Somatic symptoms have negligible impact on Patient Health Questionnaire‐9 depression scale scores in neurological patients

Author(s):  
Irene L. Katzan ◽  
Brittany Lapin ◽  
Sandra Griffith ◽  
Lara Jehi ◽  
Hubert Fernandez ◽  
...  
2016 ◽  
Vol 78 (6) ◽  
pp. 716-727 ◽  
Author(s):  
Kurt Kroenke ◽  
Jingwei Wu ◽  
Zhangsheng Yu ◽  
Matthew J. Bair ◽  
Jacob Kean ◽  
...  

2018 ◽  
Author(s):  
Sarah Patrick ◽  
Peter Connick

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


Psicologia ◽  
2019 ◽  
Vol 33 (2) ◽  
pp. 1-8
Author(s):  
Sara Monteiro ◽  
Ana Bártolo ◽  
Ana Torres ◽  
Anabela Pereira ◽  
Emília Albuquerque

The present study examines a new factor structure and the convergent validity of the Portuguese version of the Patient Health Questionnaire-9 (PHQ-9) with college students. This measure has been used to evaluate depressive symptoms in adults. The total sample included 958 college students. Data were collected from a Web-based survey carried out in schools forming the Polytechnic Institute of Coimbra. Students completed the PHQ-9 and Hospital Anxiety and Depression Scale (HADS) and Brief Symptom Inventory (BSI) subscales as convergent measures. Results pointed to good fit of a second-order factor model with three first-order factors (somatic, cognitive and affective dimensions of depression). Strong positive correlations were found between PHQ-9 scores and HADS depression and BSI depression subscales. Our findings reinforce the PHQ-9 as a valid tool in higher education settings. Future studies should re-examine the dimensional structure of the tool considering its implications for the clinical interpretation of the measure.


2020 ◽  
pp. 152483992090275
Author(s):  
Sherrie Wilcox ◽  
Deborah Girasek

Background. To create efficacious interventions for military family caregivers (MFCs), it is important to understand the characteristics and predictors of completers and dropouts of newly developed supportive interventions. Aim. The purpose of this study was to examine completion patterns in MFCs enrolled in an educational intervention feasibility study. Method. Baseline data are presented from MFC completers ( n = 64) and dropouts ( n = 60) of a national feasibility study for an innovative intervention. Measures include depression (Patient Health Questionnaire–2), anxiety (Generalized Anxiety Disorder–7), somatic symptoms (Patient Health Questionnaire–15), quality of life (World Health Organization Quality of Life–Brief), relationship satisfaction (Relationship Assessment Scale), and military care recipient number of injuries. Analysis of variance was used to evaluate differences between completers and dropouts and logistic regression was used to identify predictors of intervention completion. Results. Results indicated that MFCs with greater anxiety, χ2(3) = 10.33, p = .02; depression, χ2(1) = 8.18, p = .004; somatic symptoms, F(1, 106) = 6.26, p = .01; care recipient number of injuries, F(1, 118) = 16.31, p < .001; lower general satisfaction with treatment, F(1, 96) = 4.34, p = .04; and lower satisfaction with accessibility and convenience with treatment, F(1, 89) = 4.18, p = .04, were significantly more likely to complete the intervention. After multivariate analysis, the sole predictor of intervention completion was the number of care recipients’ injuries, χ2(6) = 14.89, N = 77, p < .05. Conclusions. Overall, findings indicate that MFCs who were more “at risk” were more likely to complete the intervention. Findings present patterns of intervention completion and provide insight on areas in need of further investigation on intervention development supporting the needs of MFCs.


2016 ◽  
Author(s):  
Kurt Kroenke ◽  
Jingwei Wu ◽  
Zhangsheng Yu ◽  
Matthew J. Bair ◽  
Jacob Kean ◽  
...  

2017 ◽  
Vol 46 (01) ◽  
pp. 41-48 ◽  
Author(s):  
Mira Tschorn ◽  
Nina Rieckmann ◽  
Volker Arolt ◽  
Katja Beer ◽  
Wilhelm Haverkamp ◽  
...  

Zusammenfassung Ziel Vergleich der Erkennungsgüte von drei Depressions-Screeninginstrumenten bei Patienten mit koronarer Herzerkrankung (KHK). Methodik 1019 KHK-Patienten erhielten den Patient Health Questionnaire (PHQ-9 und PHQ-2) und die Hospital Anxiety and Depression Scale (HADS-D) sowie ein klinisches Interview (Composite International Diagnostic Interview) als Referenzstandard. Ergebnisse Bezüglich der Erkennungsgüte waren PHQ-9 und HADS-D dem PHQ-2 überlegen. Optimale Cut-off-Werte waren 7 (PHQ-9 und HADS-D) und 2 (PHQ-2). Schlussfolgerung PHQ-9 und HADS-D haben eine vergleichbare Diskriminationsfähigkeit für depressive Störungen bei KHK-Patienten.


2020 ◽  
Vol 261 ◽  
pp. 21-29 ◽  
Author(s):  
Francisco Javier Cano-García ◽  
Roger Muñoz-Navarro ◽  
Albert Sesé Abad ◽  
Luciana Sofía Moretti ◽  
Leonardo Adrián Medrano ◽  
...  

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