Screening for Mood Disorder in Pregnant Substance-dependent Patients

Overview

Journal Addict Disord Their Treat

Specialty Psychiatry

Date 2011 Sep 28

PMID 21528109

Citations 3

Authors

Margaret S Chisolm

Michelle Tuten

Eric C Strain

Hendree E Jones

Affiliations

Soon will be listed here.

Abstract

The Addiction Severity Index (ASI) and Beck Depression Inventory (BDI) were compared as screening tests for current mood disorder in pregnant substance-dependent patients (N = 187). Mean ASI psychiatric Interviewer Severity Rating (ISR) and BDI scores for Diagnostic and Statistical Manual of Mental Disorder-IV diagnosed current mood disorder patients (n = 51) were 4.4 and 17.1, respectively, and for those without current mood disorder (n = 136) were 2.7 and 14.0, respectively. Areas under receiver operating characteristic curves were 0.73 (ASI) and 0.59 (BDI). The ASI psychiatric ISR predicted mood disorder with better sensitivity and specificity versus the BDI (0.82 and 0.49 for scores ≥4 vs. 0.49 and 0.62 for scores ≥17, respectively).

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References

Zanarini M, Frankenburg F . Attainment and maintenance of reliability of axis I and II disorders over the course of a longitudinal study. Compr Psychiatry. 2001; 42(5):369-74. DOI: 10.1053/comp.2001.24556. View

Holcomb Jr W, Stone L, Lustman P, Gavard J, Mostello D . Screening for depression in pregnancy: characteristics of the Beck Depression Inventory. Obstet Gynecol. 1996; 88(6):1021-5. DOI: 10.1016/s0029-7844(96)00329-8. View

Alterman A, Brown L, Zaballero A, McKay J . Interviewer severity ratings and composite scores of the ASI: a further look. Drug Alcohol Depend. 1994; 34(3):201-9. DOI: 10.1016/0376-8716(94)90157-0. View

Steer R, Scholl T, Hediger M, Fischer R . Self-reported depression and negative pregnancy outcomes. J Clin Epidemiol. 1992; 45(10):1093-9. DOI: 10.1016/0895-4356(92)90149-h. View

Stowe Z, Hostetter A, Newport D . The onset of postpartum depression: Implications for clinical screening in obstetrical and primary care. Am J Obstet Gynecol. 2005; 192(2):522-6. DOI: 10.1016/j.ajog.2004.07.054. View

Mian A . Depression in pregnancy and the postpartum period: balancing adverse effects of untreated illness with treatment risks. J Psychiatr Pract. 2005; 11(6):389-96. DOI: 10.1097/00131746-200511000-00005. View

REYNOLDS W, GOULD J . A psychometric investigation of the standard and short form Beck Depression Inventory. J Consult Clin Psychol. 1981; 49(2):306-7. DOI: 10.1037//0022-006x.49.2.306. View

Wisner K, Zarin D, Holmboe E, Appelbaum P, Gelenberg A, Leonard H . Risk-benefit decision making for treatment of depression during pregnancy. Am J Psychiatry. 2000; 157(12):1933-40. DOI: 10.1176/appi.ajp.157.12.1933. View

Hodgins D, El-Guebaly N . More data on the Addiction Severity Index. Reliability and validity with the mentally ill substance abuser. J Nerv Ment Dis. 1992; 180(3):197-201. DOI: 10.1097/00005053-199203000-00009. View

10.

Buckley T, Parker J, Heggie J . A psychometric evaluation of the BDI-II in treatment-seeking substance abusers. J Subst Abuse Treat. 2001; 20(3):197-204. DOI: 10.1016/s0740-5472(00)00169-0. View

11.

Hesse M . The Beck Depression Inventory in patients undergoing opiate agonist maintenance treatment. Br J Clin Psychol. 2006; 45(Pt 3):417-25. DOI: 10.1348/014466505x68069. View

12.

Kosten T, Rounsaville B, KLEBER H . Concurrent validity of the addiction severity index. J Nerv Ment Dis. 1983; 171(10):606-10. DOI: 10.1097/00005053-198310000-00003. View

13.

Llewellyn A, Stowe Z, Nemeroff C . Depression during pregnancy and the puerperium. J Clin Psychiatry. 1997; 58 Suppl 15:26-32. View

14.

Salamero M, Marcos T, Gutierrez F, Rebull E . Factorial study of the BDI in pregnant women. Psychol Med. 1994; 24(4):1031-5. DOI: 10.1017/s0033291700029111. View

15.

Strain E, Stitzer M, Bigelow G . Early treatment time course of depressive symptoms in opiate addicts. J Nerv Ment Dis. 1991; 179(4):215-21. DOI: 10.1097/00005053-199104000-00007. View

16.

Beck A, Ward C, Mendelson M, Mock J, ERBAUGH J . An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4:561-71. DOI: 10.1001/archpsyc.1961.01710120031004. View

17.

McLellan A, Cacciola J, Alterman A, Rikoon S, Carise D . The Addiction Severity Index at 25: origins, contributions and transitions. Am J Addict. 2006; 15(2):113-24. DOI: 10.1080/10550490500528316. View

18.

Kelly R, Russo J, Holt V, Danielsen B, Zatzick D, Walker E . Psychiatric and substance use disorders as risk factors for low birth weight and preterm delivery. Obstet Gynecol. 2002; 100(2):297-304. DOI: 10.1016/s0029-7844(02)02014-8. View

19.

Kissin W, Svikis D, Moylan P, Haug N, Stitzer M . Identifying pregnant women at risk for early attrition from substance abuse treatment. J Subst Abuse Treat. 2004; 27(1):31-8. DOI: 10.1016/j.jsat.2004.03.007. View

20.

McLellan A, Luborsky L, Woody G, OBrien C . An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index. J Nerv Ment Dis. 1980; 168(1):26-33. DOI: 10.1097/00005053-198001000-00006. View