The structure of the Patient Health Questionnaire-9 in pregnant women in Spain

Marcos-Nájera, Rosa; Le, Huynh-Nhu; Crespo, María Eugenia Olivares; Méndez, Nuria

doi:10.1016/j.midw.2018.03.011

Cited by 32 publications

(33 citation statements)

References 39 publications

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“…This result may be due to the fact that this sample included a large proportion of immigrant women, who had higher prevalence of antenatal depression than native women (25.8% and 15.2%, respectively). Consistent with Marcos-Nájera et al (2018), all participants in this study reported having somatic symptoms. The immigrants reported more psychomotor symptoms (Marcos-Nájera et al, 2018) and showed lower self-esteem and more discouragement.…”

Section: Discussionsupporting

confidence: 76%

“…The Patient Health Questionnaire-9 (PHQ-9; Kroenke & Spitzer, 2002;Manea, Gilbody, & McMillan, 2015), which measures the severity of depression, was used to evaluate depressive symptomatology and the prevalence of antenatal depression (American College of Obstetrician and Gynecologist, 2015; Kendig et al, 2017). The PHQ-9 is validated with Spanish-speaking populations and pregnant Spanish women (Marcos-Nájera, Le, Rodríguez-Muñoz, Olivales, & Izquierdo, 2018). Its nine items are based on the criteria of the Diagnostic and Statistical Manual of Mental Disorders-5 (American Psychiatric Association, 2013).…”

Section: Instrumentsmentioning

confidence: 99%

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The Prevalence and Risk Factors for Antenatal Depression Among Pregnant Immigrant and Native Women in Spain

et al. 2019

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Introduction: The aim was to examine the risk factors of anternatal depression among immigrant and native pregnant women in Spain. Method: A total of 1,524 pregnant women completed the Patient Health Questionnaire and the Postpartum Depression Predictors Inventory–Revised form. Results: The native group reported a lower prevalence (15.2%) compared with immigrant group (25.8%). For immigrants, primiparity, moving, and perceived lack instrumental support from friends or emotional support from partners and family members were significant risk factors. Discussion: The study identified risk factors that can be used for preventive interventions during pregnancy. Significance: Screening and interventions for depression during pregnancy should take migration status into account to maximize effective health care. Also, health providers should consider how migration status can result in different risk factors that affect depression during pregnancy.

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Section: Discussionsupporting

confidence: 76%

Section: Instrumentsmentioning

confidence: 99%

The Prevalence and Risk Factors for Antenatal Depression Among Pregnant Immigrant and Native Women in Spain

et al. 2019

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“…To implement screening, it is necessary to have a good assessment tool [ 14 ]. The nine-item Patient Health Questionnaire (PHQ-9) demonstrates good psychometric properties in screening for depression during pregnancy [ 15 ]. The two-item Patient Health Questionnaire (PHQ-2), the ultra-short version of the PHQ-9, is the most validated screener for depressive symptomatology, with good criterion and convergent validity, with good sensitivity and specificity values [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Psychometric Properties of the Patient Health Questionnaire-4 for Pregnant Women

Rodríguez-Muñoz

Ruiz‐Segovia

Soto-Balbuena

et al. 2020

IJERPH

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Background: Perinatal anxiety and depression are common complications during pregnancy. The purpose of this study was to examine the item characteristics, reliability, validity, and factorial structure of the four-item Patient Health Questionnaire-4 (PHQ-4) and to determine the associations between scale scores and sociodemographic factors in a sample of pregnant women from Spain. Method: A total of 845 pregnant women were recruited from two public hospitals in Spain between 2014 and 2016. Participants completed a self-report questionnaire that included Patient Health Questionnaire-4, including the two-item Patient Health Questionnaire and the two-item Generalized Anxiety Disorder Screener. Results: Exploratory and confirmatory factor analysis and scale inter-correlations between the PHQ-4 and PHQ-9 revealed that the PHQ-4 has a bivariate structure and adequately assesses the dimensions of antenatal anxiety and depression. Conclusion: The PHQ-4 is a reliable and valid instrument to screen for depression and anxiety during pregnancy. The PHQ-4 is an ultra-brief measure that can be used to screen for antenatal depression and anxiety to prevent the negative consequences associated with these mental health conditions among mothers and infants.

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“…The total score ranges from 0 to 27, with higher scores indicating more severe depressive symptoms. During the perinatal period, a score of ≥10 is usually recommended to define the presence of depression (Flynn et al, 2011;Sidebottom et al, 2012;Marcos-Nájera et al, 2018). Furthermore, two of these Step 1: Behavioral interventions…”

Section: Patient Health Questionnaire-9mentioning

confidence: 99%

“…studies evaluated the factor structure of the PHQ-9, finding that a three-factor (cognitive-affective, somatic, pregnancyrelated) model is adequate during pregnancy (Marcos-Nájera et al, 2018). The internal reliability (Cronbach alpha) of the PHQ−9 was 0.86 in an obstetrics−gynecology sample (Kroenke et al, 2001).…”

Section: Sessionmentioning

confidence: 99%

Perspectives on Early Screening and Prompt Intervention to Identify and Treat Maternal Perinatal Mental Health. Protocol for a Prospective Multicenter Study in Italy

Cena

Palumbo²,

Mirabella³

et al. 2020

Front. Psychol.

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Background: The most common mental disorders in women during the perinatal (antenatal and postnatal) period are depressive syndromes and anxiety syndromes. The global prevalence of maternal perinatal depression ranges from 10 to 20%, while the prevalence of perinatal anxiety ranges from 10 to 24%. The comorbidity of mood and anxiety disorders in perinatal women is common, reaching 40%. In Italy, a few studies have been undertaken to evaluate the prevalence of perinatal depression and anxiety, and there is still a scarcity of research and intervention programs regarding primary prevention. Three of the main aims of this study are: (1) to evaluate the prevalence of maternal perinatal depression and anxiety in a large sample of women attending healthcare centers in Italy; (2) to investigate the psychosocial risks and protective factors associated with maternal perinatal depression and anxiety; (3) to evaluate the effectiveness of a manualized psychological intervention (Milgrom et al., 1999) to treat perinatal depression; (4) to evaluate the psychometric properties of both the Edinburgh Postnatal Depression Scale and the Patient Health Questionnaire-9 in detecting perinatal depression; and (5) to evaluate the influence of maternal depression and anxiety on the development of infant temperament. Methods: This is a prospective cohort study, which merges an observational design and a pre-post intervention design. The study includes a 1-year recruitment period and a one-year follow-up period. The methodological strategy includes: (1) self-report questionnaires on maternal depression, anxiety, health status, quality of life and psychosocial risks; (2) a self-report questionnaire to measure the infant's

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The structure of the Patient Health Questionnaire-9 in pregnant women in Spain

Cited by 32 publications

References 39 publications

The Prevalence and Risk Factors for Antenatal Depression Among Pregnant Immigrant and Native Women in Spain

The Prevalence and Risk Factors for Antenatal Depression Among Pregnant Immigrant and Native Women in Spain

The Psychometric Properties of the Patient Health Questionnaire-4 for Pregnant Women

Perspectives on Early Screening and Prompt Intervention to Identify and Treat Maternal Perinatal Mental Health. Protocol for a Prospective Multicenter Study in Italy

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