scholarly journals A case report of the inaccuracy of the questionnaire as a meriod of the patient's condition

2020 ◽  
Vol 52 (1-2) ◽  
pp. 67-72
Author(s):  
Milutin Kostić ◽  
Ana Munjiza ◽  
Ana Jakoviljević
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Depression Scale ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Younger Patient ◽  
Patient Health

Scales for assessment of patients with depression are in use for several decades. Among the most used are Hamilton's depression scale and the younger Patient Health Questionnaire. Even though both are heavily used in research and clinical practice they are still controversial and with questionable usefulness. This case report shows that the question whether a patient is better or worse can be diametrically opposite depending on the scale used (using these two most influential ones as examples) and what are the reasons for this.

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 Psychometric properties of the PHQ-9 depression scale in people with multiple sclerosis: a systematic review

2018 ◽  
Author(s):  
Sarah Patrick ◽  
Peter Connick
Keyword(s):  
Multiple Sclerosis ◽  
Psychometric Properties ◽  
Depression Scale ◽  
Assessment Tools ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Eligibility Criteria ◽  
Retest Reliability ◽  
Patient Health ◽  
Test Retest Reliability

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

scholarly journals Examining the construct validity of the Portuguese version of the Patient Health Questionnaire-9 among college students

Psicologia ◽  
2019 ◽  
Vol 33 (2) ◽  
pp. 1-8
Author(s):  
Sara Monteiro ◽  
Ana Bártolo ◽  
Ana Torres ◽  
Anabela Pereira ◽  
Emília Albuquerque
Keyword(s):  
College Students ◽  
Convergent Validity ◽  
Factor Model ◽  
Depression Scale ◽  
Brief Symptom Inventory ◽  
Patient Health Questionnaire ◽  
Dimensional Structure ◽  
Health Questionnaire ◽  
Portuguese Version ◽  
Patient Health

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.

scholarly journals A Mobile Technology for Collecting Patient-Reported Physical Activity and Distress Outcomes: Cross-Sectional Cohort Study

10.2196/17320 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e17320
Author(s):  
Miyeon Jung ◽  
SaeByul Lee ◽  
Jisun Kim ◽  
HeeJeong Kim ◽  
BeomSeok Ko ◽  
...  
Keyword(s):  
Physical Activity ◽  
Clinical Practice ◽  
Mobile App ◽  
Assessment Tools ◽  
Patient Health Questionnaire ◽  
Time Interval ◽  
Health Questionnaire ◽  
Patient Reported ◽  
Patient Health ◽  
Paper And Pencil

Background Electronic patient-reported outcome (PROs) provides a fast and reliable assessment of a patient’s health-related quality of life. Nevertheless, using PRO in the traditional paper format is not practical for clinical practice due to the limitations associated with data analysis and management. A questionnaire app was developed to address the need for a practical way to group and use distress and physical activity assessment tools. Objective The purpose of this study was to assess the level of agreement between electronic (mobile) and paper-and-pencil questionnaire responses. Methods We validated the app version of the distress thermometer (DT), International Physical Activity Questionnaire (IPAQ), and Patient Health Questionnaire–9 (PHQ-9). A total of 102 participants answered the paper and app versions of the DT and IPAQ, and 96 people completed the PHQ-9. The study outcomes were the correlation of the data between the paper-and-pencil and app versions. Results A total of 106 consecutive breast cancer patients were enrolled and analyzed for validation of paper and electronic (app) versions. The Spearman correlation values of paper and app surveys for patients who responded to the DT questionnaire within 7 days, within 3 days, and on the same day were .415 (P<.001), .437 (P<.001), and .603 (P<.001), respectively. Similarly, the paper and app survey correlation values of the IPAQ total physical activity metabolic equivalent of task (MET; Q2-6) were .291 (P=.003), .324 (P=.005), and .427 (P=.01), respectively. The correlation of the sum of the Patient Health Questionnaire–9 (Q1-9) according to the time interval between the paper-based questionnaire and the app-based questionnaire was .469 for 14 days (P<.001), .574 for 7 days (P<.001), .593 for 3 days (P<.001), and .512 for the same day (P=.03). These were all statistically significant. Similarly, the correlation of the PHQ (Q10) value according to the time interval between the paper-based questionnaire and the app-based questionnaire was .283 for 14 days (P=.005), .409 for 7 days (P=.001), .415 for 3 days (P=.009), and .736 for the same day (P=.001). These were all statistically significant. In the overall trend, the shorter the interval between the paper-and-pencil questionnaire and the app-based questionnaire, the higher the correlation value. Conclusions The app version of the distress and physical activity questionnaires has shown validity and a high level of association with the paper-based DT, IPAQ (Q2-6), and PHQ-9. The app-based questionnaires were not inferior to their respective paper versions and confirm the feasibility for their use in clinical practice. The high correlation between paper and mobile app data allows the use of new mobile apps to benefit the overall health care system. Trial Registration ClinicalTrials.gov NCT03072966; https://clinicaltrials.gov/ct2/show/NCT03072966

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

Erkennungsgüte dreier deutschsprachiger Screeninginstrumente für Depression bei hospitalisierten Patienten mit koronarer Herzerkrankung

2017 ◽  
Vol 46 (01) ◽  
pp. 41-48 ◽  
Author(s):  
Mira Tschorn ◽  
Nina Rieckmann ◽  
Volker Arolt ◽  
Katja Beer ◽  
Wilhelm Haverkamp ◽  
...  
Keyword(s):  
Depression Scale ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Patient Health Questionnaire ◽  
Anxiety And Depression ◽  
Depressive Störungen ◽  
Health Questionnaire ◽  
Hospital Anxiety ◽  
Patient Health

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.

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