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Subtitle: Is the BSI-18 a useful screening tool for psychological distress in kidney transplanted patients?
Article type: Research Article
Authors: Franke, Gabriele Helga | Jäger, Susanne | Morfeld, Matthias | Salewski, Christel | Reimer, Jens | Rensing, Anne | Witzke, Oliver | Türk, Tobias
Affiliations: Hochschule Magdeburg-Stendal (FH), Fachbereich Angewandte Humanwissenschaften, Rehabilitationspsychologie B.Sc. und M.Sc | Universitätsklinikum Hamburg-Eppendorf, Klinik für Psychiatrie und Psychotherapie | Vivantes Humboldt-Klinikum Berlin, Nephrologie | Klinik für Nephrologie, Universitätsklinikum Essen, Universität Duisburg- Essen
Abstract: The BSI-18, a short version of the Brief Symptom Inventory (BSI; Franke, 2000), was first published in the year 2000 (Derogatis). It consists of the three six-item-scales Somatization (in which one item of the full version was eliminated), Depression, and Anxiety of the BSI, and a global score including all 18 items. 409 kidney-transplanted patients of the University Hospital, Essen were routinely assessed by a tool of questionnaires assessing health-related quality of life and psychosocial aspects (SF-36, BSI, F-Sozu-K22). 246 (60.1%) of the patients were male and 163 female (39.9%), mean age was 49.7 years (standard deviation=12.5, range 20–76). Kidney transplantation dated back on average 81 months (SD=56, range 1–330); 354 patients (67%) were transplanted once, 41 (10%) twice, 11 (3%) thrice and four (1%) more than thrice. The psychometric investigations analyzed reliability and validity of the BSI-18. Analyses of reliability revealed only a small loss of internal consistency. BSI-18 is a useful short screening tool measuring routinely salient psychological distress in kidney-transplanted patients. Early detection of salient psychological distress can support provision of adequate medical-psychological intervention; this may enhance health-related quality of life in medium term, and may help reducing financial costs in the health-care system.
Keywords: Psychological distress, BSI-18, reliability, validity
Journal: Zeitschrift für Medizinische Psychologie, vol. 19, no. 1, pp. 30-37, 2010
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