, Cecilia LU ; Bogren, Mats LU and Horstmann, Vibeke LU
- organization
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Nordic Journal of Psychiatry
- volume
- 67
- issue
- 3
- pages
- 204 - 213
- publisher
- Informa Healthcare
- external identifiers
-
- wos:000319077800010
- pmid:22906095
- scopus:84878076691
- pmid:22906095
- ISSN
- 1502-4725
- DOI
- 10.3109/08039488.2012.711856
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000), Psychiatry (Lund) (013303000)
- id
- af229d08-3d56-482d-b6cf-0d3c30d2dd1b (old id 3047366)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22906095?dopt=Abstract
- date added to LUP
- 2016-04-01 09:48:03
- date last changed
- 2022-04-03 23:24:54
@article{af229d08-3d56-482d-b6cf-0d3c30d2dd1b,
abstract = {{Aim: <br/><br>
To compare clinical assessments of mental disorders with the Hopkins Symptom Check List-25 (HSCL-25) in a population-based sample consisting of middle-aged and elderly subjects. <br/><br>
<br/><br>
Background: <br/><br>
The Lundby Study is a prospective cohort study that evaluated mental disorders and personality traits in an unselected Swedish population. The study commenced in 1947, with follow-ups in 1957, 1972 and 1997 (n = 3563). <br/><br>
<br/><br>
Method: <br/><br>
Psychiatrists evaluated participants for mental disorders at several field investigations. In 1997, participants were also asked to complete the HSCL-25. Subjects with diagnoses of schizophrenia, dementia and certain other conditions were excluded leaving 1189 subjects aged 40-96 years. Diagnostic assessments by psychiatrists were compared with the results of the HSCL-25. Sensitivity and specificity were calculated at two cut-off levels of the HSCL-25 (1.55 and 1.75), and receiver operating characteristic (ROC) curves were plotted. The performance of the HSCL-25 was analysed with regard to anxiety and depression subscales. <br/><br>
<br/><br>
Results: <br/><br>
The concordance of HSCL-25 with clinical best-estimate diagnoses was low. The anxiety subscale discriminated better than the depressive subscale. <br/><br>
<br/><br>
Conclusions: <br/><br>
The correspondence between the clinical diagnoses made by psychiatrists and the HSCL-25 was not acceptable at a cut-off level 1.55. The HSCL-25 is limited in its ability to identify clinical syndromes. The HSCL-25 should be applied only as a preliminary screen for emotional distress and anxiety syndromes.}},
author = {{Mattisson, Cecilia and Bogren, Mats and Horstmann, Vibeke}},
issn = {{1502-4725}},
language = {{eng}},
number = {{3}},
pages = {{204--213}},
publisher = {{Informa Healthcare}},
series = {{Nordic Journal of Psychiatry}},
title = {{Correspondence between clinical diagnoses of depressive and anxiety disorders and diagnostic screening via the Hopkins Symptom Check List-25 in the Lundby Study.}},
url = {{http://dx.doi.org/10.3109/08039488.2012.711856}},
doi = {{10.3109/08039488.2012.711856}},
volume = {{67}},
year = {{2013}},
}