Table 1. Characteristics of Case-Finding Instruments Used to Detect Depression in Adults in Primary Care Settings1

Instrument Items, n2 Time Frame of Questions Score Range Usual Cut-Point 3 Literacy Level 4 Administration Time, min
Beck Depression Inventory 21 Today 0-63 Mild, 10; moderate, 20; severe, 30 Easy 2-5
Center for Epidemiologic Study Depression Screen 20 Past week 0-60 16 Easy 2-5
General Health Questionnaire 28 Past few weeks 0-28 4 Easy 5-10
Medical Outcomes Study Depression Screen 8 Past week 0-1 0.06 Average < 2
Primary Care Evaluation of Mental Disorders 2 Past month 0-2 1 Average < 2
Symptom Driven Diagnostic System-Primary Care 5 Past month 0-4 2 Easy < 2
Zung Self-Assessment Depression Scale 20 Recently 25-100 Mild, 50; moderate, 60; severe, 70 Easy 2-5

1 Adapted from reference 10.
2 Item numbers for the Primary Care Evaluation of Mental Disorders and the Symptom Driven Diagnostic System-Primary Care refer to depression questions only. Several instruments now have shortened versions as well.
3 The cut-point is the number at or above which the test is considered positive.
4 "Easy" is a third- to fifth-grade reading level, and "average" is a sixth- to ninth-grade reading level, according to the fog formula.


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