scholarly journals Profiles of depression in a treatment‐seeking Hispanic population: Psychometric properties of the Patient Health Questionnaire‐9

2020 ◽  
Author(s):  
Michael O. Killian ◽  
Katherine Sanchez ◽  
Brittany H. Eghaneyan ◽  
Leopoldo J. Cabassa ◽  
Madhukar H. Trivedi
Keyword(s):  
Psychometric Properties ◽  
Patient Health Questionnaire ◽  
Treatment Seeking ◽  
Hispanic Population ◽  
Health Questionnaire ◽  
Patient Health

scholarly journals Psychometric properties of the PHQ-9 depression scale in people with multiple sclerosis: a systematic review

2018 ◽  
Author(s):  
Sarah Patrick ◽  
Peter Connick
Keyword(s):  
Multiple Sclerosis ◽  
Psychometric Properties ◽  
Depression Scale ◽  
Assessment Tools ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Eligibility Criteria ◽  
Retest Reliability ◽  
Patient Health ◽  
Test Retest Reliability

AbstractBackgroundDepression affects approximately 25% of people with MS (pwMS) at any given time. It is however under recognised in clinical practice, in part due to a lack of uptake for brief assessment tools and uncertainty about their psychometric properties. The 9-item Patient Health Questionnaire (PHQ-9) is an attractive candidate for this role.ObjectiveTo synthesise published findings on the psychometric properties of the 9-item Patient Health Questionnaire (PHQ-9) when applied to people with multiple sclerosis (pwMS).Data sourcesPubMed, Medline and ISI Web of Science databases, supplemented by hand-searching of references from all eligible sources.Study eligibility criteriaPrimary literature written in English and published following peer-review with a primary aim to evaluate the performance of the PHQ-9 in pwMS.Outcome measuresPsychometric performance with respect to appropriateness, reliability, validity, responsiveness, precision, interpretability, acceptability, and feasibility.ResultsSeven relevant studies were identified, these were of high quality and included 5080 participants from all MS disease-course groups. Strong evidence was found supporting the validity of the PHQ-9 as a unidimensional measure of depression. Used as a screening tool for major depressive disorder (MDD) with a cut-point of 11, sensitivity was 95% sensitivity and specificity 88.3% (PPV 51.4%, NPV 48.6%). Alternative scoring systems that may address the issue of overlap between somatic features of depression and features of MS per se are being developed, although their utility remains unclear. However data on reliability was limited, and no specific evidence was available on test-retest reliability, responsiveness, acceptability, or feasibility.ConclusionsThe PHQ-9 represents a suitable tool to screen for MDD in pwMS. However use as a diagnostic tool cannot currently be recommended, and the potential value for monitoring depressive symptoms cannot be established without further evidence on test-retest reliability, responsiveness, acceptability, and feasibility.PROSPERO register ID: CRD42017067814

scholarly journals A retrospective multisite examination of depression screening practices, scores, and correlates in pediatric diabetes care

2019 ◽  
Author(s):  
Shelagh A Mulvaney ◽  
Constance A Mara ◽  
Jessica C Kichler ◽  
Shideh Majidi ◽  
Kimberly A Driscoll ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Depressive Symptoms ◽  
Psychometric Properties ◽  
Mental Health Treatment ◽  
Clinical Care ◽  
Patient Characteristics ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Patient Health

Abstract Psychosocial guidelines recommend routine screening of depressive symptoms in adolescents and young adults (AYA) with diabetes. Best practices for screening in routine care and patient characteristics associated with depressive symptoms require further investigation. The purpose of this study was to examine psychometric properties of the Patient Health Questionnaire (PHQ-2 and PHQ-9); document rates of depressive symptoms and related clinical actions; and evaluate associations with patient characteristics. The Patient Health Questionnaire (PHQ-2 or PHQ-9) was administered at five pediatric academic medical centers with 2,138 youth with type 1 diabetes. Screening was part of routine clinical care; retrospective data from electronic health records were collected for the first screening date as well as 12 months prior. The PHQ demonstrated good psychometric properties. Evaluation of item-level PHQ-9 data identified 5.0% of AYA with at least moderate depressive symptoms who would not have been flagged for further screening using the PHQ-2 only. On the PHQ-9, 10.0% of AYA with type 1 diabetes endorsed elevated depressive symptoms and 7.0% endorsed thoughts of self-harm. Patients with moderate or greater depressive symptoms had a 43.9% documented referral rate for mental health treatment. Higher BMI, older age, public insurance, shorter diabetes duration, higher HbA1C, and a diabetic ketoacidosis (DKA) event in the past year were associated with depressive symptoms. The PHQ-9 identified AYA with elevated depressive symptoms that would not have been identified using the PHQ-2. Depressive symptoms were associated with negative diabetes indicators. To improve referral rates, standardized methods for provision and documentation of referrals are needed.

scholarly journals Psychometric Properties of the Patient Health Questionnaire-9 in Elderly Chilean Primary Care Users

2020 ◽  
Vol 11 ◽  
Author(s):  
Joseph Aslan ◽  
Félix Cova ◽  
Sandra Saldivia ◽  
Claudio Bustos ◽  
Carolina Inostroza ◽  
...  
Keyword(s):  
Primary Care ◽  
Psychometric Properties ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Patient Health

scholarly journals Evaluation of the Brazilian version of Patient Health Questionnaire (PHQ-9) in Quilombola population using the Item Response Theory

Salud Mental ◽  
2019 ◽  
Vol 42 (1) ◽  
pp. 43-50
Author(s):  
Sabrina Martins Barroso ◽  
Ana Paula Souto Melo ◽  
Mônia Aparecida da Silva ◽  
Mark Drew Crosland Guimarães
Keyword(s):  
Item Response Theory ◽  
Rural Communities ◽  
Psychometric Properties ◽  
Item Response ◽  
Screening Tools ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Response Theory ◽  
Patient Health ◽  
Depressive Episodes

Introduction. The Patient Health Questionnaire (PHQ-9) is one of the most validated tools used to detect depressive episodes in Brazil. Objective. This study investigates the psychometric properties of the PHQ-9 using the Item Response Theory. Method. We used the gradual response model to assess depression in 764 residents of Brazilian rural communities of descended from slaves (quilombos) from the county of Vitória da Conquista, state of Bahia, Brazil, who had responded to PHQ-9. We estimated the parameters for item discrimination and difficulty. Results. The items of the PHQ-9 showed the ability to discriminate from moderate to very high. The items evaluating thoughts of hurting oneself and death showed the greatest discrimination while feeling depressed showed the lowest discrimination. Discussion and conclusion. The Item Response Theory enables advances in the analysis of the psychometric properties of the screening tools assessing depression, and indicates that PHQ-9 can be used in rural populations in Brazil.

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