A comparison of two depressive symptomatology measures in residential substance abuse treatment clients

J Subst Abuse Treat. 2009 Oct;37(3):318-25. doi: 10.1016/j.jsat.2009.03.005. Epub 2009 Apr 8.

Abstract

Comorbid depression is common among substance abusers, making routine assessment of depression critical for high-quality care. We evaluated two of the most commonly used depressive symptomatology measures in a sample of clients (N = 240) in residential substance abuse treatment settings. The Beck Depression Inventory (BDI-II) has previously been used in clients receiving substance abuse treatment. The Patient Health Questionnaire (PHQ-9), originally developed for primary care settings, has not been used as frequently in substance abuse treatment settings, and it is unknown how it performs in this population. The measures were highly correlated with each other (r = .76) and demonstrated good internal consistency reliability (BDI-II = 0.91, PHQ-9 = 0.87); however, the PHQ-9 classifies more individuals as having "mild" depression symptoms relative to the BDI-II, which tends to suggest these individuals have no depression symptoms. Implications for assessing depression symptoms in individuals receiving substance abuse treatment are discussed.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Depressive Disorder / complications
  • Depressive Disorder / diagnosis*
  • Diagnosis, Dual (Psychiatry)
  • Female
  • Humans
  • Male
  • Psychiatric Status Rating Scales*
  • Psychometrics
  • Residential Treatment
  • Severity of Illness Index
  • Substance Abuse Treatment Centers
  • Substance-Related Disorders / complications*
  • Substance-Related Disorders / rehabilitation