Assessing depression in fibromyalgia patients

Carol S. Burckhardt, Connie A. O'Reilly, Arthur N. Wiens, Sharon R. Clark, Stephen M. Campbell, Robert M. Bennett

    Research output: Contribution to journalArticlepeer-review

    94 Scopus citations


    Purpose. This study investigated the relationships among four methods of detecting depression in patients with fibromyalgia. Methods. Data were obtained from 100 women (mean age 43 years) who had been diagnosed with fibro‐myalgia. Instruments included a computerized Diagnostic Interview Schedule (C‐DIS), Beck Depression Inventory (BDI), an adjusted “disease‐free” BDI (BDI‐A), and Minnesota Multiphasic Personality Inventory depression subscale (MMPI‐D). Chance‐corrected concordance, sensitivity, specificity, and accuracy among the four methods were calculated. Results. The C‐DIS detected 22% and BDI‐A 29% with current major depression. The BDI and MMPI‐D yielded higher estimates of 55% of the 44%, respectively. Agreement on the diagnosis among the four methods was significantly greater than chance. When compared with the C‐DIS, the BDI was the most sensitive instrument and the BDI‐A most specific. Conclusions. The C‐DIS and BDI‐A appear to be more reliable methods for determining the presence of major depression in women with fibromyalgia than are the MMPI‐D or standard BDI.

    Original languageEnglish (US)
    Pages (from-to)35-39
    Number of pages5
    JournalArthritis & Rheumatism
    Issue number1
    StatePublished - Mar 1994


    • Beck Depression Inventory
    • Depression
    • Fibromyalgia
    • MMPI

    ASJC Scopus subject areas

    • Immunology and Allergy
    • Rheumatology
    • Immunology
    • Pharmacology (medical)


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