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.

scholarly journals Online Mental Health Assessments of COVID-19 Patients in South Korea

2021 ◽  
Vol 12 ◽  
Author(s):  
Jung Hyun Lee ◽  
Dayoung Lee ◽  
Soyoen Hyun ◽  
Ji Sun Hong ◽  
Chang-Hoon Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Mental Health Problems ◽  
Health Problems ◽  
Self Report ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Post Traumatic Stress ◽  
Patient Health ◽  
Post Traumatic

Experiences of infectious diseases cause stressful and traumatic life events, hence, coronavirus disease 2019 (COVID-19) patients could suffer from various mental health problems requiring psychological support services. This study investigates the severity of mental health problems among confirmed COVID-19 patients. From March to November 2020, we collected the data from 118 COVID-19 patients who voluntarily participated in the National Center for Disaster Trauma's online mental health assessment consisting of self-report scales like Primary Care of Posttraumatic Stress Disorder screen (PC-PTSD), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Patient Health Questionnaire-15 (PHQ-15), and P4 Suicidality Screener. For control, 116 other disaster-experienced and 386 non-COVID-19-experienced participants were recruited. The COVID-19 patients showed more severe symptoms including post-traumatic symptoms, depression, anxiety, and somatic symptoms than control groups across all four screening scales (p < 0.001). Regarding high-risk, COVID-19 patients had an increased association with high-risk compared to the comparison groups (PC-PTSD: OR = 24.16, 95% CI = 13.52–43.16 p < 0.001; PHQ-9: OR = 14.45, 95% CI = 8.29–25.19, p < 0.001; GAD-7: OR=20.71, 95% CI = 10.74–39.96, p < 0.001; PHQ-15: OR = 5.65, 95% CI = 3.44–9.25, p < 0.001; P4: OR = 14.67, 95% CI = 8.95–25.07, p < 0.001). This study's results imply that there is a high-risk of overall mental health problems, especially stronger associations of post-traumatic stress symptoms, in COVID-19 patients. These findings help inform practitioners about the psychological responses to COVID-19 experiences and to prepare appropriate interventions and services for the incremental number of confirmed cases.

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.

scholarly journals Patient Health Questionnaire Anxiety and Depression Scale

2016 ◽  
Vol 78 (6) ◽  
pp. 716-727 ◽  
Author(s):  
Kurt Kroenke ◽  
Jingwei Wu ◽  
Zhangsheng Yu ◽  
Matthew J. Bair ◽  
Jacob Kean ◽  
...  
Keyword(s):  
Depression Scale ◽  
Patient Health Questionnaire ◽  
Anxiety And Depression ◽  
Health Questionnaire ◽  
Patient Health

scholarly journals The prevalence of and factors associated with antenatal depression among all pregnant women first attending antenatal care: a cross-sectional study in a comprehensive teaching hospital

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiamei Guo ◽  
Anhai Zheng ◽  
Jinglan He ◽  
Ming Ai ◽  
Yao Gan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Teaching Hospital ◽  
Somatic Symptoms ◽  
Antenatal Depression ◽  
Anxiety Symptoms ◽  
Health Questionnaire ◽  
Psychological Assessments ◽  
Patient Health

Abstract Background Antenatal depression has become a common and serious problem, significantly affecting maternal and fetal health. However, evaluation and intervention methods for pregnant women in obstetric clinics are inadequate. This study aimed to determine the prevalence of and risk factors for depression among all pregnant women at their first attending antenatal care in the obstetrics clinic, a comprehensive teaching hospital, southwest of China. Methods From June to December 2019, 5780 pregnant women completed online psychological assessments, and data from 5728 of the women were analyzed. The women were categorized into two groups according to the presence or absence of depression. Depression was assessed by the Patient Health Questionnaire-9 (PHQ-9), with a cutoff point of 10 for depression. Anxiety and somatic symptoms were measured by the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-15 (PHQ-15), respectively. Univariate analysis and binary logistic regression analysis were used to determine the association among antenatal depression, anxiety, somatic symptoms and participants’ characteristics. Results The prevalence of antenatal depression among all the pregnant women at their first attending antenatal care was 16.3%, higher in the first trimester (18.1%). Anxiety symptoms (Mild anxiety AOR = 2.937; 95% CI: 2.448–3.524) and somatic symptoms (Mild somatic symptoms AOR = 3.938; 95% CI: 2.888–3.368) were major risk factors for antenatal depression among women and the risk increased more with the anxiety level or somatic symptoms level. Gestational weeks (second trimester AOR = 0.611; 95% CI: 0.483–0.773; third trimester AOR = 0.337; 95% CI: 0.228–0.498) and urban residence (AOR = 0.786; 95% CI: 0.652–0.947) were protective factors for antenatal depression among women. Conclusions About one in six pregnant women would experience depression, and special attention should be paid to some risk factors (i.e., early pregnancy, anxiety symptoms, somatic symptoms, rural residence). Online psychological assessments might be a time-saving and convenient screening method for pregnant women in obstetric clinics.

Patient Health Questionnaire Anxiety and Depression Scale

2016 ◽  
Author(s):  
Kurt Kroenke ◽  
Jingwei Wu ◽  
Zhangsheng Yu ◽  
Matthew J. Bair ◽  
Jacob Kean ◽  
...  
Keyword(s):  
Depression Scale ◽  
Patient Health Questionnaire ◽  
Anxiety And Depression ◽  
Health Questionnaire ◽  
Patient Health

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
Sign in / Sign up

Export Citation Format

Share Document