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[Sensitivity and specificity of the Patient Health Questionnaire-9 (PHQ-9) among adults from the general population].

Authors: Iná S, Santos; Beatriz Franck, Tavares; Tiago N, Munhoz; Laura Sigaran Pio de, Almeida; Nathália Tessele Barreto da, Silva; Bernardo Dias, Tams; André Machado, Patella; +1 Authors

[Sensitivity and specificity of the Patient Health Questionnaire-9 (PHQ-9) among adults from the general population].

Abstract

This population-based study focused on the validity of the Patient Health Questionnaire-9 (PHQ-9) for screening major depressive episodes in the general population in Pelotas, Rio Grande do Sul State, Brazil. Households were selected by multi-stage sampling, and adults (> 20 years) were invited to participate. The gold standard was the structured diagnostic Mini International Neuropsychiatric Interview (MINI), applied by psychiatrists and psychologists. Both the PHQ-9 and the MINI were applied in the subjects' homes. In a total of 447 participants (191 men and 256 women), the continuous analysis identified > 9 as the cutoff point with the highest sensitivity (77.5%; 61.5-89.2) and specificity (86.7%; 83.0- 89.9). Use of the test's algorithm decreased the sensitivity to 42.5% (27.0-59.1), while the specificity increased to 95.3% (92.8-97.2). The PHQ-9 proved appropriate for screening major depressive episodes. For greater sensitivity, the continuously scored PHQ-9 proved more adequate than the algorithm for screening major depressive episodes in the community.

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Keywords

Adult, Male, Major Depressive Disorder, Sensitivity and Specificity, Cross-Sectional Studies, Socioeconomic Factors, Surveys and Questionnaires, Interview, Psychological, Humans, Female, Brazil

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Powered by OpenAIRE graph
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
161
Top 1%
Top 10%
Top 1%
gold