“…The salient implication is that PHQ-9 used in psychiatric specialties might be suitable for screening purposes with the threshold of 10 for MDD, but not for diagnostic purposes (Inoue et al, 2012). Previous studies in India, China and South Korea have shown that the sensitivity and specificity of the PHQ-9 ranged from 0.80 to 0.93, and from 0.75 to 0.86, respectively, at the cutoff point of 5 (Wang et al, 2014;Han et al, 2008;Poongothai et al, 2009). However, in this study, if we chose 5 as the cutoff point, specificity was only 75.56% which was totally useless for population screening.…”