scholarly journals Initial investigation of somatization in the general population of Serbia: Prevalence, manifestations and predictors

2018 ◽  
Vol 71 (11-12) ◽  
pp. 360-367
Author(s):  
Nikola Rokvic
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Personality Traits ◽  
Well Being ◽  
Stress Factors ◽  
Patient Health Questionnaire ◽  
Big Five Personality ◽  
Health Questionnaire ◽  
Psychological Constructs ◽  
Patient Health

Introduction. Somatization is one of the most prevalent current health issues affecting the well-being and quality of life in the general population. Many psychological constructs influence somatization and its outcomes. It was our aim to assess the features and prevalence of somatization in general population of Serbia by using the Patient Health Questionnaire-15 instrument, as well as to determine its relations with personality traits, factors of psychological distress and well-being. Material and Methods. Two studies were performed: Study 1 (N = 714) aimed to determine the relations between the Big Five personality traits, alexithymia and somatization, and Study 2 (N = 807) investigated the relationship between factors of psychological distress such as depression, anxiety and stress, factors of well-being such as life satisfaction and subjective vitality with somatization. Results. In Study 1, Neuroticism and Toronto Alexithymia Scale-20 Factor 1, difficulty identifying feelings, strongly correlated with somatization, and the measured constructs explained 33.4% of somatization variance. In Study 2, anxiety and stress had the strongest correlation indices from the measured constructs and Study 2 regression model explained 44.7% of the variance. The most prevalent symptoms measured by the Patient Health Questionnaire-15 were tiredness, back pain and headaches. Conclusion. Somatization levels were slightly higher than those previously reported in general population. However, they were still well under those reported in the clinical populations. Symptom prevalence was compatible with previous findings in the general population, whereas Neuroticism and anxiety were most closely associated with somatization. Further research is needed to define other factors that contribute to the development of somatization.

scholarly journals The reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) and PHQ-2 in patients with infertility

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Saman Maroufizadeh ◽  
Reza Omani-Samani ◽  
Amir Almasi-Hashiani ◽  
Payam Amini ◽  
Mahdi Sepidarkish
Keyword(s):  
Depressive Symptoms ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Univariate Analysis ◽  
Reliability And Validity ◽  
Well Being ◽  
Patient Health Questionnaire ◽  
Depression Symptoms ◽  
Health Questionnaire ◽  
Patient Health

Abstract Background Depression in patients with infertility often goes undiagnosed and untreated. The Patient Health Questionnaire-9 (PHQ-9) and its ultra-brief version (i.e. PHQ-2) are widely used measures of depressive symptoms. These scales have not been validated in patients with infertility. The aim of the present study was to examine the reliability and validity of the PHQ-9 and PHQ-2 in patients with infertility. Methods In this cross-sectional study, a total of 539 patients with infertility from a referral infertility clinic in Tehran, Iran completed the PHQ-9, along with other relevant scales: the WHO-five Well-being Index (WHO-5), the Hospital Anxiety and Depression Scale (HADS), and the Generalized Anxiety Disorder-7 (GAD-7). Factor structure and internal consistency of PHQ-9 were examined via confirmatory factor analysis (CFA) and Cronbach’s alpha, respectively. Convergent validity was evaluated by relationship with WHO-5, HADS and GAD-7. Results The mean total PHQ-9 and PHQ-2 scores were 8.47 ± 6.17 and 2.42 ± 1.86, respectively, and using a cut-off value of 10 (for PHQ-9) and 3 (for PHQ-2), the prevalence of depressive symptoms was 38.6 and 43.6%, respectively. The Cronbach’s alphas for PHQ-9 and PHQ-2 were, respectively, 0.851 and 0.767, indicating good internal consistency. The CFA results confirmed the one-factor model of the PHQ-9 (χ2/df = 4.29; CFI = 0.98; RMSEA = 0.078 and SRMR = 0.044). Both PHQ-9 and PHQ-2 showed moderate to strong correlation with the measures of WHO-5, HADS-depression, HADS-anxiety, and the GAD-7, confirming convergent validity. In univariate analysis, female sex, long infertility duration, and unsuccessful treatment were significantly associated with depression symptoms. Conclusion Both PHQ-9 and PHQ-2 are brief and easy to use measures of depressive symptoms with good psychometric properties that appear suitable for routine use in patients with infertility.

scholarly journals The Reliability and Validity of the Hebrew Patient Health Questionnaire (PHQ-9) in the General Population

2021 ◽  
Author(s):  
Tomer Yona ◽  
Asaf Weisman ◽  
Uri Gottlieb ◽  
Eshed Lin ◽  
Youssef Masharawi
Keyword(s):  
General Population ◽  
Correlation Coefficient ◽  
Patient Health Questionnaire ◽  
Time Interval ◽  
Minimal Detectable Change ◽  
Health Questionnaire ◽  
Retest Reliability ◽  
Patient Health ◽  
Hebrew Version ◽  
Test Retest Reliability

Objective: To assess the psychometric properties of the Hebrew version of the Patient Health Questionnaire (PHQ-9) in the general population. Methods: Using an online survey, we assessed test-retest reliability with a two-week time interval. A total of 118 participants enrolled in the study, of whom 103 completed the survey twice. Each participant filled out the PHQ-9 and the 12-Item Short Form Survey (SF-12). Our statistical analysis includes Cronbachs alpha, Intraclass Correlation Coefficient (ICC2,1), Spearmans rank correlation coefficient, Standard Error of Measurement (SEM), and Minimal Detectable Change (MDC). Results: Internal consistency of the Hebrew version of the PHQ-9 ranged from alpha=0.79-0.83. The test-retest reliability of the questionnaire is good (ICC2,1= 0.81), and it is moderately and negatively correlated to the mental component of the SF-12 (Spearman rho;= -0.57, p< .05). The SEM of the PHQ-9 is 1.83 points, and the MDC was found to be 5 points. Conclusion: The Hebrew version of the PHQ-9 is valid and reliable for screening self-reported depressive symptoms online in the general Hebrew-speaking population.

scholarly journals Effects of mindfulness training programmes delivered by a self-directed mobile app and by telephone compared with an education programme for survivors of critical illness: a pilot randomised clinical trial

Thorax ◽  
2018 ◽  
Vol 74 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Christopher E Cox ◽  
Catherine L Hough ◽  
Derek M Jones ◽  
Anna Ungar ◽  
Wen Reagan ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Psychological Distress ◽  
Critical Illness ◽  
Education Programme ◽  
Randomised Clinical Trial ◽  
Mobile App ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Icu Patients ◽  
Patient Health

BackgroundPatients who are sick enough to be admitted to an intensive care unit (ICU) commonly experience symptoms of psychological distress after discharge, yet few effective therapies have been applied to meet their needs.MethodsPilot randomised clinical trial with 3-month follow-up conducted at two academic medical centres. Adult (≥18 years) ICU patients treated for cardiorespiratory failure were randomised after discharge home to 1 of 3 month-long interventions: a self-directed mobile app-based mindfulness programme; a therapist-led telephone-based mindfulness programme; or a web-based critical illness education programme.ResultsAmong 80 patients allocated to mobile mindfulness (n=31), telephone mindfulness (n=31) or education (n=18), 66 (83%) completed the study. For the primary outcomes, target benchmarks were exceeded by observed rates for all participants for feasibility (consent 74%, randomisation 91%, retention 83%), acceptability (mean Client Satisfaction Questionnaire 27.6 (SD 3.8)) and usability (mean Systems Usability Score 89.1 (SD 11.5)). For secondary outcomes, mean values (and 95% CIs) reflected clinically significant group-based changes on the Patient Health Questionnaire depression scale (mobile (−4.8 (−6.6, −2.9)), telephone (−3.9 (−5.6, −2.2)), education (−3.0 (−5.3, 0.8)); the Generalized Anxiety Disorder scale (mobile −2.1 (−3.7, −0.5), telephone −1.6 (−3.0, −0.1), education −0.6 (−2.5, 1.3)); the Post-Traumatic Stress Scale (mobile −2.6 (−6.3, 1.2), telephone −2.2 (−5.6, 1.2), education −3.5 (−8.0, 1.0)); and the Patient Health Questionnaire physical symptom scale (mobile −5.3 (−7.0, −3.7), telephone −3.7 (−5.2, 2.2), education −4.8 (−6.8, 2.7)).ConclusionsAmong ICU patients, a mobile mindfulness app initiated after hospital discharge demonstrated evidence of feasibility, acceptability and usability and had a similar impact on psychological distress and physical symptoms as a therapist-led programme. A larger trial is warranted to formally test the efficacy of this approach.Trial registration numberResults, NCT02701361.

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