Usefulness of a single-item measure of depression to predict mortality: the GAZEL prospective cohort study

Détails

ID Serval
serval:BIB_6A5F5E1733AE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Usefulness of a single-item measure of depression to predict mortality: the GAZEL prospective cohort study
Périodique
European Journal of Public Health
Auteur⸱e⸱s
Lefèvre T., Singh-Manoux A., Stringhini S., Dugravot A., Lemogne C., Consoli S.M., Goldberg M., Zins M., Nabi H.
ISSN
1464-360X (Electronic)
ISSN-L
1101-1262
Statut éditorial
Publié
Date de publication
2012
Peer-reviewed
Oui
Volume
22
Numéro
5
Pages
643-647
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
BACKGROUND: It remains unknown whether short measures of depression perform as well as long measures in predicting adverse outcomes such as mortality. The present study aims to examine the predictive value of a single-item measure of depression for mortality.
METHODS: A total of 14,185 participants of the GAZEL cohort completed the 20-item Center-for-Epidemiologic-Studies-Depression (CES-D) scale in 1996. One of these items (I felt depressed) was used as a single-item measure of depression. All-cause mortality data were available until 30 September 2009, a mean follow-up period of 12.7 years with a total of 650 deaths.
RESULTS: In Cox regression model adjusted for baseline socio-demographic characteristics, a one-unit increase in the single-item score (range 0-3) was associated with a 25% higher risk of all-cause mortality (95% CI: 13-37%, P<0.001). Further adjustment for health-related behaviours and physical chronic diseases reduced this risk by 36% and 8%, respectively. After adjustment for all these variables, every one-unit increase in the single-item score predicted a 15% increased risk of death (95% CI: 5-27%, P<0.01). There is also an evidence of a dose-reponse relationship between reponse scores on the single-item measure of depression and mortality.
CONCLUSION: This study shows that a single-item measure of depression is associated with an increased risk of death. Given its simplicity and ease of administration, a very simple single-item measure of depression might be useful for identifying middle-aged adults at risk for elevated depressive symptoms in large epidemiological studies and clinical settings.
Mots-clé
Adult, Cause of Death, Depression/complications, Depression/diagnosis, Female, Follow-Up Studies, hic" UI="D005602">France/epidemiology, Health Behavior, Humans, Male, Middle Aged, Predictive Value of Tests, Proportional Hazards Models, Prospective Studies, Psychiatric Status Rating Scales, Questionnaires, Risk Factors, Socioeconomic Factors
Pubmed
Web of science
Open Access
Oui
Création de la notice
12/02/2015 9:16
Dernière modification de la notice
20/08/2019 14:25
Données d'usage