Validation of a brief, two-question depression screen in trauma patients

Warren, Ann Marie; Reynolds, Megan; Foreman, Michael L.; Weddle, Rebecca Joanne; Austin, Jessica D.; Roden-Foreman, Kenleigh; Petrey, Laura B.

doi:10.1097/ta.0000000000000898

Cited by 9 publications

(5 citation statements)

References 18 publications

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“…Additionally, although the current analytic strategy of dichotomizing the PTSD and depression scores into positive or negative screens is consistent with recommendations and previous work (Kroenke et al., ; Powers et al., ; Prins et al., ; Roden‐Foreman et al., ; Warren et al., , ; Warren Jones, et al., ; Warren, Reynolds, et al., ), future studies should replicate these findings with longer dimensional measures as well. Finally, further investigation is needed into the relationship between growth and distress.…”

Section: Discussionsupporting

confidence: 76%

“…Data from this study were part of a prospective longitudinal study of patients in an urban Level I trauma center in the Southwest United States (Agtarap, Scott, Warren, & Trost, ; Powers et al., ; Rainey et al., ; Roden‐Foreman et al., ; Trost et al., ; Warren et al., ; Warren et al., ; Warren, Jones, et al., ; Warren, Reynolds, et al., ). Participants were patients 18 years of age and older who were admitted to the trauma service for at least 24 hours with a traumatic injury, as defined by International Classification of Diseases 9th revision coding.…”

Section: Methodsmentioning

confidence: 99%

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Posttraumatic growth in a heterogeneous sample of traumatically injured patients 1 year postinjury

et al. 2017

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Section: Discussionsupporting

confidence: 76%

Section: Methodsmentioning

confidence: 99%

Posttraumatic growth in a heterogeneous sample of traumatically injured patients 1 year postinjury

et al. 2017

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“…The PHQ-2 depression scale ( Table 2 ) has been validated in various populations, including trauma ICU patients [ 8 , 10 ]. In this scale, a score ≥ 3 (total possible score of 0–6 points) correlates with depression.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective, Pilot Study of De Novo Antidepressant Medication Initiation in Intensive Care Unit Patients and Post-ICU Depression

Haines

Hild

et al. 2017

Critical Care Research and Practice

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Post-ICU Syndromes (PICS) remain a devastating problem for intensive care unit (ICU) survivors. It is currently unknown if de novo initiation of an antidepressant medication during ICU stay decreases the prevalence of post-ICU depression. We performed a retrospective, pilot study evaluating patients who had not previously been on an antidepressant medication and who were started on an antidepressant while in the trauma surgical, cardiothoracic, or medical intensive care unit (ICU). The PHQ-2 depression scale was used to ascertain the presence of depression after ICU discharge and compared this to historical controls. Of 2,988 patients admitted to the ICU, 69 patients had de novo initiation of an antidepressant medication and 27 patients were alive and available for study inclusion. We found the prevalence of depression in these patients to be 26%, which is not statistically different than the prevalence of post-ICU depression in historical controls [95% CI (27.6%, 51.6%)]. De novo initiation of an antidepressant medication did not substantially decrease the prevalence of post-ICU depression in this retrospective, pilot study.

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“…It is considered a suitable questionnaire to screen for depressive symptoms following injury [28]. Each symptom can be rated from 0 ( not at all ) to 3 ( nearly every day ) [29]. The total score ranges from 0 to 18.…”

Section: Methodsmentioning

confidence: 99%

Psychometric properties of the psychosocial screening instrument for physical trauma patients (PSIT)

Karabatzakis

Oudsten

Gosens

et al. 2019

Health Qual Life Outcomes

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BackgroundEarly detection of psychosocial problems post-injury may prevent them from becoming chronic. Currently, there is no psychosocial screening instrument that can be used in patients surviving a physical trauma or injury. Therefore, we recently developed a psychosocial screening instrument for adult physical trauma patients, the PSIT. The aim of this study was to finalize and psychometrically examine the PSIT.MethodsAll adult (≥ 18 years) trauma patients admitted to a Dutch level I trauma center from October 2016 through September 2017 without severe cognitive disorders (n = 1448) received the PSIT, Impact of Events Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9), Rosenberg Self-Esteem Scale (RSES), State-Trait Anxiety Inventory-State (STAI-S), and the World Health Organization Quality of Life-Abbreviated version (WHOQOL-Bref). After 2 weeks, a subgroup of responding participants received the PSIT a second time. The internal structure (principal components analysis, PCA; and confirmatory factor analysis, CFA), internal consistency (Cronbach’s alpha, α), test-retest reliability (Intraclass Correlation Coefficient, ICC), construct validity (Spearman’s rho correlations), diagnostic accuracy (Area Under the Curve, AUC), and potential cut-off values (sensitivity and specificity) were examined.ResultsA total of 364 (25.1%) patients participated, of whom 128 completed the PSIT again after 19.5 ± 6.8 days. Test-retest reliability was good (ICC = 0.86). Based on PCA, five items were removed because of cross-loadings ≥ 0.3. Three subscales were identified: (1) Negative affect (7 items; α = 0.91; AUC = 0.92); (2) Anxiety and Post-Traumatic Stress Symptoms (4 items; α = 0.77; AUC = 0.88); and (3) Social and self-image (4 items; α = 0.79; AUC = 0.92). CFA supported this structure (comparative fit index = 0.96; root mean square error of approximation = 0.06; standardized rood mean square residual = 0.04). Four of the five a priori formulated hypotheses regarding construct validity were confirmed. The following cut-off values represent maximum sensitivity and specificity: 7 on subscale 1 (89.6% and 83.4%), 3 on subscale 2 (94.4% and 90.3%), and 4 on subscale 3 (85.7% and 90.7%).ConclusionThe final PSIT has good psychometric properties in adult trauma patients.

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Validation of a brief, two-question depression screen in trauma patients

Abstract: Diagnostic study, level IV; prognostic/epidemiologic study, level III.

Cited by 9 publications

References 18 publications

Posttraumatic growth in a heterogeneous sample of traumatically injured patients 1 year postinjury

Posttraumatic growth in a heterogeneous sample of traumatically injured patients 1 year postinjury

A Retrospective, Pilot Study of De Novo Antidepressant Medication Initiation in Intensive Care Unit Patients and Post-ICU Depression

Psychometric properties of the psychosocial screening instrument for physical trauma patients (PSIT)

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