Depression and Anxiety Screening in Adolescents With Diabetes

2020 ◽  
Vol 59 (4-5) ◽  
pp. 445-449
Author(s):  
Sara E. Watson ◽  
Sarah E. Spurling ◽  
Abigail M. Fieldhouse ◽  
Vicki L. Montgomery ◽  
Kupper A. Wintergerst
Keyword(s):  
Behavioral Health ◽  
Screening Tool ◽  
Behavioral Health Care ◽  
Patient Health Questionnaire ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Positive Screen ◽  
Increased Risk ◽  
Patient Health ◽  
Anxiety Screening

Adolescents with diabetes are at increased risk for depression and anxiety, which when untreated negatively affects diabetes control. During a 6-month period, the Patient Health Questionnaire for Depression and Anxiety (PHQ-4) screening tool was utilized. Those with a positive screen then completed the Patient Health Questionnaire for Adolescents (PHQ-A) and the Generalized Anxiety Disorder 7-item (GAD-7) scale. In this article, we report on the correlations in outcomes between the PHQ-4 and the PHQ-A and GAD-7 and its clinical utility for determining the need for standard versus acute behavioral health care. Over 6 months, 77 patients aged 10 to 18 years screened positive on the PHQ-4. Thirty-two patients had positive screening with the PHQ-A and/or the GAD-7. Thoughts of self-harm were reported by 13 (40%), with 1 experiencing current/active symptoms. The PHQ-4 as a screening tool was able to identify adolescents with symptoms of depression and/or anxiety who would benefit from further evaluation by a behavioral health provider.

A computerized version of the Patient Health Questionnaire-4 as an ultra-brief screening tool to detect emotional disorders in primary care

2018 ◽  
Vol 234 ◽  
pp. 247-255 ◽  
Author(s):  
Antonio Cano-Vindel ◽  
Roger Muñoz-Navarro ◽  
Leonardo Adrián Medrano ◽  
Paloma Ruiz-Rodríguez ◽  
César González-Blanch ◽  
...  
Keyword(s):  
Primary Care ◽  
Emotional Disorders ◽  
Screening Tool ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Patient Health ◽  
Brief Screening

scholarly journals Suicidal Ideation and Severity of Distress among Refugees Residing in Asylum Accommodations in Sweden

2019 ◽  
Vol 16 (15) ◽  
pp. 2751 ◽  
Author(s):  
Leiler ◽  
Hollifield ◽  
Wasteson ◽  
Bjärtå
Keyword(s):  
Suicidal Ideation ◽  
Emotional Distress ◽  
Asylum Seekers ◽  
Refugee Health ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Suicide Assessment ◽  
Increased Risk ◽  
Patient Health ◽  
Low Levels

Refugees worldwide suffer high levels of distress and are at increased risk for death by suicide. The Refugee Health Screener (RHS) was developed to screen for emotional distress among refugees and can be used to assess distress severity. This paper examines the association between distress severity and suicidal ideation in a sample of refugees residing in asylum accommodations. Data from the RHS and item 9 on the Patient Health Questionnaire-9 (PHQ-9) was analyzed. Results showed that individuals at moderate and severe levels of distress were much more likely to exhibit suicidal ideation than individuals with low levels of distress. Even though we cannot conclude that individuals with low levels of distress do not have thoughts of ending their lives, further suicide assessment is warranted in asylum seekers with moderate to severe distress on the RHS.

scholarly journals Validity, reliability and cut-offs of the Patient Health Questionnaire-9 as a screening tool for depression among patients living with epilepsy in Rwanda

PLoS ONE ◽  
2020 ◽  
Vol 15 (6) ◽  
pp. e0234095
Author(s):  
Fidèle Sebera ◽  
Joao Ricardo Nickenig Vissoci ◽  
Josiane Umwiringirwa ◽  
Dirk E. Teuwen ◽  
Paul E. Boon ◽  
...  
Keyword(s):  
Screening Tool ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Patient Health

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

2020 ◽  
Vol 17 (20) ◽  
pp. 7583
Author(s):  
María de la Fe Rodríguez-Muñoz ◽  
Natalia Ruiz-Segovia ◽  
Cristina Soto-Balbuena ◽  
Huynh-Nhu Le ◽  
María Eugenia Olivares-Crespo ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Antenatal Depression ◽  
Public Hospitals ◽  
Self Report ◽  
Patient Health Questionnaire ◽  
Anxiety And Depression ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Negative Consequences ◽  
Patient Health

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.

Reliability and Validity of the Kessler 10 and Patient Health Questionnaire among Injecting Drug Users

2007 ◽  
Vol 41 (2) ◽  
pp. 166-168 ◽  
Author(s):  
Leanne Hides ◽  
Dan I. Lubman ◽  
Harriet Devlin ◽  
Sue Cotton ◽  
Campbell Aitken ◽  
...  
Keyword(s):  
Drug Users ◽  
Reliability And Validity ◽  
Injecting Drug Users ◽  
Patient Health Questionnaire ◽  
Diagnostic Tools ◽  
Health Questionnaire ◽  
Positive Screen ◽  
Patient Health ◽  
Brief Screening ◽  
A Current

Objective: To examine the reliability and validity of the Kessler 10 (K10) and the Patient Health Questionnaire (PHQ) in a sample of injecting drug users (IDUs). Method: Participants were 103 IDUs with a current substance use disorder accessing a needle and syringe programme. Presence of mental health disorders was assessed using the Mini International Neuropsychiatric Interview (MINI). Results: Both the K10 and PHQ had high levels of internal consistency and concurrent validity. Individuals with a positive screen on the K10 were ten lines more likely to have a current affective disorder, while those with a positive PHQ screen had nearly 14 times the risk. Conclusions: The K10 and PHQ are recommended as brief screening and diagnostic tools for current affective disorders among IDUs.

Two-Step Screening for Depressive Symptoms and Prediction of Mortality in Patients With Heart Failure

2017 ◽  
Vol 26 (3) ◽  
pp. 240-247 ◽  
Author(s):  
Kyoung Suk Lee ◽  
Debra K. Moser ◽  
Michele Pelter ◽  
Martha J. Biddle ◽  
Kathleen Dracup
Keyword(s):  
Heart Failure ◽  
Depressive Symptoms ◽  
Hazard Ratio ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Step Method ◽  
Increased Risk ◽  
Patients With Heart Failure ◽  
All Cause Mortality ◽  
Patient Health

Background Comorbid depression in patients with heart failure is associated with increased risk for death. In order to effectively identify depressed patients with cardiac disease, the American Heart Association suggests a 2-step screening method: administering the 2-item Patient Health Questionnaire first and then the 9-item Patient Health Questionnaire. However, whether the 2-step method is better for predicting poor prognosis in heart failure than is either the 2-item or the 9-item tool alone is not known. Objective To determine whether the 2-step method is better than either the 2-item or the 9-item questionnaire alone for predicting all-cause mortality in heart failure. Methods During a 2-year period, 562 patients with heart failure were assessed for depression by using the 2-step method. With the 2-step method, results are considered positive if patients endorse either depressed mood or anhedonia on the 2-item screen and have scores of 10 or higher on the 9-item screen. Results Screening results with the 2-step method were not associated with all-cause mortality. Patients with scores positive for depression on either the 2-item or 9-item screen alone had 53% and 60% greater risk, respectively, for all-cause death than did patients with scores negative for depression after adjustments for covariates (hazard ratio, 1.530; 95% CI, 1.029–2.274 for the 2-item screen; hazard ratio, 1.603; 95% CI, 1.079–2.383 for the 9-item screen). Conclusions The 2-step method has no clear advantages compared with the 2-item screen alone or the 9-item screen alone for predicting adverse prognostic effects of depressive symptoms in heart failure.

scholarly journals Reliability and construct validity of the modified Finnish version of the 9-item Patient Health Questionnaire, and its’ content validity within biopsychosocial frame among female healthcare workers with sub-acute or recurrent LBP

2019 ◽  
Author(s):  
Jaana Helena Suni ◽  
Tarja Virkkunen ◽  
Pauliina Husu ◽  
Kari Tokola ◽  
Jari Parkkari ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Construct Validity ◽  
Internal Consistency ◽  
Content Validity ◽  
Healthcare Workers ◽  
Bodily Pain ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Increased Risk ◽  
Patient Health

Abstract Background: Healthcare workers have increased risk for chronic low back pain (LBP) leading to reduced workability. Depression, a highly prevalent, costly and disabling condition, is commonly seen in patients with sub-acute LBP. This study investigated the psychometric properties and content-validity of a modified 9-item Patient Health Questionnaire (PHQ-9-mFIN) in female healthcare workers with sub-acute LBP. Methods: Reliability (internal consistency, test-retest repeatability) was assessed with standard methods. Construct validity of the PHQ-9-mFIN was assessed as level of depression (PHQ-9-mFIN: 0-4 none, 5-9 mild, ≥10 at least moderate) against RAND-36 Health Survey, a valid measure of health-related quality of life (HRQoL). Content validity was determined as the strength of the association between the levels of PHQ-9-mFIN and the selected biopsychosocial factors. Results: The internal consistency of the PHQ-9-mFIN was high (Cronbach’s α=0.82) and the test-retest repeatability scores (n=65) fair: Pearson’s correlation 0.76, Kappa-value 0.42 for the diagnostic criterion (i.e. scores 0-9 vs. 10-27). Construct validity (Spearman correlation) against the Physical and Mental component items and their summary scales of the RAND 36 were much higher for the Mental (range -0.43 to -0.70 and -0.68) than for the Physical (range -0.06 to -0.41 and -0.24), respectively. There was a clear stepwise association (p<0.001) between the levels of depressive symptoms and General health (physical component, range 59.1 to 78.8). The associations with all items of the Mental components were strong and graded (p<0.001). All participants had low scores for Bodily pain regardless of the level of depressive symptoms. There was a strong association (p≤0.003) between levels of PHQ-9-mFIN and multisite pain, lumbar exertion and recovery after work days, neuromuscular fitness in Modified push-ups, workability, and fear of pain related to work. Conclusions: The PHQ-9-mFIN showed adequate reliability, and excellent construct and content validity among female healthcare workers with recurrent LBP and physically strenuous work. Trial registration: NCT01465698

Patient Health Questionnaire for Depression and Anxiety

2009 ◽  
Author(s):  
Kurt Kroenke ◽  
Robert L. Spitzer ◽  
Janet B.W. Williams ◽  
Bernd Löwe
Keyword(s):  
Patient Health Questionnaire ◽  
Depression And Anxiety ◽  
Health Questionnaire ◽  
Patient Health
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