Validity of the SF‐36 Five‐Item Mental Health Index for Major Depression in Functionally Impaired, Community‐Dwelling Elderly Patients

Friedman, Bruce; Heisel, Marnin J.; Delavan, Rachel L.

doi:10.1111/j.1532-5415.2005.00469.x

Cited by 122 publications

(90 citation statements)

References 25 publications

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“…Sensitivity analyses were also conducted to include the fiveitem mental health index from the Medical Outcomes Study 36-Item Short Form Health Survey as a surrogate marker of depression. 20,21 Four final models were generated to characterize the association between habitual sleep duration at the first visit and mortality. Model 1 included age, sex, race, and BMI as covariates.…”

Section: Discussionmentioning

confidence: 99%

Habitual Sleep Duration and All-Cause Mortality in a General Community Sample

Aurora

Kim

Crainiceanu

et al. 2016

Sleep

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Study Objectives: The current study sought to determine whether sleep duration and change in sleep duration are associated with all-cause mortality in a community sample of middle-aged and older adults while accounting for several confounding factors including prevalent sleep-disordered breathing (SDB). Methods: Habitual sleep duration was assessed using self-report (< 7, 7-8, ≥ 9 h/night) at the baseline and at the follow-up visits of the Sleep Heart Health Study. Techniques of survival analysis were used to relate habitual sleep duration and change in sleep duration to all-cause mortality after adjusting for covariates such as age, sex, race, body mass index, smoking history, prevalent hypertension, diabetes, cardiovascular disease, antidepressant medication use, and SDB severity. Results: Compared to a sleep duration of 7-8 h/night, habitually long sleep duration (≥ 9 h/night), but not short sleep duration (< 7 h/night), was associated with all-cause mortality with an adjusted hazards ratio of 1.25 (95% confidence interval [CI]: 1.05, 1.47). Participants who progressed from short or normal sleep duration to long sleep duration had increased risk for all-cause mortality with adjusted hazard ratios of 1.75 (95% CI: 1.08, 2.78) and 1.63 (95% CI: 1.26, 2.13), respectively. Finally, a change from long to short sleep duration was also associated with all-cause mortality. Conclusion: Long sleep duration or a shift from long to short sleep duration are independently associated with all-cause mortality.

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Section: Discussionmentioning

confidence: 99%

Habitual Sleep Duration and All-Cause Mortality in a General Community Sample

Aurora

Kim

Crainiceanu

et al. 2016

Sleep

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“…We chose a score of 60 as the cutoff point for this division, because it was the upper limit of the lowest quartile of MHI scores in our study. Additionally, it had good sensitivity and specificity for diagnosing depression in general population and chronic medical illness patients (22)(23)(24)(25). MHI has also been used for detecting depressive symptoms in dialysis patients (10,11), and it was well correlated with the Beck Depression Inventory in a study of dialysis patients (26).…”

Section: Mental Health Assessmentmentioning

confidence: 99%

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

Kang

Pike

Ramer

et al. 2012

Clinical Journal of the American Society of Nephrology

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Summary Background and objectives Poor mental health over time is significantly associated with cardiovascular morbidity and mortality in the general population, which is the leading cause of death in dialysis patients. Most studies of dialysis patients, however, have investigated the relationship between baseline mental health measurements and all-cause mortality and not mental health measured longitudinally throughout a study and cause-specific mortality. Design, setting, participants, & measurements This study examined the association of changes in mental health over time with all-cause and cause-specific deaths and cardiac hospitalizations in the Hemodialysis study patients. Mental health was assessed at baseline and annually during the study with short form 36 mental health index scores. Poorer mental health was defined by a mental health index score≤60. Results Patients with poorer mental health at baseline were more likely to have less than a high school education and be unmarried, have significantly higher index of coexistent disease scores, and report taking β-blockers and sleep medications. Low mental health scores over time were independently associated with a decrease in survival time from all-cause mortality by −0.06 (−0.10, −0.03; P<0.001), and they also significantly hastened time to first cardiac hospitalization by −0.08 (−0.13, −0.02; P=0.01) and composite of first cardiac hospitalization or cardiac death by −0.04 (−0.07, −0.02; P<0.001). Conclusions This study found an independent association between poor mental health over time and all-cause mortality, cardiac hospitalization, and the composite of cardiac death or cardiac hospitalization in hemodialysis patients. The results underscore the importance of attention to mental health related to cardiac complications and even death in dialysis patients.

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“…4,5 The MHI-5 has a good specificity and sensitivity for detecting mental health disorder and depression in the general population 6,7 and in persons with various chronic conditions. 8,9 Compared with other depression and anxiety instruments, the MHI-5 is very brief, easy to administer and widely used as part of the SF-36.…”

Section: Introductionmentioning

confidence: 99%

Validity of the mental health subscale of the SF-36 in persons with spinal cord injury

2012

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Study design: Cross-sectional study 5 years after discharge from inpatient rehabilitation. Objective: To examine the psychometric properties of the Mental Health subscale (MHI-5) of the 36-Item Short Form Health Survey (SF-36) in persons with spinal cord injury (SCI). Setting: Eight Dutch rehabilitation centres with specialised SCI units. Methods: Possible floor and ceiling effects were assessed, and Cronbach 0 s a coefficient was calculated to assess internal consistency. Concurrent and divergent validity were assessed using Spearman correlations between the MHI-5 and measures of life satisfaction, neuroticism, vitality, general health, functional independence, participation, lesion characteristics and demographics. Results: There were no floor or ceiling effects, but the total MHI-5 score was slightly skewed ( À1.15). Internal consistency was good (a ¼ 0.79). Concurrent validity was shown by significant Spearman correlations between the MHI-5 and life satisfaction (0.53), neuroticism ( À0.55), vitality (0.53) and general health (0.37). Divergent validity was shown by weak and, in part, nonsignificant correlations between the MHI-5 and functional independence (0.09), participation ( À0.28) and lesion characteristics (range À0.01-0.19). Conclusion: The MHI-5 showed reliability and validity as a measure of mood in persons with SCI, and is a promising measurement instrument to assess mental health problems in this population.

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Validity of the SF‐36 Five‐Item Mental Health Index for Major Depression in Functionally Impaired, Community‐Dwelling Elderly Patients

Abstract: This study provides evidence for adequate criterion and construct validity of the MHI-5 in relation to the presence of major depression among functionally impaired, community-dwelling elderly Medicare patients.

Cited by 122 publications

References 25 publications

Habitual Sleep Duration and All-Cause Mortality in a General Community Sample

Habitual Sleep Duration and All-Cause Mortality in a General Community Sample

The Association of Mental Health over Time with Cardiac Outcomes in HEMO Study Patients

Validity of the mental health subscale of the SF-36 in persons with spinal cord injury

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