Predictors of Depressive Symptomatology Among Rural Stimulant Users

Daniulaityte, Raminta; Falck, Russel S.; Wang, Jichuan; Carlson, Robert G.; Leukefeld, Carl G.; Booth, Brenda M.

doi:10.1080/02791072.2010.10400706

Cited by 10 publications

(5 citation statements)

References 92 publications

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“…The items were designed according to the diagnosis criteria of major depressive disorder (MDD) in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) [ 11 ]. PHQ-9 had been used widely in rural elderly due to its good reliability and validity in this population [ 12 – 15 ]. PHQ-2, the abridged version of PHQ-9, was composed of the first two items of the PHQ-9 [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

PHQ-9 and PHQ-2 for Screening Depression in Chinese Rural Elderly

Liu

et al. 2016

PLoS ONE

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ObjectivesThis study aimed to explore cut-off scores of the 9-item Patient Health Questionnaire (PHQ-9) and 2-item Patient Health Questionnaire (PHQ-2) for depression screening in Chinese rural elderly.MethodsA cross-sectional study was conducted on 839 residents aged 60 years and above in rural areas of Liuyang County. PHQ-9 was adopted to evaluate depression. The Structured Clinical Interview for DSM Disorders (SCID-I) was adopted to diagnose major depressive disorder (MDD) as a golden standard. Sensitivity, specificity, positive and negative predictive value, positive and negative likelihood ratio, Youden’s index and the receiver operating characteristic (ROC) curve were analyzed on PHQ-9 and PHQ-2.ResultsThe Cronbach's alphas of PHQ-9 and PHQ-2 were 0.82 and 0.76, respectively. The score of 8 of the PHQ-9 showed the highest Youden’s index of 0.85, with a sensitivity of 0.97 and specificity of 0.89 respectively, and the area under the ROC curve (AUC) was 0.97 (95% CI: 0.96–0.98). The score of 3 of PHQ-2 showed the highest Youden’s index of 0.79, with both sensitivity and specificity were 0.90 and the AUC was 0.94 (95% CI: 0.90–0.97).ConclusionsBoth PHQ-9 and PHQ-2 are valid screening instruments for depression in the rural elderly in China, with recommended cut-off scores of 8 and 3 respectively.

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Section: Introductionmentioning

confidence: 99%

PHQ-9 and PHQ-2 for Screening Depression in Chinese Rural Elderly

Liu

et al. 2016

PLoS ONE

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“…Among IDUs, individual-level factors of depression included gender, drug use history and self-stigma (Evans et al, 2003; Latkin et al, 2003; Plotzker et al, 2007; Rusch et al, 2009); interpersonal-level factors included social support and family relationships (Risser et al, 2010; Wang et al, 2012); social-level factors included social stigma and unstable living status (Daniulaityte et al, 2010; Semple et al, 2005). Among FSWs, individual-level factors of depression included HIV infection status and drug use behaviors (Alegria et al, 1994); interpersonal-level factors included partner relationship and social support (Hong et al, 2007a; Sagtani et al, 2013); social-level factors included abuse and perceived stigma (Alegria et al, 1994; Hong et al, 2010, 2013).…”

Section: Introductionmentioning

confidence: 99%

Socio-ecological factors associated with depression, suicidal ideation and suicidal attempt among female injection drug users who are sex workers in China

Lau

Li³

et al. 2014

Drug and Alcohol Dependence

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Objective Female injection drug users who are also sex workers (FSW-IDUs) occupy a pivotal population in HIV transmission, whereas their mental health problems are largely overlooked. We aimed to investigate prevalence and associated socio-ecological factors of depression, suicidal ideation and suicidal attempts among FSW-IDUs in China. Methods Using snowball sampling methods, 200 FSW-IDUs were recruited from communities in Liuzhou, China. Anonymous face-to-face interviews were administered by trained doctors. Results Thirty-nine percent of participants had severe or extremely severe depression, 44.7% had suicidal ideation in the last six months and 26.8% had suicidal attempts in the last six months. After adjusting for background variables, self-stigma was significantly associated with severe or extremely severe depression (OR=1.18, 95% CI: 1.07–1.31). Self-stigma (OR=1.08, 95% CI: 1.01–1.15), depression (OR=1.11, 95% CI: 1.05–1.18), having completely broken up with family (OR=2.60, 95% CI: 1.35–5.02) and having been abused by clients or gatekeepers (OR=2.15, 95% CI: 1.32–3.50) were associated with suicidal ideation in the last six months, while self-stigma (OR=1.03, 95% CI: 1.10–1.16), depression (OR=1.12, 95% CI: 1.04–1.20) and being abused by clients or gatekeepers (OR=2.15, 95% CI: 1.09–4.24) were associated with suicidal attempt in the last six months. In mediation analyses, the associations between self-stigma and the two suicidal outcomes were fully mediated by depression. Conclusions There are unmet mental health needs of FSW-IDUs. Screening of mental health problems should be integrated into current HIV-related services. Psychological intervention efforts should include components such as self-stigma, family support and abuse.

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“…Para Daniulaityle et al 26 , o uso de crack aumenta sintomas depressivos. Percebese que, em usuários de múltiplas drogas, a associação de diferentes drogas pode estar associada ao alívio dos sintomas angustiantes provocados pelo crack.…”

Section: Discussionunclassified

O acesso ao tratamento de usuárias de crack sob a perspectiva dos profissionais de saúde

2020

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RESUMO O consumo de crack é um problema de saúde pública no Brasil. Nesse grupo, as mulheres se encontram em situação de maior vulnerabilidade, em especial, por acessarem menos os serviços de saúde. Por esse motivo, o objetivo deste estudo foi analisar os sentidos do acesso ao tratamento de mulheres usuárias de crack na perspectiva dos profissionais de saúde de um Centro de Atenção Psicossocial – Álcool e Outras Drogas (Caps AD). Trata-se de uma pesquisa de campo, qualitativa, por meio da observação participante (54 visitas) e de 13 entrevistas semiestruturadas com profissionais, realizada durante oito meses de imersão em um Caps AD do Rio de Janeiro. Um software de gerenciamento de dados – o NVivo – foi utilizado para a análise temática. Trabalho aprovado pelo Comitê de Ética e Pesquisa. Para os profissionais, as mulheres vão buscar ajuda porque possuem laços familiares rompidos, precisam de ajuda social devido ao seu contexto de vulnerabilidade e procuram um tratamento direcionado ao seu corpo em falência. Conclui-se como de fundamental importância que o Caps AD ofereça um trabalho desburocratizado e que amplie suas ações no território.

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Predictors of Depressive Symptomatology Among Rural Stimulant Users

Cited by 10 publications

References 92 publications

PHQ-9 and PHQ-2 for Screening Depression in Chinese Rural Elderly

PHQ-9 and PHQ-2 for Screening Depression in Chinese Rural Elderly

Socio-ecological factors associated with depression, suicidal ideation and suicidal attempt among female injection drug users who are sex workers in China

O acesso ao tratamento de usuárias de crack sob a perspectiva dos profissionais de saúde

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