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.

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

2011 ◽  
Vol 52 (1) ◽  
pp. 96-101 ◽  
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

scholarly journals Detection of mental disorders with the Patient Health Questionnaire in primary care settings in Nigeria

2010 ◽  
Vol 2 (1) ◽  
pp. 46-50 ◽  
Author(s):  
Olawale O. Ogunsemi ◽  
Francis A. Oluwole ◽  
Festus Abasiubong ◽  
Adebayo R. Erinfolami ◽  
Olufemi E. Amoran ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Primary Care Settings ◽  
Primary Health ◽  
Patient Health ◽  
The Impact

Mental disorders lead to difficulties in social, occupational and marital relations. Failure to detect mental disorder denies patients potentially effective treatment. This study aimed to assess the prevalence and nature of mental disorders at the primary care settings and the recognition of these disorders by the attending physicians. Over a period of eight weeks, consecutive and consenting patients who attended three randomly selected primary health care facilities in Sagamu Local Government Area of Ogun state were recruited and administered a questionnaire that included a socio-demographic section and Patient Health Questionnaire (PHQ). A total of 412 subjects took part in the study. Subject age ranged from 18-90 years with a mean age of 52.50±21.08 years. One hundred and seventy-six (42.7%) of the subjects were males. A total of 120 (29.1%) of the subjects had depressive disorder, 100 (24.3%) had anxiety disorder, 196 (47.6%) somatoform disorder and 104 (25.2%) met the criteria for an alcohol related problem. The PHC physicians were only able to diagnose disorders relating to mental health in 52 (12.6%) of the subjects. Health and work situations accounted for more than three-quarters of the causes of stress experienced by the subjects. We conclude that there is a high prevalence of mental disorders among patients seen in primary care settings and that a significant proportion of them are not recognized by the primary care physicians. Stress relating to health, work and financial problems is common among primary health care attendees. Physicians in primary health care should be alert to the possibility and the impact of undetected psychiatric morbidity.

Screening for Major Depressive Disorders in Adolescent Psychiatric Inpatients with the Mood Modules from the Primary Care Evaluation of Mental Disorders and the Patient Health Questionnaire

2001 ◽  
Vol 89 (2) ◽  
pp. 274-278 ◽  
Author(s):  
Geetha Kumar ◽  
Anne H. Kim ◽  
David Krefetz ◽  
Robert A. Steer
Keyword(s):  
Primary Care ◽  
Major Depressive Disorder ◽  
Mental Disorders ◽  
Depressive Disorder ◽  
Psychiatric Inpatients ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Major Depressive ◽  
Patient Health ◽  
Care Evaluation

The mood modules from the Primary Care Evaluation of Mental Disorders (PRIME-MD) and the Patient Health Questionnaire (PHQ) were administered to 17 (52%) female and 16 (48%) male adolescent (13–17 years old) psychiatric inpatients. The internal consistencies of both were good (KR-20 for PRIME-MD = .80, Cronbach coefficient α for Patient Health Questionnaire = .85). The correlation between the PRIME-MD and Patient Health Questionnaire total scores was .87 ( p < .001) and the point-biserial correlation of both questionnaires' total scores with being diagnosed with a Major Depressive Disorder was .54 ( p < .001). Both mood modules appeared to be equally effective in screening for a Major Depressive Disorder.

A computerized version of the Patient Health Questionnaire-4 as an ultra-brief screening tool to detect emotional disorders in primary care

2018 ◽  
Vol 234 ◽  
pp. 247-255 ◽  
Author(s):  
Antonio Cano-Vindel ◽  
Roger Muñoz-Navarro ◽  
Leonardo Adrián Medrano ◽  
Paloma Ruiz-Rodríguez ◽  
César González-Blanch ◽  
...  
Keyword(s):  
Primary Care ◽  
Emotional Disorders ◽  
Screening Tool ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Patient Health ◽  
Brief Screening
Sign in / Sign up

Export Citation Format

Share Document