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  • Title: [Clinical and psychometric diagnosis of depression in patients in general medicine].
    Author: Ruiz A, Silva H, Miranda E.
    Journal: Rev Med Chil; 2001 Jun; 129(6):627-33. PubMed ID: 11510202.
    Abstract:
    BACKGROUND: The Hamilton scale, applied by an external evaluator and the self rating Beck inventory for depression, can give discrepant results in psychiatric patients with depression. AIM: To compare depression scores obtained with the Hamilton scale and the Beck inventory in general medical patients. PATIENTS AND METHODS: Patients attending an outpatient clinic of a University Hospital were studied. Clinical psychiatric diagnoses were based on DSM-III. Hamilton scale was applied to 100 patients and 80 answered the Beck depression inventory. RESULTS: Patients with major depression obtained the higher scores with both scales. However, Beck inventory had false positive and false negative results. Moreover, some patients overstated their depressive symptoms. CONCLUSIONS: Self assessment of depression can be distorted by anxiety and somatic symptoms.
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