title: Comparing depression screening tools in persons with multiple sclerosis (MS).
abstract: Depression is more common among persons with multiple sclerosis (MS) than the general population. Depression in MS is associated with reduced quality of life, transition to unemployment, and cognitive impairment. Two proposed screening measures for depression in MS populations are the Hospital Anxiety and Depression Scale (HADS) and the Beck Depression Inventory-Fast Screen (BDI-FS). Our objective was to compared the associations of the BDI-FS and the HADS-D scores with history of depressive symptoms, fatigue, and functional outcomes to determine the differential clinical utility of these screening measures among persons with MS.
  
  
  
  We reviewed charts of 133 persons with MS for demographic information; scores on the HADS, BDI-FS, a fatigue measure, and a processing speed measure; and employment status.
  
  
  
  Structural equation modeling results indicated the HADS-D predicted employment status, disability status, and processing speed more effectively than did the BDI-FS, whereas both measures predicted fatigue.
  
  
  
  This study suggests the HADS-D is more effective than the BDI-FS in predicting functional outcomes known to be associated with depression among persons with MS. (PsycINFO Database Record
authors.affiliation: Department of Clinical Neurological Sciences, London Health Sciences Center, University Hospital, University of Western Ontario.
authors.forename: Joshua
authors.initials: J
authors.lastname: Hanna
authors.affiliation: Department of Psychology, University of Nebraska at Omaha.
authors.forename: Jonathan B
authors.initials: JB
authors.lastname: Santo
authors.affiliation: Department of Cognitive Neurology, Parkwood Institute, St. Joseph's Health Care.
authors.forename: Mervin
authors.initials: M
authors.lastname: Blair
authors.affiliation: Department of Clinical Neuropsychology, Hamilton Health Sciences Center.
authors.forename: Kathy
authors.initials: K
authors.lastname: Smolewska
authors.affiliation: Department of Clinical Neuropsychology, Hamilton Health Sciences Center.
authors.forename: Erin
authors.initials: E
authors.lastname: Warriner
authors.affiliation: Department of Clinical Neurological Sciences, London Health Sciences Center, University Hospital, University of Western Ontario.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Morrow
mesh_terms: D000293:Adolescent; D000328:Adult; D003072:Cognition Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D004185:Disability Evaluation; D005221:Fatigue / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D010555:Personality Inventory / Q000706:statistics & numerical data; D011379:Prognosis; D011594:Psychometrics / Q000706:statistics & numerical data; D011788:Quality of Life / Q000523:psychology; D011930:Reaction Time; D012050:Rehabilitation, Vocational / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult