The Children's Depression Inventory as a screen for depression in Thai children.
This study examines the utilization of the Children's Depression Inventory (CDI), Thai version, as a screen for depression in Thai children. Subjects which consisted of 139 children aged 10-15 years filled out the CDI and were evaluated with structured psychiatric interview by a child psychiatrist who was blind to the results of the CDI. Children with interview validated depression had significantly elevated CDI scores (mean = 18.5, SD = 6.1) compared with nondepressed children (mean = 9.3, SD = 4.1), P > 10(-6). Furthermore, the CDI scores increased as the severity of depression increased. Using the Receiver Operating Characteristic Curve, a cut-point of 15 produced the best overall screening characteristics (sensitivity = 79%, specificity = 91% and accuracy = 87%). The results of this study indicate that the CDI efficiently differentiated depressed from non-depressed children. Since the CDI is an economical, easy to adiminister and readily analyzable instrument, it should be used as a screen for depression and a supplant for clinical evaluation and follow-up in the treatment of depression in children.
Trangkasombat
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Department of Psychiatry, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Likanapichitkul
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D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics / Q000379:methods*; D012372:ROC Curve; D012016:Reference Values; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013785:Thailand; D014175:Translating