COSMIN database

Characteristics of instruments screening for depression in adults with intellectual disabilities: systematic review

Hermans, H. and Evenhuis, H. M.
The aim of this study was to obtain information on feasibility, reliability and validity of available instruments screening for depression applied in people with intellectual disabilities (ID). Therefore, literature was systematically reviewed. For self-report, the Glasgow Depression scale for people with a Learning Disability appears most promising (internal consistency alpha=0.90, test-retest reliability r=0.97, sensitivity 96% and specificity 90%). For informant-report three instruments seem promising: the Assessment of Dual Diagnosis (internal consistency alpha=0.77 and alpha=0.91, test-retest reliability r=0.94, interrater reliability r=0.98), the Reiss Screen for Maladaptive Behaviour (internal consistency alpha=0.58-0.83, interrater reliability r=0.61-0.84, sensitivity 80%, specificity 83%), and the Children's Depression Inventory (internal consistency alpha=0.86, sensitivity 83%, specificity 93%). None of these three instruments have been studied satisfactorily in this group, yet. More research on psychometric properties, especially sensitivity and specificity in the ID population, is needed.
Res Dev Disabil
1873-3379 (Electronic)
Publication year:
Symptom status:
Cognitive/mental state
Functional status:
Cognitive/mental functioning
Adults (18-65)
Children (0-18)
Seniors (65+)
Mental and behavioural disorders and related symptoms
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
6 - Clinical rating scales
ADAMS - Anxiety, Depression And Mood Scale
ADD - Assessment of Dual Diagnosis
BDI - Beck Depression Inventory (versions: mBDI)   
CDI - Children's Depression Inventory (versions: SCDI; CDI-SF)
DASH-II - Diagnostic Assessment for the Severely Handicapped-II
GDS-CS - Glasgow Depression Scale Carer Supplement
GDS-LD - Glasgow Depression Scale for people with a Learning Disability
HADS - Hospital Anxiety and Depression Scale   
MASS - Mood and Anxiety Semi-Structured
Mini PAS-ADD - Mini Psychiatric Assessment Schedule for Adults with a Developmental Disability
MIPQ - Mood, Interest, and Pleasure Questionnaire
PAS-ADD Checklist - Psychiatric Assessment Schedule for Adults with a Developmental Disability
PIMRA - Psychopathology Instrument for Mentally Retarded Adults
RSMB - Reiss Screen for Maladaptive Behaviour
SDS - Zung Self-rating Depression Scale
SRDQ - Self-Report Depression Questionnaire