Validity of the Patient Health Questionnaire 2 (PHQ‐2) in Identifying Major Depression in Older People

Li, Chunyu; Friedman, Bruce; Conwell, Yeates; Fiscella, Kevin

doi:10.1111/j.1532-5415.2007.01103.x

Cited by 290 publications

(184 citation statements)

References 21 publications

(25 reference statements)

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“…The PHQ-9 is a nine-item questionnaire that asks respondents to indicate the frequency with which they experience each of the nine symptoms considered in the diagnostic criteria for major depression [28]. The PHQ-9 has been shown to be a valid and reliable measure of depressive symptoms in patients with a variety of medical conditions [11,14,19].…”

Section: Methodsmentioning

confidence: 99%

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

Sullivan

Simon

2012

Behav. Med. Pract. Policy Res.

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The purpose of the present research was to examine the feasibility of a telephonic occupational rehabilitation program. A sample of 23 individuals with chronic musculoskeletal pain was enrolled in the telephonic version of the Progressive Goal Attainment Program (PGAP-Tel). The PGAP-Tel is a risk-targeted intervention designed to reduce pain-related disability consequent to musculoskeletal injury. Treatment outcomes of PGAP-Tel were compared to a group of individuals with chronic musculoskeletal pain, who participated in the face-to-face format of the PGAP. Results showed that PGAP-Tel was acceptable to the majority of participants (76%) to whom it was offered. There were indications that engagement and adherence issues were more problematic in PGAP-Tel than in the face-to-face intervention. Both groups showed comparable reductions in pain, depression, fear of symptom exacerbation, and self-reported disability. Participants in the face-to-face intervention showed greater reduction in catastrophic thinking than participants in PGAP-Tel. Finally, 26% of participants in PGAP-Tel had resumed some form of employment at treatment termination compared to 56% of the participants in the face-to-face intervention. Given the low cost of the PGAP-Tel intervention and the accessibility advantages of a telephonic delivery, this type of intervention might be an important resource for targeting occupational disability in rural or remote communities when face-to-face services are not available.

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Section: Methodsmentioning

confidence: 99%

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

Sullivan

Simon

2012

Behav. Med. Pract. Policy Res.

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“…We screened for exclusion criteria and invited those not excluded to complete a recorded partial waiver of consent and a stage I depression screen (2-item Patient Health Questionnaire). 28 Consenting patients with a positive screen were met at the clinic before their visit by a recruiter to obtain written consent and complete the 9-item Patient Health Questionnaire (PHQ-9). 29 Patients whose PHQ-9 score was Ն10, indicating probable major depression, were enrolled.…”

Section: Patient Enrollmentmentioning

confidence: 99%

Training to Use Motivational Interviewing Techniques for Depression: A Cluster Randomized Trial

Keeley

Burke

Brody

et al. 2014

The Journal of the American Board of Family Medicine

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Objective: The goal of this study was to assess the effects of training primary care providers (PCPs) to use Motivational Interviewing (MI) when treating depressed patients on providers' MI performance and patients' expressions of interest in depression treatment ("change talk") and short-term treatment adherence.Methods: This was a cluster randomized trial in urban primary care clinics (3 intervention, 4 control). We recruited 21 PCPs (10 intervention, 11 control) and 171 English-speaking patients with newly diagnosed depression (85 intervention, 86 control). MI training included a baseline and up to 2 refresher classroom trainings, along with feedback on audiotaped patient encounters. We report summary measures of technical (rate of MI-consistent statements per 10 minutes during encounters) and relational (global rating of "MI Spirit") MI performance, the association between MI performance and number of MI trainings attended (0, 1, 2, or 3), and rates of patient change talk regarding depression treatments (physical activity, antidepressant medication). We report PCP use of physical activity recommendations and antidepressant prescriptions and patients' short-term physical activity level and prescription fill rates.Results: Use of MI-consistent statements was 26% higher for MI-trained versus control PCPs (P ‫؍‬ .005). PCPs attending all 3 MI trainings (n ‫؍‬ 6) had 38% higher use of MI-consistent statements (P < .001) and were over 5 times more likely to show beginning proficiency in MI Spirit (P ‫؍‬ .036) relative to control PCPs. Although PCPs' use of physical activity recommendations and antidepressant prescriptions was not significantly different by randomization arm, patients seen by MI-trained PCPs had more frequent change talk (P ‫؍‬ .001). Patients of MI-trained PCPs also expressed change talk about physical activity 3 times more frequently (P ‫؍‬ .01) and reported more physical activity (3.05 vs 1.84 days in the week after the visit; P ‫؍‬ .007) than their counterparts visiting untrained PCPs. Change talk about antidepressant medication and fill rates were similar by randomization arm (P > .05 for both). Funding: Funding for this study was provided by the National Institute of Mental Health grant nos. K23MH0829972 and 3K23082997-S1; National Institutes of Health/National Center for Advancing Translational Sciences Colorado CTSI grant no. KL2 TR000156 (to CE).Conflict of interest: none declared. In this study we investigated whether a multifaceted MI training improved (1) PCPs' MI performance during index visits with patients with newly diagnosed depression; (2) subsequent outcomes related to patients' expressed interest ("change talk") in improving this condition; and (3) short-term adherence to treatment 5 (Figure 1). Depression is projected to become the leading cause of disability worldwide by 2030 6 and is often treated, at least in part, in primary care. 7,8 In general, poor depression outcomes in primary care 9 -11 are in part because of pervasive nonadherence to depression treatment, which is ...

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“…Individuals with advanced cognitive and sensorial deficits or impaired locomotion were excluded. The sample size was calculated using the prevalence of depression, estimated at 20% in the elderly, as a reference 8 . A kappa coefficient of 0.6 with a 95% confidence interval was used to generate a conservative sample size of 180 individuals, estimated using the WinPepi application, version 2009 (http://www.brix tonhealth.com/pepi4windows.html).…”

Section: Study and Samplementioning

confidence: 99%

Reliability of screening tests for health-related problems among low-income elderly

et al. 2014

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Validity of the Patient Health Questionnaire 2 (PHQ‐2) in Identifying Major Depression in Older People

Abstract: The PHQ-2 is a valid screening tool for major depression in older people but should be followed by a more-comprehensive diagnostic process. Although its specificity differs by age, sex, and racial and ethnic groups, these differences appear to be of little clinical significance.

Cited by 290 publications

References 21 publications

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

Training to Use Motivational Interviewing Techniques for Depression: A Cluster Randomized Trial

Reliability of screening tests for health-related problems among low-income elderly

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