Validity of Beck’s depression inventory and alcohol use disorders identification test in Nigeria’s Niger Delta region
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Abstract
Background: The Beck’s Depression Inventory (BDI) and Alcohol Use Disorder Identification Test (AUDIT) have been validated for use in the study of alcohol related psychiatric disorders in the developed world as well as in Western Nigeria, but not in the Niger Delta Region.
Aim: To ascertain the psychometric properties of BDI and AUDIT for use in this part of the world using psychiatric out‑patients at the University of Port Harcourt Teaching Hospital.
Methods: Four hundred and seventy (470) subjects were enlisted into the study using systematic sampling technique. The BDI and AUDIT were administered to each of them. One hundred and eighty five (185) subjects met the criteria for the second stage viz; a score of 18 and above on the BDI and/or a score of 5 and above on the AUDIT. Diagnoses of Depression and Alcohol Use Disorder were made using the Composite International Diagnostic Interview (CIDI). The data were analyzed using the statistical package for social sciences (SPSS) version 16.0
Results: The sensitivity and specificity of the BDI were 96.3% and 58.8% respectively. The positive and negative predictive values of BDI were 86% and 85.7% respectively. Also, the sensitivity and specificity of the AUDIT were 100% and 92.1%. Furthermore, the positive and negative predictive values of the AUDIT were 85.5% and 100% respectively.
Conclusion: The BDI and AUDIT have excellent psychometric properties; hence they are valid for carrying out studies on alcohol related psychiatric disorders.
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References
1.Chen CC, Yeh EK, Hwu HG, Lin SK, Lee CT, Blang JJ, et al. Drinking problem in patients of a general hospital: Lifetime prevalence of alcohol and dependence. Chin J Psychiatry 1987;1:166‑72.
2.Ming‑Chyi H, Chiao‑Chicy C. Alcohol dependence in Taiwan: From epidemiology to biomedicine. J Exp Clin Med 2013;4:108‑12.
3.World Health Organization. The World Health Report 2001: Mental Health: New Understanding, New Hope. Geneva, Switzerland: World Health Organization, 2001.
4.Stanley PC, Nwaneri DU, Bob‑Yellowe E. Prevalence of alcohol withdrawal syndrome in Port Harcourt, Niger Delta region of Nigeria. January 1999 – December 2003. Neurol Asia 2005;10:53‑9.
5.Piccinelli M, Tessari E, Bortolomasi M, Piasere O, Semenzin M, Garzotto N, et al. Efficacy of the alcohol use disorders identification test as a screening tool for hazardous alcohol intake and related disorders in primary care: A validity study. BMJ 1997;314:420‑4.
6.Reinert DF, Allen JP. The alcohol use disorders identification test: An update of research findings. Alcohol Clin Exp Res 2007;31:185‑99.
7.Agabio R, Marras P, Gessa GL, Carpiniello B. Alcohol use disorders, and at‑risk drinking in patients affected by a mood disorder, in Cagliari, Italy: Sensitivity and specificity of different questionnaires. Alcohol Alcohol 2007;42:575‑81.
8.Adewuya AO. Validation of the alcohol use disorders identification test (audit) as a screening tool for alcohol‑related problems among Nigerian university students. Alcohol Alcohol 2005;40:575‑7.
9.Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561‑71.
10.Beck AT, Steer RA, Brown GK. Beck Depression Inventory Manual‑11: San Antonio, Texas: Psychological Corporation, 1996; 12‑7.
11.Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: Twenty‑five years of evaluation. Clin Psychol Rev 1988;8:77‑100.
12.Blacker D. Psychiatric rating scales. In: Sadock BJ, Sadock VA, Ruiz P, editors. Kaplan and Sadock’s Comprehensive Textbook of Psychiatry. 9th ed. Philadelphia, PA: Lippincott Williams and Wilkins, 2009; 1032‑59.
13.Awaritefe A. The Beck Depression Inventory in relation to some commonly used tests in Nigeria. Niger J Basic Appl Psychol 1998;1:23‑8.
14.Adewuya AO, Ola BA, Aloba OO. Prevalence of major depressive disorders and a validation of the Beck Depression Inventory among Nigerian adolescents. Eur Child Adolesc Psychiatry 2007;16:287‑92.
15.Araoye MO. Sample Size Determination. Research Methodology with Statistics for Health and Social Sciences. 1st ed. Ilorin: Nathadex Publishers, 2003; 115‑21.
16.Gureje O, Uwakwe R, Oladeji B, Makanjuola VO, Esan O. Depression in adult Nigerians: Results from the Nigerian survey of mental health and well‑being. J Affect Disord 2010;120:158‑64.
17.World Health Organization. The World Health Report 2004: Changing History. Geneva, Switzerland: World Health Organization, 2004.
18.Andrews G, Peters L. The psychometric properties of the Composite International Diagnostic Interview. Soc Psychiatry Psychiatr Epidemiol 1998;33:80‑8.
19.Wang YP, Gorenstein C. Psychometric properties of the Beck Depression Inventory‑II: A comprehensive review. Rev Bras Psiquiatr 2013;35:416‑31.
20.Rumpf HJ, Hapke U, Meyer C, John U. Screening for alcohol use disorders and at‑risk drinking in the general population: Psychometric performance of three questionnaires. Alcohol Alcohol 2002;37:261‑8.
21.Kokotailo PK, Egan J, Gangnon R, Brown D, Mundt M, Fleming M. Validity of the alcohol use disorders identification test in college students. Alcohol Clin Exp Res 2004;28:914‑20.
22.Kjaergaard M, Arfwedson Wang CE, Waterloo K, Jorde R. A study of the psychometric properties of the Beck Depression Inventory‑II, the Montgomery and Åsberg depression rating scale, and the hospital anxiety and depression scale in a sample from a healthy population. Scand J Psychol 2014;55:83‑9.
23.Nair MG, Pillay SS. Psychiatric disorder in a South African general hospital. Prevalence in medical, surgical, and gynecological wards. Gen Hosp Psychiatry 1997;19:144‑8.
24.Huang MC, Yu CH, Chen CT, Chen CC, Shen WW, Chen CH. Prevalence and identification of alcohol use disorders among severe mental illness inpatients in Taiwan. Psychiatry Clin Neurosci 2009;63:94‑100.
25.Gureje O, Lasebikan VO, Kola L, Makanjuola VA. Lifetime and 12‑month prevalence of mental disorders in the Nigerian Survey of Mental Health and Well‑Being. Br J Psychiatry 2006;188:465‑71.
26.Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG, et al. Cross‑national epidemiology of major depression and bipolar disorder. JAMA 1996;276:293‑9.
27.Ferrari AJ, Somerville AJ, Baxter AJ, Norman R, Patten SB, Vos T, et al. Global variation in the prevalence and incidence of major depressive disorder: A systematic review of the epidemiological literature. Psychol Med 2013;43:471‑81.