Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard

Rumpf, Hans‐Jürgen; Meyer, Christian; Hapke, Ulfert; John, Ulrich

doi:10.1016/s0165-1781(01)00329-8

Cited by 506 publications

(418 citation statements)

References 27 publications

Supporting

Mentioning

380

Contrasting

Unclassified

Order By: Relevance

“…Although physical component summary and MCS scores from the SF-36 are representative of physical and mental wellbeing separately and are associated with various clinical outcomes, MCS is known to be imperfect for diagnosing accurate mental health problems (37)(38)(39). The MHI, meanwhile, has been validated to detect mental health, such as mood and anxiety disorders, in the general population (24,40), and also, it has good specificity and sensitivity for the detection of depressive symptoms in chronic medical illness and dialysis patients (10,11,25,26,41). Patients with poor mental health had significantly lower KDQOL sleep quality scores, and sleep medication use was significantly associated with poor mental health in our study.…”

Section: Discussionmentioning

confidence: 99%

“…We chose a score of 60 as the cutoff point for this division, because it was the upper limit of the lowest quartile of MHI scores in our study. Additionally, it had good sensitivity and specificity for diagnosing depression in general population and chronic medical illness patients (22)(23)(24)(25). MHI has also been used for detecting depressive symptoms in dialysis patients (10,11), and it was well correlated with the Beck Depression Inventory in a study of dialysis patients (26).…”

Section: Mental Health Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

Kang

Pike

Ramer

et al. 2012

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

Summary Background and objectives Poor mental health over time is significantly associated with cardiovascular morbidity and mortality in the general population, which is the leading cause of death in dialysis patients. Most studies of dialysis patients, however, have investigated the relationship between baseline mental health measurements and all-cause mortality and not mental health measured longitudinally throughout a study and cause-specific mortality. Design, setting, participants, & measurements This study examined the association of changes in mental health over time with all-cause and cause-specific deaths and cardiac hospitalizations in the Hemodialysis study patients. Mental health was assessed at baseline and annually during the study with short form 36 mental health index scores. Poorer mental health was defined by a mental health index score≤60. Results Patients with poorer mental health at baseline were more likely to have less than a high school education and be unmarried, have significantly higher index of coexistent disease scores, and report taking β-blockers and sleep medications. Low mental health scores over time were independently associated with a decrease in survival time from all-cause mortality by −0.06 (−0.10, −0.03; P<0.001), and they also significantly hastened time to first cardiac hospitalization by −0.08 (−0.13, −0.02; P=0.01) and composite of first cardiac hospitalization or cardiac death by −0.04 (−0.07, −0.02; P<0.001). Conclusions This study found an independent association between poor mental health over time and all-cause mortality, cardiac hospitalization, and the composite of cardiac death or cardiac hospitalization in hemodialysis patients. The results underscore the importance of attention to mental health related to cardiac complications and even death in dialysis patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Mental Health Assessmentmentioning

confidence: 99%

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

Kang

Pike

Ramer

et al. 2012

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

show abstract

“…In addition to the continuous specification, we used a cutoff of 30 or greater as representing a high degree of pain catastrophizing [15,23,30]. The fiveitem Mental Health Index-5 (MHI-5) [3,25] was used as a measure of anxiety and depressive feelings. The questions are summed and scaled from 0 to 100 using a linear transformation.…”

Section: Methodsmentioning

confidence: 99%

“…The questions are summed and scaled from 0 to 100 using a linear transformation. We examined the score as a continuous variable and as a dichotomous variable with lower scores (\ 68) indicative of worse mental health [3,25].…”

Section: Methodsmentioning

confidence: 99%

Is There an Association Between Whole-body Pain With Osteoarthritis-related Knee Pain, Pain Catastrophizing, and Mental Health?

Dave

Selzer

Losina

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Greater levels of self-reported pain, pain catastrophizing, and depression have been shown to be associated with persistent pain and functional limitation after surgeries such as TKA. It would be useful for clinicians to be able to measure these factors efficiently. Questions/purposes We asked: (1) What is the association of whole-body pain with osteoarthritis (OA)-related knee pain, function, pain catastrophizing, and mental health? (2) What is the sensitivity and specificity for different cutoffs for body pain diagram region categories in relation to pain catastrophizing? Methods Patients (n = 267) with knee OA undergoing elective TKA at one academic center and two community orthopaedic centers were enrolled before surgery in a prospective cohort study. Questionnaires included the WOMAC Pain and Function Scales, Pain Catastrophizing Scale (PCS), Mental Health Inventory-5 (MHI-5), and a pain body diagram. The diagram documents pain in 19 anatomic areas. Based on the distribution of the anatomic areas, we established six different body regions. Our analyses excluded the index (surgically treated) knee. Linear regression was used to evaluate the association between the total number of nonindex painful sites on the whole-body pain diagram and measures of OA-related pain and function, mental health, and pain catastrophizing. Generalized linear regression was used to evaluate the association between the number of painful nonindex body regions (categorized as 0; 1-2; or 3-6) with our measures of interest. All models were adjusted for age, sex, and number of comorbid conditions. The cohort included 63% females and the mean age was 66 years (SD, 9 years). With removal of the index knee, the median pain diagram score was 2 (25 th , 75 th percentiles, 1, 4) with a range of 0 to 15. The median number of painful body regions was 2 (25 th , 75 th percentiles, 1, 3). Results After adjusting for age, sex, and number of comorbid conditions, we found modest associations between painful body region categories and mean scores for WOMAC physical function (r = 0.22, p \ 0.001), WOMAC pain (r = 0.20, p = 0.001), MHI-5 (r = À0.31, p\ 0.001), and PCS (r = 0.27, p \ 0.001). A nonindex body pain region score greater than 0 had 100% (95% CI, 75%-100%) sensitivity for a pain catastrophizing score greater than 30 but a specificity of just 23% (95% CI, 18%-29%) . A score of 3 or greater had greater specificity (73%; 95% CI, 66%-79%) but lower sensitivity (53%; 95% CI, 27%-78%). Conclusions We found modest associations between the number of painful sites on a whole-body pain diagram and the number of painful body regions and measures of OArelated pain, function, pain catastrophizing, and mental health. Patients with higher self-reported body pain region scores might benefit from further evaluation for depression and pain catastrophizing. Level of Evidence Level III, therapeutic study.

show abstract

“…The MHI-5 is probably better known as the Mental Health subscale of the Medical Outcomes Study Short Form Health Survey (SF-36), 3 which has often been used in SCI research. 4,5 The MHI-5 has a good specificity and sensitivity for detecting mental health disorder and depression in the general population 6,7 and in persons with various chronic conditions. 8,9 Compared with other depression and anxiety instruments, the MHI-5 is very brief, easy to administer and widely used as part of the SF-36.…”

Section: Introductionmentioning

confidence: 99%

Validity of the mental health subscale of the SF-36 in persons with spinal cord injury

2012

View full text Add to dashboard Cite

Study design: Cross-sectional study 5 years after discharge from inpatient rehabilitation. Objective: To examine the psychometric properties of the Mental Health subscale (MHI-5) of the 36-Item Short Form Health Survey (SF-36) in persons with spinal cord injury (SCI). Setting: Eight Dutch rehabilitation centres with specialised SCI units. Methods: Possible floor and ceiling effects were assessed, and Cronbach 0 s a coefficient was calculated to assess internal consistency. Concurrent and divergent validity were assessed using Spearman correlations between the MHI-5 and measures of life satisfaction, neuroticism, vitality, general health, functional independence, participation, lesion characteristics and demographics. Results: There were no floor or ceiling effects, but the total MHI-5 score was slightly skewed ( À1.15). Internal consistency was good (a ¼ 0.79). Concurrent validity was shown by significant Spearman correlations between the MHI-5 and life satisfaction (0.53), neuroticism ( À0.55), vitality (0.53) and general health (0.37). Divergent validity was shown by weak and, in part, nonsignificant correlations between the MHI-5 and functional independence (0.09), participation ( À0.28) and lesion characteristics (range À0.01-0.19). Conclusion: The MHI-5 showed reliability and validity as a measure of mood in persons with SCI, and is a promising measurement instrument to assess mental health problems in this population.

show abstract

Screening for mental health: validity of the MHI-5 using DSM-IV Axis I psychiatric disorders as gold standard

Cited by 506 publications

References 27 publications

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

Is There an Association Between Whole-body Pain With Osteoarthritis-related Knee Pain, Pain Catastrophizing, and Mental Health?

Validity of the mental health subscale of the SF-36 in persons with spinal cord injury

Contact Info

Product

Resources

About