Screening for Poststroke Depression Using the Patient Health Questionnaire

Ginkel, Janneke M. de Man‐van; Gooskens, Floor; Schepers, Vera P. M.; Schuurmans, Marieke J.; Lindeman, Eline; Hafsteinsdøttir, Thóra B.

doi:10.1097/nnr.0b013e31825d9e9e

Cited by 76 publications

(61 citation statements)

References 30 publications

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“…The total PHQ-9 score ranges from 0 to 27, with higher scores indicating more-severe depression. In this study, a PHQ-9 score of ≥10 was taken to indicate the presence of depression, since this tool shows a high sensitivity and specificity for major depression 911…”

Section: Methodsmentioning

confidence: 99%

“…The nine-item Patient Health Questionnaire (PHQ-9) is a brief and commonly recommended screening tool for depression in clinical practice and research 910. The PHQ-9 has good reliability and validity for identifying the severity of depression in stroke patients 1112. Early PSD detection and intervention may affect functional recovery and improve the quality of life in stroke patients and community-dwelling stroke survivors.…”

Section: Introductionmentioning

confidence: 99%

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Association between Stroke Status and Depression in a Community Setting: The 2014 Korea National Health and Nutrition Examination Survey

Kim

Lee

2017

J Clin Neurol

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Background and PurposePrevious studies have examined the risk factors for depression in stroke patients, but little information is available on the relationship between stroke status and depression in the community-dwelling general population. We evaluated the association between stroke status and depression using representative nationwide data.MethodsIn total, 3,487 subjects (aged ≥40 years) who participated in version VI-2 of the sixth Korea National Health and Nutrition Examination Survey (KNHANES) performed in 2014 were included. We compared the prevalence of depression in 120 community-dwelling stroke patients and 3,367 nonstroke controls using the nine-item Patient Health Questionnaire (PHQ-9).ResultsThe prevalence of depression (PHQ-9 score ≥10) was 16.7% in stroke patients and 6.4% in controls. In the unadjusted model, depression was more common in stroke patients than in nonstroke controls [odds ratio (OR), 2.95; 95% confidence interval (CI), 1.79–4.86]. After adjusting for demographic characteristics, socioeconomic status, health-related behaviors, and comorbidities, stroke diagnosis was a significant risk factor for depression (OR, 1.85; 95% CI, 1.06–3.24). Specifically, a diagnosis of stroke in patients aged <60 years (OR, 3.82; 95% CI, 1.81–8.09) and the presence of stroke complications (OR, 2.77; 95% CI, 1.25–6.13) remained significant risk factors for depression even after adjusting for potential confounders.ConclusionsIn a community setting, poststroke survivors had a higher prevalence of depression, and stroke was an independent risk factor for depression. Public psychosocial interventions are needed to improve the mental health care of community-dwelling stroke survivors.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between Stroke Status and Depression in a Community Setting: The 2014 Korea National Health and Nutrition Examination Survey

Kim

Lee

2017

J Clin Neurol

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“…25–27 However, the use of the instrument in this study was to score and set criteria for the severity of depression symptoms and was not used as a diagnosis tool. This questionnaire is a 9-item screening instrument that includes questions about the frequency of depression symptoms over the past 2 weeks.…”

Section: Methodsmentioning

confidence: 99%

Lower Odds of Poststroke Symptoms of Depression When Physical Activity Guidelines Met: National Health and Nutrition Examination Survey 2011–2012

Aaron

Gregory²,

Simpson³

2016

Journal of Physical Activity and Health

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Background One-third of individuals with stroke report symptoms of depression, which has a negative impact on recovery. Physical activity (PA) is a potentially effective therapy. Our objective was to examine the associations of subjectively assessed PA levels and symptoms of depression in a nationally representative stroke sample. Methods We conducted a cross-sectional study of 175 adults in the National Health and Nutrition Examination Survey 2011–2012 cycle. Moderate, vigorous, and combination equivalent PA metabolic equivalent (MET)-minutes per week averages were derived from the Global Physical Activity Questionnaire, and .the 2008 Physical Activity Guidelines/American College of Sports Medicine recommendations of ≥500 MET-minutes per week of moderate, vigorous, or combination equivalent PA were used as cut points. Depression symptoms were measured using the Patient Health Questionnaire-9. Results Meeting moderate PA guidelines resulted in 74% lower odds of having depression symptoms (P < .0001) and 89% lower odds of major symptoms of depression (P = .0003). Meeting vigorous guidelines showed a 91% lower odds of having mild symptoms of depression (P = .04). Participating in some moderate, vigorous, or combination equivalent PA revealed the odds of depression symptoms 13 times greater compared with meeting guidelines (P = .005); odds of mild symptoms of depression were 9 times greater (P = .01); and odds of major symptoms of depression were 15 times greater (P = .006). Conclusions There is a lower risk of developing mild symptoms of depression when vigorous guidelines for PA are met and developing major symptoms of depression when moderate guidelines met. Participating in some PA is not enough to reduce the risk of depression symptoms.

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“…In a study performed by Zander that surveyed CNMs to assess their knowledge about postpartum depression and screening practices, the overwhelming majority of respondents acknowledged that the disorder is both serious and common but indicated that they do not currently perform regular screening due to lack of resources [13]. A 2012 study by de Man-Van Ginkel et al found that nurses were able to use an established screening instrument, the patient health questionnaire (PHQ) 9, to effectively identify depression in recovering stroke patients who were able to complete the test [14]. Sanders also evaluated depression screening practices and factors associated with depression screening in a population of CNMs and observed a positive correlation of three factors associated with likelihood of screening for depression: attitude, perceived ability, and knowledge [15].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Educational Intervention on Nurses’ Attitudes and Beliefs about Depression in Heart Failure Patients

Lea

2014

Depression Research and Treatment

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Systematic depression screening is feasible, efficient, and well accepted; however the lack of consistent assessment in heart failure inpatients suggests barriers preventing its effective diagnosis and treatment. This pilot study assessed the impact of an educational intervention on nurses' beliefs about depression and their likelihood of routinely screening heart failure patients. Registered nurses (n = 35) from adult medical-surgical units were surveyed before and after an educational intervention to assess their beliefs about depression prevalence and screening in heart failure patients. There was no significant influence on nurses' beliefs about depression, but the results suggested an increased likelihood that nurses would routinely screen for depression. The moderately significant correlation between beliefs and intent to screen for depression indicates that educational intervention could ultimately have a positive influence on patient outcomes through early detection and treatment of depression in patients with cardiovascular disease; however the observed increase in the intent to screen without a corresponding change in beliefs indicates other influences affecting nurses' intent to screen heart failure patients for depression.

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Screening for Poststroke Depression Using the Patient Health Questionnaire

Abstract: The PHQ is a brief and easy-to-use instrument for nursing practice. It shows good reliability, validity, and clinical utility when used in stroke patients who are able to communicate adequately.

Cited by 76 publications

References 30 publications

Association between Stroke Status and Depression in a Community Setting: The 2014 Korea National Health and Nutrition Examination Survey

Association between Stroke Status and Depression in a Community Setting: The 2014 Korea National Health and Nutrition Examination Survey

Lower Odds of Poststroke Symptoms of Depression When Physical Activity Guidelines Met: National Health and Nutrition Examination Survey 2011–2012

The Effect of Educational Intervention on Nurses’ Attitudes and Beliefs about Depression in Heart Failure Patients

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