Two-step method of major depression screening by patient health questionnaire for patients with lung cancer

Abstract Despite the extensive history of social movements around the world, the evolution of population mental health before, during, and after a social movement remains sparsely documented. We sought to assess over time the prevalence of depressive symptoms during and after the Occupy Central movement in Hong Kong and to examine the associations of direct and indirect exposures to Occupy Central with depressive symptoms. We longitudinally administered interviews to 909 adults who were randomly sampled from the population-representative FAMILY Cohort at 6 time points from March 2009 to March 2015: twice each before, during, and after the Occupy Central protests. The Patient Health Questionnaire-9 was used to assess depressive symptoms and probable major depression (defined as Patient Health Questionnaire-9 score ≥10). The absolute prevalence of probable major depression increased by 7% after Occupy Central, regardless of personal involvement in the protests. Higher levels of depressive symptoms were associated with online and social media exposure to protest-related news (incidence rate ratio (IRR) = 1.28, 95% confidence interval (CI): 1.06, 1.55) and more frequent Facebook use (IRR = 1.38, 95% CI: 1.12, 1.71). Higher levels of intrafamilial sociopolitical conflict was associated with more depressive symptoms (IRR = 1.05, 95% CI: 1.01, 1.09). The Occupy Central protests resulted in substantial and sustained psychological distress in the community.

Download Full-text

Validation of Patient Health Questionnaire for depression screening among primary care patients in Taiwan

Comprehensive Psychiatry ◽

10.1016/j.comppsych.2010.04.013 ◽

2011 ◽

Vol 52 (1) ◽

pp. 96-101 ◽

Cited By ~ 74

Author(s):

Shen-Ing Liu ◽

Zai-Ting Yeh ◽

Hui-Chun Huang ◽

Fang-Ju Sun ◽

Jin-Jin Tjung ◽

...

Keyword(s):

Primary Care ◽

Depression Screening ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Patient Health ◽

Primary Care Patients

Download Full-text

Screening psychischer Störungen mit dem “Gesundheitsfragebogen für Patienten (PHQ-D)“

Diagnostica ◽

10.1026/0012-1924.50.4.171 ◽

2004 ◽

Vol 50 (4) ◽

pp. 171-181 ◽

Cited By ~ 288

Author(s):

Kerstin Gräfe ◽

Stephan Zipfel ◽

Wolfgang Herzog ◽

Bernd Löwe

Keyword(s):

Major Depression ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Patient Health ◽

Dsm Iv

Zusammenfassung. Ziel dieser Studie ist die Validierung der deutschen Version des “Patient Health Questionnaire (PHQ-D)“. Der PHQ wurde zum praktikablen Screening psychischer Störungen für die Primärmedizin entwickelt und erfasst direkt die diagnostischen Kriterien des DSM-IV. N = 357 allgemeinmedizinische/internistische Patienten und N = 171 psychosomatische Patienten wurden mit dem PHQ-D und dem Strukturierten Klinischen Interview für DSM-IV (SKID-I) untersucht, wobei das SKID-I als diagnostischer Goldstandard diente. Ärzte und Patienten wurden zur Akzeptanz des PHQ-D befragt. Eine ausgezeichnete Kriteriumsvalidität des PHQ-D zeigte sich insbesondere bei der Diagnose der Major Depression, wo die Sensitivität für die medizinische Stichprobe bei 95% und die Spezifität bei 86% lag. Gute teststatistische Werte ergaben sich u.a. auch für die Panikstörung. Die Anwendung des PHQ-D wurde von jeweils mehr als 90% der Patienten und Ärzte gut akzeptiert. Mit dem PHQ-D liegt ein praktikables, valides und gut akzeptiertes Instrument zur Anwendung in Forschung und klinischer Praxis vor. Sein Einsatz kann zur verbesserten Versorgung psychischer Störungen beitragen.

Download Full-text

Validation of the nine-item Patient Health Questionnaire to screen for major depression in a Chinese primary care population

Asia-Pacific Psychiatry ◽

10.1111/appy.12063 ◽

2013 ◽

Vol 5 (2) ◽

pp. 61-68 ◽

Cited By ~ 30

Author(s):

Shulin Chen ◽

Yu Fang ◽

Helen Chiu ◽

Hainan Fan ◽

Tao Jin ◽

...

Keyword(s):

Primary Care ◽

Major Depression ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Primary Care Population ◽

Patient Health

Download Full-text

Validation and internal consistency of Patient Health Questionnaire-9 for major depression in Parkinson's disease

Age and Ageing ◽

10.1093/ageing/aft065 ◽

2013 ◽

Vol 42 (5) ◽

pp. 645-649 ◽

Cited By ~ 25

Author(s):

M. H. N. Chagas ◽

V. Tumas ◽

G. R. Rodrigues ◽

J. P. Machado-de-Sousa ◽

A. S. Filho ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Major Depression ◽

Internal Consistency ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Patient Health

Download Full-text

Two-Step Screening for Depressive Symptoms and Prediction of Mortality in Patients With Heart Failure

American Journal of Critical Care ◽

10.4037/ajcc2017325 ◽

2017 ◽

Vol 26 (3) ◽

pp. 240-247 ◽

Cited By ~ 4

Author(s):

Kyoung Suk Lee ◽

Debra K. Moser ◽

Michele Pelter ◽

Martha J. Biddle ◽

Kathleen Dracup

Keyword(s):

Heart Failure ◽

Depressive Symptoms ◽

Hazard Ratio ◽

Patient Health Questionnaire ◽

Health Questionnaire ◽

Step Method ◽

Increased Risk ◽

Patients With Heart Failure ◽

All Cause Mortality ◽

Patient Health

Background Comorbid depression in patients with heart failure is associated with increased risk for death. In order to effectively identify depressed patients with cardiac disease, the American Heart Association suggests a 2-step screening method: administering the 2-item Patient Health Questionnaire first and then the 9-item Patient Health Questionnaire. However, whether the 2-step method is better for predicting poor prognosis in heart failure than is either the 2-item or the 9-item tool alone is not known. Objective To determine whether the 2-step method is better than either the 2-item or the 9-item questionnaire alone for predicting all-cause mortality in heart failure. Methods During a 2-year period, 562 patients with heart failure were assessed for depression by using the 2-step method. With the 2-step method, results are considered positive if patients endorse either depressed mood or anhedonia on the 2-item screen and have scores of 10 or higher on the 9-item screen. Results Screening results with the 2-step method were not associated with all-cause mortality. Patients with scores positive for depression on either the 2-item or 9-item screen alone had 53% and 60% greater risk, respectively, for all-cause death than did patients with scores negative for depression after adjustments for covariates (hazard ratio, 1.530; 95% CI, 1.029–2.274 for the 2-item screen; hazard ratio, 1.603; 95% CI, 1.079–2.383 for the 9-item screen). Conclusions The 2-step method has no clear advantages compared with the 2-item screen alone or the 9-item screen alone for predicting adverse prognostic effects of depressive symptoms in heart failure.

Download Full-text

Depression Screening: Utility of the Patient Health Questionnaire in Patients With Acute Coronary Syndrome

American Journal of Critical Care ◽

10.4037/ajcc2013899 ◽

2013 ◽

Vol 22 (1) ◽

pp. 12-19 ◽

Cited By ~ 17

Author(s):

Anthony W. McGuire ◽

Jo-Ann Eastwood ◽

Aurelia Macabasco-O'Connell ◽

Ron D. Hays ◽

Lynn V. Doering

Keyword(s):

Acute Coronary Syndrome ◽

Clinical Decision Making ◽

Area Under The Curve ◽

Heart Association ◽

Depression Screening ◽

Patient Health Questionnaire ◽

Youden Index ◽

Health Questionnaire ◽

Coronary Syndrome ◽

Patient Health

BackgroundDepression screening in cardiac patients has been recommended by the American Heart Association, but the best approach remains unclear.ObjectivesTo evaluate nurse-administered versions of the Patient Health Questionnaire for depression screening in patients hospitalized for acute coronary syndrome.MethodsStaff nurses in an urban cardiac care unit administered versions 2, 9, and 10 of the questionnaire to 100 patients with acute coronary syndrome. The Depression Interview and Structured Hamilton was administered by advanced practice nurses blinded to the results of the Patient Health Questionnaire. With the results of the Depression Interview and Structured Hamilton as a criterion, receiver operating characteristic analyses were done for each version of the Patient Health Questionnaire. The Delong method was used for pairwise comparisons. Cutoff scores balancing false-negatives and false-positives were determined by using the Youden Index.ResultsEach version of the questionnaire had excellent area-under- the-curve statistics: 91.2%, 92.6%, and 93.4% for versions 2, 9, and 10, respectively. Differences among the 3 versions were not significant. Each version yielded higher symptom scores in depressed patients than in nondepressed patients: version 2 scores, 3.4 vs 0.6, P = .001; version 9 scores, 13 vs 3.4, P < .001; and version 10 scores, 14.5 vs 3.6, P < .001.ConclusionsFor depression screening in hospitalized patients with acute coronary syndrome, the Patient Health Questionnaire 2 is as accurate as longer versions when administered by nurses. Further study is needed to determine if screening with this tool changes clinical decision making or improves outcomes in these patients.

Download Full-text