Validation and Utility of the Patient Health Questionnaire in Diagnosing Mental Disorders in 1003 General Hospital Spanish Inpatients

Díez‐Quevedo, Crisanto; Rangil, Teresa; Sánchez-Planell, Luis; Kroenke, Kurt; Spitzer, Robert L.

doi:10.1097/00006842-200107000-00021

Cited by 547 publications

(418 citation statements)

References 41 publications

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“…For the HRQOL to be a reliable and valid measurement of depression in Spanish-speaking populations. 32 The internal consistency of this measure in the present study was good (α = 0.86).…”

Section: Canonical Correlationsupporting

confidence: 51%

Mental Health and Health-Related Quality of Life in Multiple Sclerosis Caregivers in Mexico

Leibach¹,

Stern²,

Arelis³

et al. 2016

International Journal of MS Care

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“…For the HRQOL to be a reliable and valid measurement of depression in Spanish-speaking populations. 32 The internal consistency of this measure in the present study was good (α = 0.86).…”

Section: Canonical Correlationsupporting

confidence: 51%

Mental Health and Health-Related Quality of Life in Multiple Sclerosis Caregivers in Mexico

Leibach¹,

Stern²,

Arelis³

et al. 2016

International Journal of MS Care

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“…A significant relationship between the PHQ-9 and general health rating 62,63 or functional impairment scales 53,54,57,60,64,76 supports construct validity, because depression is known to negatively impact perceived health 60 . Analysis of covariance (ANCOVA) was used to compare PHQ-9 diagnostic and severity categories (independent variable) on general health rating (dependent variable), while adjusting, consistent with previous studies 53,54,60 , for gender, age and education (≥ Form 1-2 vs ≤ Standard 4-8).…”

Section: Discussionmentioning

confidence: 91%

“…The PHQ-9 has been validated in western countries regarding construct validity 53,54,57,[59][60][61][62][63][64] , diagnostic accuracy 53,57,58,62,[64][65][66][67][68] , sensitivity to change 61,69,70 , responsiveness to treatment [71][72][73] , internal consistency 56,57,63,65,74,75 , test-retest reliability 56,57,62,73 and realistic estimates of population base rates 74 . The PHQ-2 (i.e., the first two items of the PHQ-9) is an ultra-brief and accurate screening tool 58,[76][77][78] .…”

Section: Introductionmentioning

confidence: 99%

Validity/Reliability of PHQ-9 and PHQ-2 Depression Scales Among Adults Living with HIV/AIDS in Western Kenya

et al. 2008

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BACKGROUND: Depression greatly burdens subSaharan Africa, especially populations living with HIV/ AIDS, for whom few validated depression scales exist. Patient Health Questionnaire-9 (PHQ-9), a brief dualpurpose instrument yielding DSM-IV diagnoses and severity, and PHQ-2, an ultra-brief screening tool, offer advantages in resource-constrained settings. OBJECTIVE:To assess the validity/reliability of PHQ-9 and PHQ-2. DESIGN: Observational, two occasions 7 days apart.PARTICIPANTS: A total of 347 patients attending psychosocial support groups.MEASUREMENTS: Demographics, PHQ-9, PHQ-2, general health perception rating and CD4 count. RESULTS:Rates for PHQ-9 DSM-IV major depressive disorder (MDD), other depressive disorder (ODD) and any depressive disorder were 13%, 21% and 34%. Depression was associated with female gender, but not CD4. Construct validity was supported by: (1) a strong association between PHQ-9 and general health rating, (2) a single major factor with loadings exceeding 0.50, (3) item-total correlations exceeding 0.37 and (4) a pattern of item means similar to US validation studies. Four focus groups indicated culturally relevant content validity and minor modifications to the PHQ-9 instructions. Coefficient alpha was 0.78. Test-retest reliability was acceptable: (1) intraclass correlation 0.59 for PHQ-9 total score, (2) kappas 0.24, 0.25 and 0.38 for PHQ-9 MDD, ODD and any depressive disorder and (3) weighted kappa 0.53 for PHQ-9 depression severity categories. PHQ-2 ≥3 demonstrated high sensitivity (85%) and specificity (95%) for diagnosing any PHQ-9 depressive disorder (AUC, 0.97), and 91% and 77%, respectively, for diagnosing PHQ-9 MDD (AUC, 0.91). Psychometrics were also good within four gender/age (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) subgroups.CONCLUSIONS: PHQ-9 and PHQ-2 appear valid/ reliable for assessing DSM-IV depressive disorders and depression severity among adults living with HIV/AIDS in western Kenya. INTRODUCTIONMore than 70% of all deaths attributable to HIV/AIDS are in sub-Saharan Africa, with approximately 6.1% of adults living with HIV in Kenya in 2005 1 . The social, economic and health impact of depression in sub-Saharan Africa is also great, where depression is associated with mortality 2-5 , work disability 4-7 , lower quality of life 5,[8][9][10][11][12] , risk of heart disease 13 and high-risk behaviors for contracting HIV infection 14 . With one exception 15 , the sparse literature on depression among individuals living with HIV/AIDS in sub-Saharan Africa has shown elevated rates of depression relative to community samples 3,8,10,[16][17][18][19][20][21][22][23][24][25] , consistent with western countries [26][27][28][29] . Thus, there is an urgency to incorporating mental health into HIV/ AIDS treatment programs in sub-Saharan Africa, including western Kenya [30][31][32][33][34][35] .Depression in sub-Saharan Africa presents in forms (culturespecific idioms, somatic, based on interpersonal relationships or spiritual in nature) that may o...

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“…Some studies have evaluated rates of eating disorders among patients recruited in primary care (Linzer et al, 1996;Spitzer, Kroenke, & Williams, 1999), obstetric-gynecology practice (Spitzer, Williams, Kroenke, Hornyak, & McMurray, 2000), or general hospital settings (Diez-Quevedo, Rangil, Sanchez-Planell, Kroenke, & Spitzer, 2001). Diagnoses were based on the PRIME-MD Patient Health Questionnaire (PHQ; Spitzer et al, 1994), a self-report screening instrument for mental disorders that includes diagnostic items for BN and BED.…”

Section: Prevalence Studies Using Self-report Instrumentsmentioning

confidence: 99%

Epidemiology of binge eating disorder

Striegel‐Moore

Franko

2003

Int. J. Eat. Disord.

188

100

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Objective: First described over 50 years ago, binge eating disorder (BED) only recently has become the focus of epidemiologic studies. This article provides a comprehensive review of these studies. Method: Relevant studies were examined and summarized in the form of a narrative review. Results: Similar to the early studies of bulimia nervosa (BN), the first generation of epidemiologic studies of BED is limited in scope or methodology. They focus on prevalence rates and provide only basic demographic characteristics and often use less than optimal sampling or assessment methods. Discussion: Results suggest that the demographic profile of BED may be more diverse than that of BN. Future studies should evaluate complex etiologic models in representative samples that include men and a broader range of ethnic minority groups. # 2003 by Wiley Perodicals, Inc. Int J Eat Disord 34: S19-S29, 2003.

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Validation and Utility of the Patient Health Questionnaire in Diagnosing Mental Disorders in 1003 General Hospital Spanish Inpatients

Abstract: The Spanish version of the PHQ has diagnostic validity in general hospital inpatients comparable to the original English version in primary care.

Cited by 547 publications

References 41 publications

Mental Health and Health-Related Quality of Life in Multiple Sclerosis Caregivers in Mexico

Mental Health and Health-Related Quality of Life in Multiple Sclerosis Caregivers in Mexico

Validity/Reliability of PHQ-9 and PHQ-2 Depression Scales Among Adults Living with HIV/AIDS in Western Kenya

Epidemiology of binge eating disorder

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