The Patient Health Questionnaire‐9 as a Screening Tool for Depression in Individuals with Type 2 Diabetes Mellitus: The Maastricht Study

Janssen, Eveline P. C. J.; Köhler, Sebastian; Stehouwer, Coen D. A.; Schaper, Nicolaas C.; Dagnelie, Pieter C.; Sep, Simone J. S.; Henry, Ronald M.A.; Kallen, Carla; Verhey, Frans R.J.; Schram, Miranda T.

doi:10.1111/jgs.14388

Cited by 45 publications

(49 citation statements)

References 28 publications

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“…; Janssen et al . ). These outcomes can be improved through explicit attention to the physical health status of patients with SMI.…”

Section: Discussionmentioning

confidence: 97%

“…Patients who are in suboptimal physical health have worse physical and psychiatric outcomes regarding life expectancy, psychiatric relapses, healthcare use and healthcare costs (Crump et al 2013;De Hert et al 2011b;Janssen et al 2016). These outcomes can be improved through explicit attention to the physical health status of patients with SMI.…”

Section: Discussionmentioning

confidence: 99%

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Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

Houben

Janssen

Hendriks

et al. 2018

Int J Mental Health Nurs

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The objective was to use various somatic parameters as basis for investigating the physical health of older adults with severe mental illnesses (SMI). A cross‐sectional study design is performed by using baseline data from the Physical Health in SMI‐elderly (PHiSMI‐E) study. Data were collected using the Nursing Monitoring of Somatic Status and Lifestyle – Mental Health instrument in adults aged over 60 with SMI in a large Dutch mental health institute. Ninety‐nine elderly SMI patients were included. Somatic comorbidity (84.8%), use of somatic medication (77.7%) and polypharmacy (67.7%) were prevalent. Extrapyramidal symptoms were experienced by 51% of patients, mainly in the subgroup with psychotic disorders (75.6%). Unhealthy diet was reported in 16.2%, obesity in 27.3%, and physical inactivity in 57.6%. Fatigue (67.7%) and dry mouth (66.6%) were the commonest reported physical symptoms. Mean VAS score (scale 0–10) indicating participants’ self‐perceived physical health was 6.7 (SD ± 1.6). After division of the total patient group into tertiles based on the VAS scores, the lowest tertile was characterized by less physical activity, unhealthier diet, more use of medication, more fatigue, somnolence, and inner agitation. In conclusion, impaired physical health status was common in these older patients with SMI. Although they had more psychiatric and somatic comorbidity than adult SMI patients described in the literature, they had a healthier lifestyle. To reduce morbidity and premature mortality in these frail patients, it is essential that healthcare providers are aware of the high prevalence of somatic comorbidity and symptoms, and of their interactions with the psychiatric disorders. This study improves our understanding of differences in vulnerability factors of older patients with SMI. The (early) detection of somatic comorbidities may improve long‐term health outcomes of these patients.

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“…; Janssen et al . ). These outcomes can be improved through explicit attention to the physical health status of patients with SMI.…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

Houben

Janssen

Hendriks

et al. 2018

Int J Mental Health Nurs

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“…A common screener and diagnostic tool for depression is the Patient Health Questionnaire-9, which performs well in patients with and without type 2 diabetes. [30][31][32] A Patient Health Questionnaire-9 cutoff score of 10 or higher is acceptable for detecting major depressive disorder 88% of the time. 30 The Problem Areas in Diabetes Scale and the Diabetes Distress Scale are both good measures for detecting diabetes distress.…”

Section: Screening Tools To Assess Depression and Diabetes Distressmentioning

confidence: 99%

The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes

et al. 2018

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People with type 2 diabetes often experience two common mental health conditions: depression and diabetes distress. Both increase a patient's risk for mortality, poor disease management, diabetes-related complications, and poor quality of life. The American Diabetes Association and the U.S. Preventive Services Task Force recommend routine evaluations for these conditions in adults for optimal disease management and prevention of lifethreatening complications. However, barriers exist within primary care and specialty settings that make screening for depression and diabetes distress challenging. Depression and diabetes distress influence diabetes self-care and diabetes control and barriers in clinical care practice that can hinder detection and management of psychosocial issues in diabetes care. This paper highlights opportunities to increase mental health screenings and provides strategies to help providers address depression and diabetes distress in patients with type 2 diabetes.

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“…Both cognitive symptoms of depression, comprising thoughts about oneself and problems of the mind, and somatic symptoms of depression, comprising various bodily sensations perceived as unpleasant or worrisome, are measured with the PHQ-9. 24 …”

Section: Assessment Of Depressionmentioning

confidence: 99%

Arterial stiffness is associated with depression in middle-aged men — the Maastricht Study

Onete

Henry

Sep

et al. 2018

jpn

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The Patient Health Questionnaire‐9 as a Screening Tool for Depression in Individuals with Type 2 Diabetes Mellitus: The Maastricht Study

Cited by 45 publications

References 28 publications

Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

Physical health status of older adults with severe mental illness: The PHiSMI‐E cohort study

The Importance of Addressing Depression and Diabetes Distress in Adults with Type 2 Diabetes

Arterial stiffness is associated with depression in middle-aged men — the Maastricht Study

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