Validación de la versión peruana del PHQ-9 para el diagnóstico de depresión

Calderón, María; Gálvez-Buccollini, Juan Antonio; Cueva, Gloria; Ordóñez, Carlos; Bromley, Carlos; Fiestas, Fabián

doi:10.1590/s1726-46342012000400027

Cited by 55 publications

(33 citation statements)

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“… 2015 ). Further, while the PHQ-9 is validated in Peru (Calderón, 2012 ), it is not routinely used to screen for depression in perinatal women. However, SES routinely uses the PHQ-9 for depression screening among all adult populations and ideally would extend its use among perinatal women.…”

Section: Methodsmentioning

confidence: 99%

Preparing to launch the ‘Thinking Healthy Programme’ perinatal depression intervention in Urban Lima, Peru: experiences from the field

et al. 2018

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Background.An estimated 19–25% of perinatal women in low- and middle-income countries are affected by depression which, untreated, is associated with multiple health problems for mothers and children. Nonetheless, few perinatal women have access to depression care. The Thinking Healthy Programme (THP), promoted by the World Health Organization (WHO), is an evidence-based, non-specialist delivered depression intervention that addresses this care gap. However, the WHO THP manual explains intervention delivery but not the antecedents to implementation. Here, we describe a principled, planned approach leading to the implementation of THP in Lima, Peru by the non-profit organization Socios En Salud with community health workers (CHW) to inform its implementation in other settings.Methods.The Replicating Effective Programs (REP) framework guided THP implementation, following four phases: (I) pre-conditions; (II) pre-implementation; (III) implementation; and (IV) maintenance and evolution. This paper centers on REP phases I and II, including (1) documented high perinatal depression rates in Peru; (2) designation of perinatal depression as a government priority; (3) THP Implementation Team orientation and training; (4) data collection plan development; (5) public health system coordination; (6) CHW selection and training; and (7) THP launch.Results.Between December 2016 and March 2017, a THP training program was developed and seven CHW were trained to deliver the intervention to 10 perinatal women, the first of whom was enrolled on 17 April 2017.Conclusions.THP was rapidly implemented by a community-based organization with no prior experience in delivering non-specialist perinatal depression care. The steps followed may inform the implementation of THP in other settings.

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Section: Methodsmentioning

confidence: 99%

Preparing to launch the ‘Thinking Healthy Programme’ perinatal depression intervention in Urban Lima, Peru: experiences from the field

et al. 2018

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“…The questionnaire has been validated in Spanish in Chile [18] and adapted to the Peruvian population [19]. The tool includes nine questions to evaluate the presence of depressive symptoms in the last 14 days.…”

Section: Methodsmentioning

confidence: 99%

Fruits and vegetables consumption and depressive symptoms: A population-based study in Peru

et al. 2017

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ObjectivesAmong different factors, diet patterns seem to be related to depression. The aim of this study was to evaluate the association between the consumption of fruits and/or vegetables and depressive symptoms.Methodology/Principal findingsA secondary data analysis was conducted using information from a population-based survey from 25 regions from Peru. The outcome was the presence of depressive symptoms according to the Patient Health Questionnaire (cutoff ≥15 to define major depressive syndrome); whereas the exposure was the self-reported consumption of fruits and/or vegetables (in tertiles and using WHO recommendation ≥5 servings/day). The association of interest was evaluated using Poisson regression models controlling for the complex-sample survey design and potential confounders. Data from 25,901 participants were analyzed, mean age 44.2 (SD: 17.7) and 13,944 (54.0%) women. Only 910 (3.8%; 95%CI: 3.5%–4.2%) individuals reported consuming ≥5 servings of fruits and/or vegetables/day; whereas 819 (2.8%; 95%CI: 2.5%–3.1%) had depressive symptoms. Those in the lowest tertile of fruits and/or vegetables consumption had greater prevalence of depressive symptoms (PR = 1.88; 95%CI: 1.39–2.55) than those in the highest tertile. This association was stronger with fruits (PR = 1.92; 95%CI: 1.46–2.53) than vegetables (PR = 1.42; 95%CI: 1.05–1.93) alone.ConclusionsAn inverse relationship between consumption of fruits and/or vegetables and depressive symptoms is reported. Less than 5% of subjects reported consuming the amount of fruits and vegetables recommended by the WHO. There is a need to implement strategies to promote better diet patterns with potential impact on mental health.

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“…The internal consistency reliability (Cronbach’s alpha) of the PHQ-8 collected in IVR calls was good at 0.83, and almost identical to a previous coefficient of 0.84 in an unpublished analysis by the authors of data from an in-person survey delivered in a sample of 600 Bolivian primary care patients. Researchers elsewhere in Andean Latin America have confirmed the scale’s cultural appropriateness [ 40 ]. We assessed the validity of IVR-collected self-rated health and depressive symptom data by testing whether it related in expected ways to the survey data, which we assumed was more accurate as it was collected using a well-established standard method.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of an interactive voice response system for monitoring depressive symptoms in a lower-middle income Latin American country

Janevic

Yujra

Marinec

et al. 2016

Int J Ment Health Syst

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BackgroundInnovative, scalable solutions are needed to address the vast unmet need for mental health care in low- and middle-income countries (LMICs).MethodsWe conducted a feasibility study of a 14-week automated telephonic interactive voice response (IVR) depression self-care service among Bolivian primary care patients with at least moderately severe depressive symptoms. We analyzed IVR call completion rates, the reliability and validity of IVR-collected data, and participant satisfaction.ResultsOf the 32 participants, the majority were women (78 % or 25/32) and non-indigenous (75 % or 24/32). Participants had moderate depressive symptoms at baseline (PHQ-8 score mean 13.3, SD = 3.5) and reported good or fair general health status (88 % or 28/32). Fifty-four percent of weekly IVR calls (approximately 7 out of 13 active call-weeks) were completed. Neither PHQ-8 scores nor IVR call completion differed significantly by ethnicity, education, self-reported depression diagnosis, self-reported overall health, number of chronic conditions, or health literacy. The reliability for IVR-collected PHQ-8 scores was good (Cronbach’s alpha = 0.83). Virtually every participant (97 %) was “mostly” or “very” satisfied with the program. Many described the program as beneficial for their mood and self-care, albeit limited by some technological difficulties and the lack of human interaction.ConclusionFindings suggest that IVR could feasibly be used to provide monitoring and self-care education to depressed patients in Bolivia. An expanded stepped-care service offering contact with lay health workers for more depressed individuals and expanded mHealth content may foster greater patient engagement and enhance its therapeutic value while remaining cost-effective.Trial registration ISRCTN ISRCTN 18403214. Registered 14 September 2016. Retrospectively registered

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Validación de la versión peruana del PHQ-9 para el diagnóstico de depresión

Cited by 55 publications

References 0 publications

Preparing to launch the ‘Thinking Healthy Programme’ perinatal depression intervention in Urban Lima, Peru: experiences from the field

Preparing to launch the ‘Thinking Healthy Programme’ perinatal depression intervention in Urban Lima, Peru: experiences from the field

Fruits and vegetables consumption and depressive symptoms: A population-based study in Peru

Feasibility of an interactive voice response system for monitoring depressive symptoms in a lower-middle income Latin American country

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