Examining the psychometric properties of brief screening measures of depression and anxiety in chronic pain: The Patient Health Questionnaire 2‐item and Generalized Anxiety Disorder 2‐item

Bisby, Madelyne A.; Karin, Eyal; Scott, Allan; Dudeney, Joanne; Fisher, Alana; Gandy, Milena; Hathway, Taylor; Heriseanu, Andreea I.; Staples, Lauren G.; Titov, Nickolai; Dear, Blake F.

doi:10.1111/papr.13107

Cited by 24 publications

(10 citation statements)

References 48 publications

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“…Symptoms of anxiety were assessed using the Generalized Anxiety Disorder-2 (GAD-2) (α = .75) scale, and symptoms of depression were assessed with the Patient Health Questionnaire-2 (PHQ-2) (α = .61), having a range from 0 to 6, and using a cutoff score of 3 (Bisby et al, 2022; Staples et al, 2019). Participants were asked to answer the question “Over the last 2 weeks, how often have you been bothered by the following problems?,” including the GAD-2 items “Feeling nervous, anxious or on edge” and “Not being able to stop or control worrying,” and the PHQ-2 items “Little interest or pleasure in doing things” and “Feeling down, depressed, or hopeless” (0 = Not at all, 1 = Several days, 2 = More than half the days, 3 = Nearly every day).…”

Section: Methodsmentioning

confidence: 99%

Mental health symptoms and coping strategies among Ukrainians during the Russia-Ukraine war in March 2022

Павлова

Chen

et al. 2023

Int J Soc Psychiatry

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Context: The Russian attack on Ukraine has been ongoing since February 24, 2022. Nevertheless, no research has documented the mental health of Ukrainians during the biggest land war in Europe after the Second World War, or how Ukrainians cope with the impact of the war. Objectives: To provide the prevalence rates of symptoms of psychological distress, anxiety, depression, and insomnia; and to link them with Ukrainians’ productive coping strategies during the war. Design, setting, and participants: Online survey conducted in Ukraine during the initial period of the Russian invasion (March 19–31, 2022), using a quota sampling method, of 1,400 Ukrainians aged 18 years or older, with a total of 801 valid responses for a response rate of 57.2%. Main outcome measures: Psychological distress assessed by the Kessler Psychological Distress scale (K6); anxiety assessed by Generalized Anxiety Disorder-2 (GAD-2) scale; depression assessed by Patient Health Questionnaire-2 (PHQ-2); insomnia assessed by Insomnia Severity Index-4 (ISI-4); modes of coping assessed by Brief COPE. Results: Of 801 Ukrainian adults, 52.7% had symptoms of psychological distress (mean = 13.3 [ SD = 4.9]); 54.1% of them reported symptoms of anxiety (mean = 2.9 [ SD = 1.7]); 46.8% reported symptoms of depression (mean = 2.6 [ SD = 1.6]). Symptom criteria for insomnia were met by 97 respondents (12.1%) (mean = 10.4 [ SD = 4.2]). Demographic variables (including gender, living in an urban area, having children or elderly persons in the household, living in an area occupied by Russian forces) were associated with symptoms of distress, anxiety, depression, and insomnia. The productive coping strategies of using instrumental support, behavioral disengagement, self-distraction, and planning were significantly associated with mental health symptoms. Conclusions: Prevalence rates of symptoms of psychological distress, anxiety, depression, and insomnia were high. These findings underscore the need for healthcare and productive coping strategies for Ukrainians during the war.

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Section: Methodsmentioning

confidence: 99%

Mental health symptoms and coping strategies among Ukrainians during the Russia-Ukraine war in March 2022

Павлова

Chen

et al. 2023

Int J Soc Psychiatry

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“…Many diseases are accompanied by uncomfortable symptoms, such as fever, pain, and inflammation. Individuals with familial Mediterranean fever ( 33 ), chronic pain ( 34 ), and an increased inflammatory response (augmentation of interleukin-6, C-reactive proteins, and fibrinogen blood levels) ( 35 ) will experience anxiety symptoms at higher rates than the general population. In addition, dry eye disease may lead to emotional disorders such as anxiety due to the long-term symptoms of eye irritation ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

Depression and anxiety of medical students at Kunming Medical University during COVID-19: A cross-sectional survey

Guo

Zhang

et al. 2022

Front. Public Health

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An isolation strategy was used to control the transmission and rapid spread of COVID-19 in Yunnan. As a result, students were supposed to stay at home and disrupted their outside activities. It led to a detrimental influence on students' mental health. The purpose of this study was to investigate the prevalence and risk factors of depression and anxiety among medical students and to provide ideas for the prevention of depression and anxiety in medical students. A cross-sectional survey was conducted among 2,116 medical students at Kunming Medical University from July 8 to July 16, 2020. Participants' demographic and living conditions were collected. Depression and anxiety were measured using the Patient Health Questionnaire 9 and General Anxiety Disorder-7, respectively. Uni- and multivariate logistic regression analyses were performed to detect risk factors associated with depression and anxiety. The prevalence rates of depression and anxiety among medical students were 52.5 and 29.6%, respectively. Depression was more likely to be caused by low grades, lack of physical exercise, drug use, irregular diet, extensive screen time on mobile phones, being greatly affected by the COVID-19 pandemic, and inadaptability to offline courses. Anxiety was more likely to be caused by lack of physical exercise, drug use, irregular diet, and inadaptability to offline courses. Depression and anxiety are highly comorbid. Our study showed predictive factors for depression and anxiety and identified a major mental health burden on medical students during the COVID-19 outbreak. More targeted measures should be taken to improve the mental state of students to reduce the incidence of depression and anxiety.

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“…We used multivariable-adjusted weighted logistic regression to obtain odds ratios (ORs) and associated 95% CIs to examine the associations of sociodemographic factors and clinical predictors with each OPPC outcome. The psychological distress measurements were converted to depression (little interest and hopelessness) or anxiety (nervousness and worrying) symptoms using the Patient Health Questionnaire-2 (PHQ-2) or General Anxiety Disorder-2 (GAD-2) scales, respectively, following their clinical cutoff (score≥3: symptom presents) [ 39 ]. Cancer survivors and adults without a history of cancer were analyzed in a model to compare the association of being a cancer survivor on each OPPC outcome after controlling for age, race/ethnicity, education, income, marital status, health insurance type, having a usual source of care, number of office visits, general health condition, chronic health condition (depression), and mental health (depression or anxiety symptoms).…”

Section: Methodsmentioning

confidence: 99%

Factors Associated With Online Patient-Provider Communications Among Cancer Survivors in the United States During COVID-19: Cross-sectional Study

Kim¹,

Linos²,

Fishman³

et al. 2023

JMIR Cancer

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Background Online patient-provider communication (OPPC) is crucial in enhancing access to health information, self-care, and related health outcomes among cancer survivors. The necessity of OPPC increased during SARS-CoV-2/COVID-19, yet investigations in vulnerable subgroups have been limited. Objective This study aims to assess the prevalence of OPPC and sociodemographic and clinical characteristics associated with OPPC among cancer survivors and adults without a history of cancer during COVID-19 versus pre–COVID-19. Methods Nationally representative cross-sectional survey data (Health Information National Trends Survey 5, 2017-2020) were used among cancer survivors (N=1900) and adults without a history of cancer (N=13,292). COVID-19 data included data from February to June 2020. We calculated the prevalence of 3 types of OPPC, defined as using the email/internet, tablet/smartphone, or electronic health record (EHR) for patient-provider communication, in the past 12 months. To investigate the associations of sociodemographic and clinical factors with OPPC, multivariable-adjusted weighted logistic regression was performed to obtain odds ratios (ORs) and 95% CIs. Results The average prevalence of OPPC increased from pre-COVID to COVID among cancer survivors (39.7% vs 49.7%, email/internet; 32.2% vs 37.9%, tablet/smartphone; 19.0% vs 30.0%, EHR). Cancer survivors (OR 1.32, 95% CI 1.06-1.63) were slightly more likely to use email/internet communications than adults without a history of cancer prior to COVID-19. Among cancer survivors, the email/internet (OR 1.61, 95% CI 1.08-2.40) and EHRs (OR 1.92, 95% CI 1.22-3.02) were more likely to be used during COVID-19 than pre–COVID-19. During COVID-19, subgroups of cancer survivors, including Hispanics (OR 0.26, 95% CI 0.09-0.71 vs non-Hispanic Whites) or those with the lowest income (US $50,000-<US $75,000: OR 6.14, 95% CI 1.99-18.92; ≥US $75,000: OR 0.42, 95% CI 1.56-11.28 vs <US $20,000), with no usual source of care (OR 6.17, 95% CI 2.12-17.99), or reporting depression (OR 0.33, 95% CI 0.14-0.78) were less likely to use email/internet, and those who were the oldest (age 35-49 years: OR 9.33, 95% CI 2.18-40.01; age 50-64 years: OR 3.58, 95% CI 1.20-10.70; age 65-74 years: OR 3.09, 95% CI 1.09-8.76 vs age≥75 years), were unmarried (OR 2.26, 95% CI 1.06-4.86), or had public/no health insurance (Medicare, Medicaid, or other: ORs 0.19-0.21 vs private) were less likely to use a tablet/smartphone to communicate with providers. Cancer survivors with a usual source of care (OR 6.23, 95% CI 1.66-23.39) or health care office visits in a year (ORs 7.55-8.25) were significantly more likely to use EHRs to communicate. Although it was not observed in cancer survivors, a lower education level was associated with lower OPPC among adults without a history of cancer during COVID-19. Conclusions Our findings identified vulnerable subgroups of cancer survivors who were left behind in OPPC, which is increasingly becoming part of health care. These vulnerable subgroups of cancer survivors with lower OPPC should be helped through multidimensional interventions to prevent further inequities.

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Examining the psychometric properties of brief screening measures of depression and anxiety in chronic pain: The Patient Health Questionnaire 2‐item and Generalized Anxiety Disorder 2‐item

Cited by 24 publications

References 48 publications

Mental health symptoms and coping strategies among Ukrainians during the Russia-Ukraine war in March 2022

Mental health symptoms and coping strategies among Ukrainians during the Russia-Ukraine war in March 2022

Depression and anxiety of medical students at Kunming Medical University during COVID-19: A cross-sectional survey

Factors Associated With Online Patient-Provider Communications Among Cancer Survivors in the United States During COVID-19: Cross-sectional Study

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