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Depression and self-esteem: Rapid screening for depression in black, low literacy, hospitalized tuberculosis patients

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  • Westaway, Margaret S.
  • Wolmarans, Liezel

Abstract

One hundred black hospitalized tuberculosis (TB) patients (75 males and 25 females) were interviewed to ascertain levels of depression and self-esteem. The standard of literacy for 65% of the sample was such that they were unable to complete a self-report inventory. Reliability (internal consistency) was good for the 21-item Beck Depression Inventory (BDI: r = 0.79), the 13-item shortened BDI (ABDI: r = 0.76) and the Rosenberg Self-Esteem scale (RSE: r = 0.78). There was a significant positive relationship between the BDI and the ABDI (r = 0.92, P = 0.0001). The recommended ABDI cut-off scores established no depression for 32 patients, mild depression for 22 patients, moderate depression for 38 patients and severe depression for 8 patients. There were significant negative relationships between the BDI and the RSE (r = -0.54, P = 0.0001), and between the ABDI and the RSE (r = -0.56, P = 0.0001). Self-esteem scores dropped in accordance with category of depression, revealing that low self-esteem is a characteristic feature of depression. It was concluded that the ABDI was a reliable, rapid, initial screening device for depression in black persons with low literacy levels.

Suggested Citation

  • Westaway, Margaret S. & Wolmarans, Liezel, 1992. "Depression and self-esteem: Rapid screening for depression in black, low literacy, hospitalized tuberculosis patients," Social Science & Medicine, Elsevier, vol. 35(10), pages 1311-1315, November.
    • Handle: RePEc:eee:socmed:v:35:y:1992:i:10:p:1311-1315
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