The Patient Health Questionnaire-9 for measuring depressive symptoms among the general population in Hong Kong

Yu, Nancy Xiaonan; Tam, Wing; Wong, Paul T.K.; Lam, Tai Hing; Stewart, Sunita M.

doi:10.1016/j.comppsych.2010.11.002

Cited by 302 publications

(282 citation statements)

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“…23,25,29,39,40 The participants with higher scores on the PHQ-9 and its 2 subscales reported lower self-esteem, higher mental health service use, and more physical illnesses, indicating good concurrent validity. Previous studies have also reported that an increase in the severity of depression was associated with negative self-esteem, [40][41][42] more physical illnesses, 43,44 and higher mental health service use. [43][44][45] In the current study, the AUC for MDD was 0.90 for the PHQ-9 and 0.87 for the PHQ-2, which are comparable to those in previous studies on adolescents in primary care.…”

Section: Discussionmentioning

confidence: 94%

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Major depression is common among adolescents. The PHQ-9 has good sensitivity and specificity for detecting depression among adolescents in primary care settings. However, no study has examined the psychometric properties of the PHQ-9 among Chinese adolescents in school settings. WHAT THIS STUDY ADDS:This is the first study to validate the use of the PHQ-9, Patient Health Questionnaire-2 item, and Patient Health Questionnaire-1 item among Chinese adolescents in Taiwan. The PHQ-9 and its 2 subscales have good sensitivity and specificity for detecting depression among school adolescents.abstract OBJECTIVE: The aim of this study was to determine the reliability and validity of a Chinese version of the Patient Health Questionnaire-9 item (PHQ-9) and its 2 subscales (1 item and 2 items) for the screening of major depressive disorder (MDD) among adolescents in Taiwan.METHODS: A total of 2257 adolescents were recruited from high schools in Taipei. The participants completed assessments including demographic information, the Chinese version of the PHQ-9, and the Rosenberg Self-Esteem Scale, and data on the number of physical illnesses and mental health service utilizations were recorded. Among them, 430 were retested using the PHQ-9 within 2 weeks. Child psychiatrists interviewed a subsample of the adolescents (n = 165) using the Kiddie-Schedule for Affective Disorder and Schizophrenia Epidemiological Version as the criterion standard. RESULTS:The PHQ-9 had good internal consistency (a = 0.84) and acceptable test-retest reliability (0.80). The participants with higher PHQ-9 scores were more likely to have MDD. Principal component factor analysis of the PHQ-9 yielded a 1-factor structure, which accounted for 45.3% of the variance. A PHQ-9 score $15 had a sensitivity of 0.72 and a specificity of 0.95 for recognizing MDD. The area under the receiver operating characteristic curve was 0.90. The screening accuracy of the 2 subscales was also satisfactory, with a Patient Health Questionnaire-2 item cutoff of $3 being 94.4% sensitive and 82.5% specific and a Patient Health Questionnaire-1 item cutoff of $2 being 61.1% sensitive and 87.7% specific. CONCLUSIONS:The PHQ-9 and its 2 subscales appear to be reliable and valid for detecting MDD among ethnic Chinese adolescents in Taiwan.

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Section: Discussionmentioning

confidence: 94%

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

et al. 2014

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“…All eligible members were interviewed by trained interviewers who entered the data into tablet personal computers. Details of the interview have been described elsewhere (22) . Having completed the main survey (n 45 767), randomly chosen participants (n 32 530) were invited to take part in a sub-study by wearing an accelerometer for four consecutive days (including a weekend).…”

Section: Participantsmentioning

confidence: 99%

A cluster analysis of patterns of objectively measured physical activity in Hong Kong

Lee

McDowell

et al. 2012

Public Health Nutr.

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Objective: The health benefits of exercise are clear. In targeting interventions it would be valuable to know whether characteristic patterns of physical activity (PA) are associated with particular population subgroups. The present study used cluster analysis to identify characteristic hourly PA patterns measured by accelerometer. Design: Cross-sectional design. Setting: Objectively measured PA in Hong Kong adults. Subjects: Four-day accelerometer data were collected during 2009 to 2011 for 1714 participants in Hong Kong (mean age 44?2 years, 45?9 % male). Results: Two clusters were identified, one more active than the other. The 'active cluster' (n 480) was characterized by a routine PA pattern on weekdays and a more active and varied pattern on weekends; the other, the 'less active cluster' (n 1234), by a consistently low PA pattern on both weekdays and weekends with little variation from day to day. Demographic, lifestyle, PA level and health characteristics of the two clusters were compared. They differed in age, sex, smoking, income and level of PA required at work. The odds of having any chronic health conditions was lower for the active group (adjusted OR 5 0?62, 95 % CI 0?46, 0?84) but the two groups did not differ in terms of specific chronic health conditions or obesity. Conclusions: Implications are drawn for targeting exercise promotion programmes at the population level.

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“…A first principal component analysis results on a single factor solution explaining 48.42% of the variance. The majority of studies of the factor analysis of PHQ-9 holds a single factor solution Dum et al, 2008;Graves & Bombardier, 2008;Hansson et al, 2009;Huang et al, 2006;Kalpakjian et al, 2009;Yu et al, 2012), with explained variances from 38.9% (Huang et al, 2006) to 59.57% (Dum et al, 2008). A onedimensional solution would be suggested, theoretically, by the DSM-IV.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover it has been adapted to different languages and cultures, such as Brazilian (Osório et al, 2009), Thai (Lotrakul et al, 2008), Greek (Karekla, Pilipenko, & Feldman, 2012), Saudi Arabian (Becker, Zaid, & Faris, 2002), Taiwanese (Liu et al, 2011), Chinese (Yeung et al, 2008), Korean (Changsu et al, 2008), Spanish (Diez-Quevedo et al, 2001), Mexican (Donlan & Lee, 2010), French (Carballeira et al, 2007), Nigerian (Adewuya et al, 2006), Turkish (Güleç, Güleç, Simsek, Turhan, & Sünbül, 2012) and Japanese (Yu et al, 2012). The PHQ-9 has been reported to have a single factor in several previous studies Dum, Pickren, Sobell, & Sobell, 2008;Graves & Bombardier, 2008;Hansson, Chotai, Nordstöm, & Bodlund, 2009;Yu et al, 2012), including a study involving more than 5000 primary care patients (Huang, Chung, Kroenke, Delucchi, & Spitzer, 2006). Exceptions are typical among participants with Spinal Cord Injury, in which the most of the studies have suggested a 2-factor structure, differentiating somatic and non somatic symptoms (Krause, Reed & McArdle, 2010;Richardson, & Richards, 2008).…”

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confidence: 99%

“…Several PHQ-9 versions were validated in different samples and in diverse languages and cultural contexts, demonstrating proprieties that confirm it as a reliable scale to assess depressive symptoms, namely in: primary health care Diez-Quevedo, Rangil, Sanchez-Planell, Kroenke, & Spitzer, 2001;Liu et al, 2011;Osório et al, 2009;Yu, Tam, Wong, Lam, & Stewart, 2012); students (Adewuya, Ola, & Afolabi, 2006;Granillo, 2012); elderly population (Changsu et al, 2008). Moreover it has been adapted to different languages and cultures, such as Brazilian (Osório et al, 2009), Thai (Lotrakul et al, 2008), Greek (Karekla, Pilipenko, & Feldman, 2012), Saudi Arabian (Becker, Zaid, & Faris, 2002), Taiwanese (Liu et al, 2011), Chinese (Yeung et al, 2008), Korean (Changsu et al, 2008), Spanish (Diez-Quevedo et al, 2001), Mexican (Donlan & Lee, 2010), French (Carballeira et al, 2007), Nigerian (Adewuya et al, 2006), Turkish (Güleç, Güleç, Simsek, Turhan, & Sünbül, 2012) and Japanese (Yu et al, 2012).…”

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confidence: 99%

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Reliability and Validity of the PHQ-9 in Portuguese Women with Breast Cancer

Torres¹,

Monteiro²,

Pereira³

et al. 2016

European Proceedings of Social &Amp; Behavioural Sciences

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Depression is often overlooked in oncology practice. Depressive module PHQ-9 was not studied in Portuguese cancer patients, despite its brevity and comparable psychometric proprieties to other depression scales. Which are the psychometric properties of the Portuguese version of the PHQ-9 for use with women with breast cancer? Reliability, sensitivity to change and the construct validity will be studied. The purpose of this study is to assess the psychometric properties of the Portuguese version of the PHQ-9 for use with women with breast cancer. This study intends to evaluate the reliability, the sensitivity to change and the construct validity of the PHQ-9 in a Portuguese Breast Cancer women sample. It was reproduced a principal component analysis and explored the reliability and validity of the questionnaire. The validation used a sample of 63 Portuguese women with breast cancer. A test-retest was conducted in 45 women, after 8 weeks. Construct validity was analyzed. PHQ-9 scores ranged from 0-27, with a mean score of 4,92 (SD= 4,63). The scale presented adequate internal consistency (α = .86) and test retest reliability (ICC= .87). It also presented good construct validity, as overall scores and severity levels were strongly associated with functional and symptoms subscales. The principal component analysis explains 48.42% of the variance. The validation process of the Portuguese PHQ-9 version shows metric properties similar to those in international studies, suggesting that it measures the same constructs, in the same way, as the original version. Data provided evidence for the validity of the PHQ-9 as a brief measure of depression severity in Portuguese women with breast cancer.

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The Patient Health Questionnaire-9 for measuring depressive symptoms among the general population in Hong Kong

Cited by 302 publications

References 44 publications

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

A cluster analysis of patterns of objectively measured physical activity in Hong Kong

Reliability and Validity of the PHQ-9 in Portuguese Women with Breast Cancer

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