Validity and reliability of Patient Health Questionnaire-9 and Patient Health Questionnaire-2 to screen for depression among college students in China

Zhang, Yingli; Liang, Wei; Zuo-ming, Chen; Zhang, Hongmei; Zhang, Jianhong; Weng, Xiaoqin; Shi-chang, Yang; Zhang, Lei; Shen, Lijuan; Zhang, Yalin

doi:10.1111/appy.12103

Cited by 309 publications

(273 citation statements)

References 35 publications

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“…Meanwhile, several studies have shown that the Chinese version of PHQ‐9 is a valid and reliable tool for screening depression (Chen, Wang, et al, ; Liu et al, ; Wang et al, ; Yu, Tam, Wong, Lam, & Stewart, ). Evidence of feasibility of the PHQ‐9 is also reported among Chinese university students (Zhang et al, ).…”

Section: Introductionsupporting

confidence: 82%

Validity study of Patient Health Questionnaire‐9 items for Internet screening in depression among Chinese university students

et al. 2016

Asia-Pacific Psychiatry

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Background Internet intervention in Chinese University students would be a possible approach to overcome the gap between high rate of depression and high rates of underdiagnosis and undertreatment. As a popular measure of screening, the feasibility and user satisfaction of Patient Health Questionnaire-9 items for online program were tested. Methods The subjects were enrolled based on an email list from the students' office of a Chinese University, and 300 undergraduate students were randomly invited. Of which, 230 (76.7%) students were willing to participate in the study and completed the first test. After 2 weeks, a subsample of 150 (65.2%) subjects were randomly chosen to retake the test for the test–retest reliability. And 81 (35.2%) among the 230 subjects were randomly selected to undergo the Mini International Neuropsychiatric Interview (MINI) within 48 h. Among 150 subjects, 120 (52.2%) completed client satisfaction questionnaire about this online screening program. Results (1) The Cronbach's alpha was 0.80 and the test-retest reliability was 0.78; (2) the optimal cutoff score of 10 revealed a sensitivity of 0.74, specificity of 0.85, with an area under the curve of 0.897 (95% confidence interval: 0.823–0.970); (3) the mean duration of administration was 3.5 min; and (4) satisfaction with the online screening program was highly appreciated. Conclusions The results indicated potential value of the online screening program for further Internet-administrated programs of depression among Chinese University students.

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Section: Introductionsupporting

confidence: 82%

Validity study of Patient Health Questionnaire‐9 items for Internet screening in depression among Chinese university students

et al. 2016

Asia-Pacific Psychiatry

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“…The PHQ-2 is widely used in large populations for depression screening given its brevity, high reliability as well as its established correlation with HRQoL outcomes. 44,45,69,70 Consistent with literature, the PHQ-2 was inversely correlated with both PCS-12 as well as MCS-12 of the SF-12v2 after controlling for the previously mentioned covariates (Tables 3 and 4). 45 Further, we have accounted for the number of prescription medications that patients take for depression, which could be used as a proxy of depression severity, and found it to have a negative and significant association with the MCS-12 of the SF-12v2 (Table 4).…”

Section: Discussionsupporting

confidence: 85%

Do depressed patients on adjunctive atypical antipsychotics demonstrate a better quality of life compared to those on antidepressants only? A comparative cross-sectional study of a nationally representative sample of the US population

AlRuthia

Hong

Solomon

2015

Research in Social and Administrative Pharmacy

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“…Participants completed the Patient Health Questionnaire (PHQ-9), a depression screen that has been validated in college students. [29][30][31] This screen assesses the frequency over the past 2 weeks of each of nine symptoms based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for major depression, such as depressed mood and anhedonia; responses are on a Likert scale ranging from 0 (''not at all'') to 3 (''nearly every day''). 32,33 PHQ-9 scores range from 0 to 27, with depression categorization cutoffs of 5 (mild), 10 (moderate), 15 (moderately severe), and 20 (severe).…”

Section: Methodsmentioning

confidence: 99%

Cyberbullying, Depression, and Problem Alcohol Use in Female College Students: A Multisite Study

Selkie

Kota

Chan

et al. 2015

Cyberpsychology, Behavior, and Social Networking

210

109

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Cyberbullying and its effects have been studied largely in middle and high school students, but less is known about cyberbullying in college students. This cross-sectional study investigated the relationship between involvement in cyberbullying and depression or problem alcohol use among college females. Two hundred and sixty-five female students from four colleges completed online surveys assessing involvement in cyberbullying behaviors. Participants also completed the Patient Health Questionnaire-9 (PHQ-9) to assess depressive symptoms and the Alcohol Use Disorder Identification Test (AUDIT) to assess problem drinking. Logistic regression tested associations between involvement in cyberbullying and either depression or problem drinking. Results indicated that 27% of participants had experienced cyberbullying in college; 17.4% of all participants met the criteria for depression (PHQ-9 score q10), and 37.5% met the criteria for problem drinking (AUDIT score q8). Participants with any involvement in cyberbullying had increased odds of depression. Those involved in cyberbullying as bullies had increased odds of both depression and problem alcohol use. Bully/ victims had increased odds of depression. The four most common cyberbullying behaviors were also associated with increased odds for depression, with the highest odds among those who had experienced unwanted sexual advances online or via text message. Findings indicate that future longitudinal study of cyberbullying and its effects into late adolescence and young adulthood could contribute to the prevention of associated comorbidities in this population.

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Validity and reliability of Patient Health Questionnaire-9 and Patient Health Questionnaire-2 to screen for depression among college students in China

Abstract: The PHQ-9 and the PHQ-2 are valid and reliable tools to screen depression in Chinese college students. For screening purposes, cutoff scores of 11 and 3 are recommended for PHQ-9 and PHQ-2, respectively.

Cited by 309 publications

References 35 publications

Validity study of Patient Health Questionnaire‐9 items for Internet screening in depression among Chinese university students

Validity study of Patient Health Questionnaire‐9 items for Internet screening in depression among Chinese university students

Do depressed patients on adjunctive atypical antipsychotics demonstrate a better quality of life compared to those on antidepressants only? A comparative cross-sectional study of a nationally representative sample of the US population

Cyberbullying, Depression, and Problem Alcohol Use in Female College Students: A Multisite Study

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