Validation of Patient Health Questionnaire for depression screening among primary care patients in Taiwan

Liu, Shen‐Ing; Yeh, Zai-Ting; Huang, Hui‐Chun; Sun, Fang‐Ju; Tjung, Jin-Jin; Hwang, Lee-Ching; Shih, Yang-Hsien; Yeh, Andrew Wei-Chiang

doi:10.1016/j.comppsych.2010.04.013

Cited by 161 publications

(126 citation statements)

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“…Consistent with previous studies in adults [23][24][25][26][27][28][29]39 and adolescents, 33 the current study also found that the Chinese version of the PHQ-9 has a high reliability, as evidenced by the internal consistency (Cronbach' s a = 0.84). The test-retest reliability of the PHQ-9 was fair but slightly lower than in previous reports on adults [27][28][29]40 and adolescents.…”

Section: Discussionsupporting

confidence: 79%

“…28 In Taiwan, the PHQ-9 and its 2 subscales (2 items, PHQ-2 and 1 item, PHQ-1) have been validated among adults in primary care and demonstrated good psychometric properties. 29 To date, 3 studies have investigated the psychometric properties of the PHQ-9 and PHQ-2 in adolescents, including 1 study validating the PHQ-2 30 and PHQ-9 31 in US adolescents, 1 study on the PHQ-2 and PHQ-9 in German adolescents, 32 and 1 study on the PHQ-9 in Indian adolescents. 33 However, the findings of these studies may not be generalizable to ethnic Chinese adolescents because the adolescents were enrolled from primary care settings and because of cultural differences.…”

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confidence: 99%

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Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Major depression is common among adolescents. The PHQ-9 has good sensitivity and specificity for detecting depression among adolescents in primary care settings. However, no study has examined the psychometric properties of the PHQ-9 among Chinese adolescents in school settings. WHAT THIS STUDY ADDS:This is the first study to validate the use of the PHQ-9, Patient Health Questionnaire-2 item, and Patient Health Questionnaire-1 item among Chinese adolescents in Taiwan. The PHQ-9 and its 2 subscales have good sensitivity and specificity for detecting depression among school adolescents.abstract OBJECTIVE: The aim of this study was to determine the reliability and validity of a Chinese version of the Patient Health Questionnaire-9 item (PHQ-9) and its 2 subscales (1 item and 2 items) for the screening of major depressive disorder (MDD) among adolescents in Taiwan.METHODS: A total of 2257 adolescents were recruited from high schools in Taipei. The participants completed assessments including demographic information, the Chinese version of the PHQ-9, and the Rosenberg Self-Esteem Scale, and data on the number of physical illnesses and mental health service utilizations were recorded. Among them, 430 were retested using the PHQ-9 within 2 weeks. Child psychiatrists interviewed a subsample of the adolescents (n = 165) using the Kiddie-Schedule for Affective Disorder and Schizophrenia Epidemiological Version as the criterion standard. RESULTS:The PHQ-9 had good internal consistency (a = 0.84) and acceptable test-retest reliability (0.80). The participants with higher PHQ-9 scores were more likely to have MDD. Principal component factor analysis of the PHQ-9 yielded a 1-factor structure, which accounted for 45.3% of the variance. A PHQ-9 score $15 had a sensitivity of 0.72 and a specificity of 0.95 for recognizing MDD. The area under the receiver operating characteristic curve was 0.90. The screening accuracy of the 2 subscales was also satisfactory, with a Patient Health Questionnaire-2 item cutoff of $3 being 94.4% sensitive and 82.5% specific and a Patient Health Questionnaire-1 item cutoff of $2 being 61.1% sensitive and 87.7% specific. CONCLUSIONS:The PHQ-9 and its 2 subscales appear to be reliable and valid for detecting MDD among ethnic Chinese adolescents in Taiwan.

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Section: Discussionsupporting

confidence: 79%

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confidence: 99%

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

et al. 2014

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“…This measure presents good test-retest reliability, with a correlation of .84. This correlation is better than other versions used with cancer patients, for instance .71 obtained by Omoro et al (2006), but lower than versions used with other samples (Adewuya et al, 2006;Liu et al, 2011;Pinto-Meza et al, 2005).…”

Section: Discussionmentioning

confidence: 83%

“…Several PHQ-9 versions were validated in different samples and in diverse languages and cultural contexts, demonstrating proprieties that confirm it as a reliable scale to assess depressive symptoms, namely in: primary health care Diez-Quevedo, Rangil, Sanchez-Planell, Kroenke, & Spitzer, 2001;Liu et al, 2011;Osório et al, 2009;Yu, Tam, Wong, Lam, & Stewart, 2012); students (Adewuya, Ola, & Afolabi, 2006;Granillo, 2012); elderly population (Changsu et al, 2008). Moreover it has been adapted to different languages and cultures, such as Brazilian (Osório et al, 2009), Thai (Lotrakul et al, 2008), Greek (Karekla, Pilipenko, & Feldman, 2012), Saudi Arabian (Becker, Zaid, & Faris, 2002), Taiwanese (Liu et al, 2011), Chinese (Yeung et al, 2008), Korean (Changsu et al, 2008), Spanish (Diez-Quevedo et al, 2001), Mexican (Donlan & Lee, 2010), French (Carballeira et al, 2007), Nigerian (Adewuya et al, 2006), Turkish (Güleç, Güleç, Simsek, Turhan, & Sünbül, 2012) and Japanese (Yu et al, 2012).…”

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confidence: 99%

“…Moreover it has been adapted to different languages and cultures, such as Brazilian (Osório et al, 2009), Thai (Lotrakul et al, 2008), Greek (Karekla, Pilipenko, & Feldman, 2012), Saudi Arabian (Becker, Zaid, & Faris, 2002), Taiwanese (Liu et al, 2011), Chinese (Yeung et al, 2008), Korean (Changsu et al, 2008), Spanish (Diez-Quevedo et al, 2001), Mexican (Donlan & Lee, 2010), French (Carballeira et al, 2007), Nigerian (Adewuya et al, 2006), Turkish (Güleç, Güleç, Simsek, Turhan, & Sünbül, 2012) and Japanese (Yu et al, 2012). The PHQ-9 has been reported to have a single factor in several previous studies Dum, Pickren, Sobell, & Sobell, 2008;Graves & Bombardier, 2008;Hansson, Chotai, Nordstöm, & Bodlund, 2009;Yu et al, 2012), including a study involving more than 5000 primary care patients (Huang, Chung, Kroenke, Delucchi, & Spitzer, 2006).…”

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confidence: 99%

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Reliability and Validity of the PHQ-9 in Portuguese Women with Breast Cancer

Torres¹,

Monteiro²,

Pereira³

et al. 2016

European Proceedings of Social &Amp; Behavioural Sciences

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Depression is often overlooked in oncology practice. Depressive module PHQ-9 was not studied in Portuguese cancer patients, despite its brevity and comparable psychometric proprieties to other depression scales. Which are the psychometric properties of the Portuguese version of the PHQ-9 for use with women with breast cancer? Reliability, sensitivity to change and the construct validity will be studied. The purpose of this study is to assess the psychometric properties of the Portuguese version of the PHQ-9 for use with women with breast cancer. This study intends to evaluate the reliability, the sensitivity to change and the construct validity of the PHQ-9 in a Portuguese Breast Cancer women sample. It was reproduced a principal component analysis and explored the reliability and validity of the questionnaire. The validation used a sample of 63 Portuguese women with breast cancer. A test-retest was conducted in 45 women, after 8 weeks. Construct validity was analyzed. PHQ-9 scores ranged from 0-27, with a mean score of 4,92 (SD= 4,63). The scale presented adequate internal consistency (α = .86) and test retest reliability (ICC= .87). It also presented good construct validity, as overall scores and severity levels were strongly associated with functional and symptoms subscales. The principal component analysis explains 48.42% of the variance. The validation process of the Portuguese PHQ-9 version shows metric properties similar to those in international studies, suggesting that it measures the same constructs, in the same way, as the original version. Data provided evidence for the validity of the PHQ-9 as a brief measure of depression severity in Portuguese women with breast cancer.

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Social support as a mediator of occupational stressors and mental health outcomes in first responders

Kshtriya

Kobezak

Popok

et al. 2020

Journal Community Psychology

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This cross‐sectional study aimed to address whether occupational stressors are associated with adverse mental health outcomes in first responders via lower social support. A total of 895 first responders including emergency medical technicians, paramedics, and firefighters from 50 US States and the Virgin Islands (mean = 37.32, standard deviation = 12.09, 59.2% male, and 91.3% White) completed an online survey. Bivariate analyses indicated that occupational stressors were positively correlated with posttraumatic stress disorder (PTSD), major depression (MD), and generalized anxiety disorder (GAD) symptoms, and negatively correlated with social support, whereas social support was negatively correlated with PTSD, MD, and GAD symptoms. Mediation analyses revealed significant indirect effects of occupational stressors on PTSD, MD, and GAD symptoms via social support, after controlling for covariates. Although longitudinal research is needed for a more robust examination of this pathway, the results highlight the importance of social support in first responders. Efforts to augment the support systems of first responders are recommended.

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Validation of Patient Health Questionnaire for depression screening among primary care patients in Taiwan

Cited by 161 publications

References 30 publications

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

Patient Health Questionnaire for School-Based Depression Screening Among Chinese Adolescents

Reliability and Validity of the PHQ-9 in Portuguese Women with Breast Cancer

Social support as a mediator of occupational stressors and mental health outcomes in first responders

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