Reliability and validity of the PHQ‐9 for screening late‐life depression in Chinese primary care

Chen, Shulin; Chiu, Helen F. K.; Xu, Bo; Ma, Yan; Jin, Tao; Wu, Man-Hua; Conwell, Yeates

doi:10.1002/gps.2442

Cited by 173 publications

(114 citation statements)

References 48 publications

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“…The PHQ-9 demonstrated acceptable psychometric properties for the screening of patients with late-life depression in Chinese primary care settings, showing a sensitivity of 0.86 and a specificity of 0.77. 28 Generalized anxiety disorder (GAD-7) 29 was measured by a seven-item anxiety scale that showed good reliability and validity in a Chinese general hospital population. 30 Health-related anxiety was assessed with the Whiteley-7 index.…”

Section: Methodsmentioning

confidence: 99%

Quality of doctor–patient relationship in patients with high somatic symptom severity in China

Zhao

Fritzsche

et al. 2015

Complementary Therapies in Medicine

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Section: Methodsmentioning

confidence: 99%

Quality of doctor–patient relationship in patients with high somatic symptom severity in China

Zhao

Fritzsche

et al. 2015

Complementary Therapies in Medicine

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“…The Chinese version of the PHQ-9, which has been shown to have good reliability and validity in community Chinese older persons, was used to measure depressive symptoms (Chen et al ., 2010). The original PHQ-9 was designed for the primary care settings (Kroenke et al ., 2001).…”

Section: Methodsmentioning

confidence: 99%

The prevalence of depressive symptoms among older patients with hypertension in rural China

Xue

Chen

Bogner

et al. 2016

Int J Geriat Psychiatry

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Objective The comorbidity of depression and hypertension (HTN) is common and complicates the management of both conditions. This study investigated the prevalence of depressive symptoms among older patients with HTN in rural China and explored the relationship between the two conditions. Methods The baseline data of older patients diagnosed with HTN included in the depression/HTN in Chinese Older Adults—Collaborations for Health Study were used for the analysis. The Chinese Older Adults—Collaborations for Health Study was conducted in rural villages of Tonglu County, Zhejiang Province, China. In all, 10 389 older village residents had HTN (57.2% female, mean age 71.5 ± 8.1 years). Blood pressure was measured by using a calibrated manual sphygmomanometer and stethoscope. Depressive symptom was measured by using the Chinese version of the nine-item Patient Health Questionnaire. Results Among 10 389 patients with HTN, 12.8% had significant depressive symptoms (nine-item Patient Health Questionnaire ≥10). Rates of significant depressive symptoms were 5.3% and 32.8% among patients with controlled and uncontrolled HTN (systolic blood pressure ≥ 140 and/or diastolic blood pressure ≥ 90), respectively (χ2=8.701, p<0.001). Logistic regression analysis indicated that those in older age group (≥70 years) and with uncontrolled HTN have higher rates of significant depressive symptoms than those who are younger (age 60 to <70) and with controlled HTN. Conclusion Our findings show high rates of depressive symptoms among patients with HTN in rural China and higher rates of depressive symptoms among patients with uncontrolled HTN. These support the development and dissemination of integrative care approaches for older adults with HTN and depression in rural China.

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“…These items tap other symptoms of depression (e.g., low energy, sleep), while item 9 inquires about “thoughts that you would be better off dead, or of hurting yourself in some way.” While a two-stage approach is efficient for identifying depression, it may miss a significant number of older adults who experience suicide ideation in the absence of depression. The PHQ-2 and PHQ-9 have been well-validated in the U.S. [34], and recent psychometric studies have been conducted internationally [35–38]. …”

Section: Assessing Suicidality In Primary Carementioning

confidence: 99%

Suicide Risk in Primary Care: Identification and Management in Older Adults

Raue

Ghesquiere

Bruce

2014

Curr Psychiatry Rep

126

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The National Strategy for Suicide Prevention (2012) has set a goal to reduce suicides by 20% within 5 years. Suicide rates are higher in older adults compared to most other age groups, and the majority of suicide completers have visited their primary care physician in the year before suicide. Primary care is an ideal setting to identify suicide risk and initiate mental health care. We review risk factors for late-life suicide; methods to assess for different levels of suicidality; and recent research developments regarding both effective assessment and management of suicide risk among older primary care patients. We highlight that broader scale screening of suicide risk may be considered in light of findings that suicidality can occur even in the absence of major risk factors like depression. We also highlight collaborative care models targeting suicide risk, and recent innovative interventions that aim to prevent the development of suicidal ideation and suicidal behavior.

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Reliability and validity of the PHQ‐9 for screening late‐life depression in Chinese primary care

Abstract: The PHQ-9 performs well and has acceptable psychometric properties for screening of patients with late-life depression in Chinese primary care settings.

Cited by 173 publications

References 48 publications

Quality of doctor–patient relationship in patients with high somatic symptom severity in China

Quality of doctor–patient relationship in patients with high somatic symptom severity in China

The prevalence of depressive symptoms among older patients with hypertension in rural China

Suicide Risk in Primary Care: Identification and Management in Older Adults

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