Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral

Santos, Iná S.; Tavares, Beatriz; Munhoz, Tiago N.; Almeida, Laura Sigaran Pio de; Silva, Nathália Tessele Barreto da; Tams, Bernardo Dias; Patella, André Machado; Matijasevich, Alícia

doi:10.1590/s0102-311x2013001200006

Cited by 351 publications

(211 citation statements)

References 22 publications

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“…For the evaluation of depression, we used the Brazilian version of the Patient Health Questionnaire (PHQ-9) [10], which is the depression module of the Primary Care Evaluation of Mental Disorders (PRIME-MD) [11]. Each item of the PHQ-9 covers one symptom of depression according to criteria for the diagnosis of depression established by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).…”

Section: Methodsmentioning

confidence: 99%

Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS

Lopes

Hellwig

Silva

et al. 2016

Int J Equity Health

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BackgroundDespite depression being one of the most prevalent mental disorders in the world, access to treatment is still insufficient, especially in low- and middle-income countries. The aim of this study is to investigate differences in access to treatment for depression according to socio-demographic characteristics, geographical area and multi-morbidity in a nationally representative sample of individuals with depression.MethodsThis study analyses data from the National Health Survey (Pesquisa Nacional de Saúde – PNS), a Brazilian household-based nationwide survey, which comprises 60,202 adults (aged 18 years or older). Depression was evaluated through the Patient Health Questionnaire-9 (PHQ-9). Prevalence Ratios and corresponding 95 % confidence intervals (95%CI) were calculated using Poisson regression.ResultsThe general prevalence of depression was 7.9 % (95 % CI 7.5 to 8.3). Among those with depression, 78.8 % did not receive any treatment, and 14.1 % received only pharmacotherapy. Multivariable analyses showed that being female, white, aged between 30 and 69 years, living in regions other than the North, having higher education and having multi-morbidities were independently associated with higher likelihood of access to any treatment.ConclusionsMost Brazilians with clinically relevant depressive symptoms are not receiving any treatment. Access to care is unequal, with the poor and those living in low resource areas having higher difficulties to access mental health care. Understanding these disparities is important for the provision of effective interventions aimed at reducing the prevalence of depression and inequities in access to mental health care.

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Section: Methodsmentioning

confidence: 99%

Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS

Lopes

Hellwig

Silva

et al. 2016

Int J Equity Health

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“…Validada para a população ambulatorial do Brasil 35 e para a população geral 36 , esta escala faz a triagem para Episódio Depressivo Maior por meio de nove afirmações, respondidas em forma de escala likert de quatro pontos. Esse instrumento encontra--se validado para a população entre 16 e 88 anos e demonstrou correlação com a Entrevista Diagnóstica Internacional Composta (CIDI) de 0,97 35 .…”

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Evidências de validade da Escala Brasileira de Solidão UCLA

Barroso

Andrade²,

Midgett

et al. 2016

J. bras. psiquiatr.

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RESUMO Objetivo Este trabalho investigou as evidências de validade da Escala de Solidão UCLA para aplicação na população brasileira. Métodos Foram seguidas as fases: (1) autorização do autor e do Comitê de Ética; (2) tradução e retrotradução; (3) adaptação semântica; (4) validação. Utilizou-se para análise dos dados análise descritiva, fatorial exploratória, alpha de Cronbach, Kappa, teste de esfericidade de Barlett, teste Kaiser-Meyer-Olkin e correlação de Pearson. Para a adaptação, a escala foi submetida a especialistas e a um grupo focal com 8 participantes para adaptação semântica e a um estudo piloto com 126 participantes para adaptação transcultural. Da validação, participaram 818 pessoas, entre 20 e 87 anos, que responderam a duas versões da UCLA, ao Questionário de Saúde do Paciente, à Escala de Percepção de Suporte Social e a um questionário elaborado pelos autores. Resultados A escala mostrou dois fatores, que explicaram 56% da variância e alpha de 0,94. Conclusões A Escala de Solidão UCLA-BR indicou evidências de validade de construto e discriminante, além de boa fidedignidade, podendo ser utilizada para avaliação da solidão na população brasileira.

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“…19 , 26 , 27 The Portuguese version of the PHQ-9 used in Brazil has been validated in primary care 30 and in the general population. 31 The Spanish version of the PHQ-9 was administered to the CR participants in Colombia and Venezuela. Its psychometric properties have been established in American 32 and Honduran 33 patients.…”

Section: Data Collectionmentioning

confidence: 99%