scholarly journals Perspectives on Implementing the Patient Health Questionnaire-4 in Low-Vision Service Organizations to Screen for Depression and Anxiety

2022 ◽  
Vol 11 (1) ◽  
pp. 16
Author(s):  
Ellen B. M. Elsman ◽  
Edine P. J. van Munster ◽  
Femke van Nassau ◽  
Peter Verstraten ◽  
Ruth M. A. van Nispen ◽  
...  
Keyword(s):  
Low Vision ◽  
Service Organizations ◽  
Patient Health Questionnaire ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Patient Health

scholarly journals The Psychometric Properties of the Patient Health Questionnaire-4 for Pregnant Women

2020 ◽  
Vol 17 (20) ◽  
pp. 7583
Author(s):  
María de la Fe Rodríguez-Muñoz ◽  
Natalia Ruiz-Segovia ◽  
Cristina Soto-Balbuena ◽  
Huynh-Nhu Le ◽  
María Eugenia Olivares-Crespo ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Antenatal Depression ◽  
Public Hospitals ◽  
Self Report ◽  
Patient Health Questionnaire ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Negative Consequences ◽  
Patient Health

Background: Perinatal anxiety and depression are common complications during pregnancy. The purpose of this study was to examine the item characteristics, reliability, validity, and factorial structure of the four-item Patient Health Questionnaire-4 (PHQ-4) and to determine the associations between scale scores and sociodemographic factors in a sample of pregnant women from Spain. Method: A total of 845 pregnant women were recruited from two public hospitals in Spain between 2014 and 2016. Participants completed a self-report questionnaire that included Patient Health Questionnaire-4, including the two-item Patient Health Questionnaire and the two-item Generalized Anxiety Disorder Screener. Results: Exploratory and confirmatory factor analysis and scale inter-correlations between the PHQ-4 and PHQ-9 revealed that the PHQ-4 has a bivariate structure and adequately assesses the dimensions of antenatal anxiety and depression. Conclusion: The PHQ-4 is a reliable and valid instrument to screen for depression and anxiety during pregnancy. The PHQ-4 is an ultra-brief measure that can be used to screen for antenatal depression and anxiety to prevent the negative consequences associated with these mental health conditions among mothers and infants.

Prevalence of depressive symptoms and associated factors in an urban, ophthalmic population

2020 ◽  
pp. 112067212090170 ◽  
Author(s):  
Eileen L Mayro ◽  
Ann P Murchison ◽  
Lisa A Hark ◽  
Marlee Silverstein ◽  
Olivia Y Wang ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Depressive Symptoms ◽  
Odds Ratio ◽  
Low Vision ◽  
Adult Patients ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Diabetes Status ◽  
Patient Health ◽  
Clinically Significant

Objective: To determine the prevalence of depressive symptoms in an adult ophthalmic patient population and to delineate correlates. Design: Cross-sectional study. Participants: Adult patients (⩾18 years) were approached in general and sub-specialty cornea, retina, and glaucoma ophthalmic clinics. A total of 367 patients from the four clinics were enrolled. Methods: Depressive symptoms were assessed using the Patient Health Questionnaire-9. A cut-off score of ⩾10 was used to indicate clinically significant depressive symptoms. Patient Health Questionnaire-9 scores were used to evaluate bivariate relationships between depressive symptoms and distance visual acuity, ocular diagnosis, diabetes status, smoking status, demographic information, and medications. Results: The majority of patients were female (52.9%) and Caucasian (48.6%). The mean age was 52.0 years (standard deviation: 16.7). Clinically significant depressive symptoms were present in 19.9% of patients overall; this rate varied slightly by clinic. Patients with low vision and blindness (visual acuity worse than 20/60) were more likely to have depressive symptoms (odds ratio = 2.82; 95% confidence interval: 1.90–4.21). Smoking and diabetes were also associated with depressive symptoms (odds ratio = 3.11 (2.66–3.64) and 3.42 (1.90–6.16), respectively). Conclusion: In a sample of urban ophthalmic adult patients, depressive symptoms were highly associated with low vision, smoking, and diabetes. This information can be used to target interventions to those at greatest risk of depressive symptoms.

Depression and Anxiety Screening in Adolescents With Diabetes

2020 ◽  
Vol 59 (4-5) ◽  
pp. 445-449
Author(s):  
Sara E. Watson ◽  
Sarah E. Spurling ◽  
Abigail M. Fieldhouse ◽  
Vicki L. Montgomery ◽  
Kupper A. Wintergerst
Keyword(s):  
Behavioral Health ◽  
Screening Tool ◽  
Behavioral Health Care ◽  
Patient Health Questionnaire ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Positive Screen ◽  
Increased Risk ◽  
Patient Health ◽  
Anxiety Screening

Adolescents with diabetes are at increased risk for depression and anxiety, which when untreated negatively affects diabetes control. During a 6-month period, the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) screening tool was utilized. Those with a positive screen then completed the Patient Health Questionnaire for Adolescents (PHQ-A) and the Generalized Anxiety Disorder 7-item (GAD-7) scale. In this article, we report on the correlations in outcomes between the PHQ-4 and the PHQ-A and GAD-7 and its clinical utility for determining the need for standard versus acute behavioral health care. Over 6 months, 77 patients aged 10 to 18 years screened positive on the PHQ-4. Thirty-two patients had positive screening with the PHQ-A and/or the GAD-7. Thoughts of self-harm were reported by 13 (40%), with 1 experiencing current/active symptoms. The PHQ-4 as a screening tool was able to identify adolescents with symptoms of depression and/or anxiety who would benefit from further evaluation by a behavioral health provider.

Patient Health Questionnaire for Depression and Anxiety

2009 ◽  
Author(s):  
Kurt Kroenke ◽  
Robert L. Spitzer ◽  
Janet B.W. Williams ◽  
Bernd Löwe
Keyword(s):  
Patient Health Questionnaire ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Patient Health

Screening for Somatization and Depression in Saudi Arabia: A Validation Study of the Phq in Primary Care

2002 ◽  
Vol 32 (3) ◽  
pp. 271-283 ◽  
Author(s):  
Susan Becker ◽  
Khalid Al Zaid ◽  
Eiad Al Faris
Keyword(s):  
Primary Care ◽  
Saudi Arabia ◽  
Mental Disorders ◽  
Saudi Arabian ◽  
Patient Health Questionnaire ◽  
Saudi Population ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Patient Health ◽  
Primary Care Patients

Objectives: Somatization, the tendency to seek treatment for medically unexplained physical symptoms, is an important issue in primary care practice. This study examines the somatoform, depression, and anxiety modules of the Patient Health Questionnaire (PHQ), a screening instrument for the identification of somatoform and other mental disorders. We also utilized the PHQ to measure the prevalence of somatization and co-morbid depression in Saudi Arabian primary care patients. Methods: This is a cross sectional study of 431 male and female Saudi Arabian primary care patients with a two stage design for purposes of validation of the somatoform, depression and anxiety modules of the PHQ. The self administered Patient Health Questionnaire was given to 431 primary care patients and, of this group, the first, consecutive 173 patients (40 percent) were interviewed by mental health professionals using the Structured Clinical Interview (SCID-R) as the criterion standard for validation of the PHQ in the Saudi population. The PHQ was then used to measure the prevalence of somatization and depression in the remaining 258 patients. Results: The somatoform and depression modules of the PHQ were found to be valid in a Saudi population using the criterion standard of SCID based psychiatric interviews. Agreement between the PHQ and psychiatric interviews was (κ = .65) for both somatoform disorders and depression but the anxiety module was weak in terms of sensitivity (.37) and agreement with the criterion standard (k = .37). Clinically significant rates of somatization (19.3 percent) and depression (20 percent) were identified in this population. Conclusions: The prevalence of somatization and co-morbid depression in a primary care population in Saudi Arabia is similar to published rates in the U.S. and worldwide. It is possible to screen primary care patients for mental disorders in international settings and the PHQ is a valid instrument for that purpose.

Somatoforme Symptome, Angst und Depression bei Migranten aus der Türkei, aus Osteuropa und aus der ehemaligen Sowjetunion

2010 ◽  
Vol 58 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Ricarda Mewes ◽  
Winfried Rief ◽  
Alexandra Martin ◽  
Heide Glaesmer ◽  
Elmar Brähler
Keyword(s):  
Psychische Gesundheit ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Epidemiologische Studien ◽  
Patient Health

Hintergrund: Gegenüberstellende epidemiologische Studien zur psychischen Gesundheit bei verschiedenen Migrantengruppen in Deutschland fehlen weitgehend. Sie sind jedoch von großer Wichtigkeit, um den Therapiebedarf für diese Gruppen zu bestimmen und Angebote entsprechend auszurichten. Die vorliegende Studie möchte die Ausprägung einer depressiven, somatoformen und angstbezogenen Symptomatik bei osteuropäischen, türkischen und Migranten aus der ehemaligen Sowjetunion in der Allgemeinbevölkerung miteinander vergleichen und untersuchen, ob es Unterschiede in der Bereitschaft gibt, für verschiedene Beschwerden einen Arzt aufzusuchen. Methode: 43 osteuropäische Migranten (beide Eltern in Polen, Rumänien, Slowakischer Republik, Tschechischer Republik oder Ungarn geboren), 49 Migranten aus der ehemaligen Sowjetunion (beide Eltern in Russland, Ukraine, Weißrussland oder Kasachstan geboren; Russlanddeutsche Personen fallen auch in diese Gruppe) und 42 Personen mit türkischem Migrationshintergrund wurden mit dem Patient-Health-Questionnaire auf depressive, somatoforme und angstbezogene Symptome untersucht und mit einem Fragebogen zu ihrer Bereitschaft befragt, für verschiedene Beschwerden einen Arzt aufzusuchen. Die Gruppen wurden mit Varianzanalysen unter Kontrolle möglicher konfundierender Variablen miteinander verglichen. Ergebnisse: Unter Kontrolle von Geschlecht, Alter, Partnerschaft und Erwerbstätigkeit zeigten sich keine signifikanten Unterschiede in depressiver, somatoformer und ängstlicher Symptomatik zwischen den drei Gruppen. Unter Kontrolle für Alter und Geschlecht zeigten sich ebenfalls keine Unterschiede in der Bereitschaft, für verschiedene Beschwerden einen Arzt aufzusuchen. Frauen berichteten mehr somatoforme Beschwerden als Männer und zeigten eine höhere Bereitschaft, einen Arzt zu konsultieren. Diskussion: Es lassen sich keine kulturellen Einflüsse in Bezug auf die psychische Gesundheit und den Umgang mit verschiedenen Beschwerden bei diesen eher gut integrierten Migranten feststellen. Weitere Studien zu dieser Fragestellung mit größeren Stichproben und unter Einbezug schlechter Deutsch sprechender Migranten wären wünschenswert.

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