Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population.

Abstract:

PURPOSE:Although screening for unipolar depression is controversial, it is potentially an efficient way to find undetected cases and improve diagnostic acumen. Using a reference standard, we aimed to validate the 2- and 9-question Patient Health Questionnaires (PHQ-2 and PHQ-9) in primary care settings. The PHQ-2 comprises the first 2 questions of the PHQ-9. METHODS:Consecutive adult patients attending Auckland family practices completed the PHQ-9, after which they completed the Composite International Diagnostic Interview (CIDI) depression reference standard. Sensitivities and specificities for PHQ-2 and PHQ-9 were analyzed. RESULTS:There were 2,642 patients who completed both the PHQ-9 and the CIDI. Sensitivity and specificity of the PHQ-2 for diagnosing major depression were 86% and 78%, respectively, with a score of 2 or higher and 61% and 92% with a score 3 or higher; for the PHQ-9, they were 74% and 91%, respectively, with a score of 10 or higher. For the PHQ-2 a score of 2 or higher detected more cases of depression than a score of 3 or higher. For the PHQ-9 a score of 10 or higher detected more cases of major depression than the PHQ determination of major depression originally described by Spitzer et al in 1999. CONCLUSIONS:We report the largest validation study of the PHQ-2 and PHQ-9, compared with a reference standard interview, undertaken in an exclusively primary care population. The PHQ-2 score or 2 or higher had good sensitivity but poor specificity in detecting major depression. Using a PHQ-2 threshold score of 2 or higher rather than 3 or higher resulted in more depressed patients being correctly identified. A PHQ-9 score of 10 or higher appears to detect more depressed patients than the originally described PHQ-9 scoring for major depression.

journal_name

Ann Fam Med

authors

Arroll B,Goodyear-Smith F,Crengle S,Gunn J,Kerse N,Fishman T,Falloon K,Hatcher S

doi

10.1370/afm.1139

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

348-53

issue

4

eissn

1544-1709

issn

1544-1717

pii

8/4/348

journal_volume

8

pub_type

杂志文章
  • One cold autumn day.

    abstract::Behavioral change is at the heart of effective primary care, but when patients don't change, how do we account for our days? In this personal essay, I relate an encounter with a patient who wants to quit smoking, lose weight, and control her diabetes. I am discouraged when she deflects my recommendations, but a collea...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1781

    authors: de Schweinitz P

    更新日期:2015-05-01 00:00:00

  • Use of chronic care model elements is associated with higher-quality care for diabetes.

    abstract:PURPOSE:In 30 small, independent primary care practices, we examined the association between clinician-reported use of elements of the Chronic Care Model (CCM) and diabetic patients' hemoglobin A(1c) (HbA(1c)) and lipid levels and self-reported receipt of care. METHODS:Ninety clinicians (60 physicians, 17 nurse-practi...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.610

    authors: Nutting PA,Dickinson WP,Dickinson LM,Nelson CC,King DK,Crabtree BF,Glasgow RE

    更新日期:2007-01-01 00:00:00

  • System-based participatory research in health care: an approach for sustainable translational research and quality improvement.

    abstract::Translational research seeks to improve health care by promoting action and change in real-world health care settings. Although translational research advocates a break from the traditional researcher-initiated approach to science, strategies to successfully engage clinicians and leaders of health care delivery organi...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1117

    authors: Schmittdiel JA,Grumbach K,Selby JV

    更新日期:2010-05-01 00:00:00

  • Home visiting for adolescent mothers: effects on parenting, maternal life course, and primary care linkage.

    abstract:PURPOSE:Adolescent mothers are at risk for rapidly becoming pregnant again and for depression, school dropout, and poor parenting. We evaluated the impact of a community-based home-visiting program on these outcomes and on linking the adolescents with primary care. METHODS:Pregnant adolescents aged 12 to 18 years, pre...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1370/afm.629

    authors: Barnet B,Liu J,DeVoe M,Alperovitz-Bichell K,Duggan AK

    更新日期:2007-05-01 00:00:00

  • Premature Death Among Primary Care Patients With a History of Self-Harm.

    abstract:PURPOSE:Self-harm is a public health problem that requires a better understanding of mortality risk. We undertook a study to examine premature mortality in a nationally representative cohort of primary care patients who had harmed themselves. METHODS:During 2001-2013, a total of 385 general practices in England contri...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2054

    authors: Carr MJ,Ashcroft DM,Kontopantelis E,While D,Awenat Y,Cooper J,Chew-Graham C,Kapur N,Webb RT

    更新日期:2017-05-01 00:00:00

  • Screening colonoscopies by primary care physicians: a meta-analysis.

    abstract:PURPOSE:There is currently too few endoscopists to enact a national colorectal cancer screening program with colonoscopy. Primary care physicians could play an important role in filling this shortage by offering screening colonoscopy in their practice. The purpose of this study was to examine the safety and effectivene...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1370/afm.939

    authors: Wilkins T,LeClair B,Smolkin M,Davies K,Thomas A,Taylor ML,Strayer S

    更新日期:2009-01-01 00:00:00

  • Use of Asthma APGAR Tools in Primary Care Practices: A Cluster-Randomized Controlled Trial.

    abstract:PURPOSE:The purpose of this study was to assess patient and practice outcomes after introducing the Asthma APGAR (Activities, Persistent, triGGers, Asthma medications, Response to therapy) tools into primary care practices. METHODS:We used a pragmatic cluster-randomized controlled design in 18 US family medicine and p...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.2179

    authors: Yawn BP,Wollan PC,Rank MA,Bertram SL,Juhn Y,Pace W

    更新日期:2018-03-01 00:00:00

  • Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial.

    abstract:PURPOSE:Peer health coaches offer a potential model for extending the capacity of primary care practices to provide self-management support for patients with diabetes. We conducted a randomized controlled trial to test whether clinic-based peer health coaching, compared with usual care, improves glycemic control for lo...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1370/afm.1443

    authors: Thom DH,Ghorob A,Hessler D,De Vore D,Chen E,Bodenheimer TA

    更新日期:2013-03-01 00:00:00

  • Top 20 POEMs of the Past 20 Years: A Survey of Practice-Changing Research for Family Physicians.

    abstract::POEMs (patient-oriented evidence that matters) are studies that address a relevant clinical question, demonstrate improved patient-oriented outcomes, and have the potential to change practice. For 20 years the authors of this article have reviewed more than 100 English language clinical journals monthly to identify PO...

    journal_title:Annals of family medicine

    pub_type: 历史文章,杂志文章,评审

    doi:10.1370/afm.2288

    authors: Ebell MH,Barry HC,Shaughnessy AF,Slawson DC,Kulkarni N,Speer L

    更新日期:2018-09-01 00:00:00

  • Number needed to benefit from information (NNBI): proposal from a mixed methods research study with practicing family physicians.

    abstract:PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1565

    authors: Pluye P,Grad RM,Johnson-Lafleur J,Granikov V,Shulha M,Marlow B,Ricarte IL

    更新日期:2013-11-01 00:00:00

  • Excess mortality caused by medical injury.

    abstract:PURPOSE:We wanted to estimate excess risk of in-hospital mortality associated with medical injuries identified using an injury surveillance system, after controlling for risk of death resulting from comorbidities. METHODS:The Wisconsin Medical Injuries Prevention Program (WMIPP) screening criteria were used to identif...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.553

    authors: Meurer LN,Yang H,Guse CE,Russo C,Brasel KJ,Layde PM

    更新日期:2006-09-01 00:00:00

  • Perspectives on confidential care for adolescent girls.

    abstract:PURPOSE:We wanted to obtain perspectives of mothers and daughters on facilitators of and barriers to with adolescent girls' timely access to risk-appropriate reproductive care. METHODS:We conducted 5 separate focus groups with Latina and black mothers and their adolescent daughters. All participants resided in impover...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.601

    authors: McKee MD,O'Sullivan LF,Weber CM

    更新日期:2006-11-01 00:00:00

  • Prevalence of Intimate Partner Violence and Beliefs About Partner Violence Screening Among Young Men.

    abstract:PURPOSE:Few clinical guidelines focus on how physicians can identify intimate partner violence (IPV) perpetration or victimization among male patients, and little is known of men's experiences and beliefs regarding screening in health care settings. Our objective was to determine prevalence of men's experiences with IP...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2536

    authors: Walsh TB,Seabrook RC,Tolman RM,Lee SJ,Singh V

    更新日期:2020-07-01 00:00:00

  • Effective Hearing Loss Screening in Primary Care: The Early Auditory Referral-Primary Care Study.

    abstract:PURPOSE:Hearing loss, the second most common disability in the United States, is under-diagnosed and under-treated. Identifying it in early stages could prevent its known substantial adverse outcomes. METHODS:A multiple baseline design was implemented to assess a screening paradigm for identifying and referring patien...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2590

    authors: Zazove P,Plegue MA,McKee MM,DeJonckheere M,Kileny PR,Schleicher LS,Green LA,Sen A,Rapai ME,Mulhem E

    更新日期:2020-11-01 00:00:00

  • Influence of shared medical appointments on patient satisfaction: a retrospective 3-year study.

    abstract:PURPOSE:Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among pa...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1660

    authors: Heyworth L,Rozenblum R,Burgess JF Jr,Baker E,Meterko M,Prescott D,Neuwirth Z,Simon SR

    更新日期:2014-07-01 00:00:00

  • Integrating Community Health Workers Into Medical Homes.

    abstract:PURPOSE:Though evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMHs), few PCMHs in Minnesota have incorporated these health workers into their care teams. We undertook...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.2171

    authors: Rogers EA,Manser ST,Cleary J,Joseph AM,Harwood EM,Call KT

    更新日期:2018-01-01 00:00:00

  • Effect of closure of a local safety-net hospital on primary care physicians' perceptions of their role in patient care.

    abstract::PURPOSE We examined how the closure of a large safety-net hospital in Los Angeles County, California, affected local primary care physicians. METHODS We conducted semistructured interviews with 42 primary care physicians who practiced in both underserved and nonunderserved settings in Los Angeles County. Two investiga...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1317

    authors: Walker KO,Clarke R,Ryan G,Brown AF

    更新日期:2011-11-01 00:00:00

  • Auscultation While Standing: A Basic and Reliable Method to Rule Out a Pathologic Heart Murmur in Children.

    abstract:PURPOSE:The distinction between physiologic (innocent) and pathologic (organic) heart murmurs is not always easy in routine practice, leading too often to unnecessary cardiology referrals and expensive investigations. We aimed to test the hypothesis that the complete disappearance of murmur on standing can exclude card...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.2105

    authors: Lefort B,Cheyssac E,Soulé N,Poinsot J,Vaillant MC,Nassimi A,Chantepie A

    更新日期:2017-11-01 00:00:00

  • Decreasing Use of Primary Care: A Repeated Cross-Sectional Study of MEPS 2007-2017.

    abstract::We sought to describe the proportion of patients in contact with a primary care physician, as well as the total number of primary care contacts over a 2-year period, using the 2002-2017 Medical Expenditure Panel Survey. The rate of any contact with a primary care physician for patients in the population decreased by 2...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2631

    authors: Johansen ME,Niforatos JD

    更新日期:2021-01-01 00:00:00

  • Practice Transformation Analytics Dashboard for Clinician Engagement.

    abstract:PURPOSE:Practice transformation in primary care is a movement toward data-driven redesign of care, patient-centered care delivery, and practitioner activation. A critical requirement for achieving practice transformation is availability of tools to engage practices. METHODS:A total of 48 practices with 109 practice si...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2382

    authors: Khanna N,Gritzer L,Klyushnenkova E,Montgomery R,Dark M,Shah S,Shaya F

    更新日期:2019-08-12 00:00:00

  • Perceived vulnerability to heart disease in patients with familial hypercholesterolemia: a qualitative interview study.

    abstract:PURPOSE:Knowledge about the ways patients perceive their vulnerability to disease is important for communication with patients about risk and preventive health measures. This interview study aimed to explore how patients with a diagnosis of heterozygous familial hypercholesterolemia understand and perceive their vulner...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.529

    authors: Frich JC,Ose L,Malterud K,Fugelli P

    更新日期:2006-05-01 00:00:00

  • Monitoring healthy people 2010 arthritis management objectives: education and clinician counseling for weight loss and exercise.

    abstract:PURPOSE:Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis. METHODS:Using the national 2002 and 2006 National Health Interview Survey (NHIS) a...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1210

    authors: Do BT,Hootman JM,Helmick CG,Brady TJ

    更新日期:2011-03-01 00:00:00

  • Towards a new understanding of provider continuity.

    abstract::Provider continuity is in need of an expanded definition that is not exclusively clinician centered. Currently, provider continuity is defined by visits over time to the same clinician. Many patients and informal caregivers, however, are co-providers of health care, not merely consumers. As a result, provider continui...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.115

    authors: Buetow SA

    更新日期:2004-09-01 00:00:00

  • How long does a cough last? Comparing patients' expectations with data from a systematic review of the literature.

    abstract:PURPOSE:We hypothesized that antibiotic overuse for acute cough illness (ACI) is in part due to a mismatch between patients' expectations and the natural history of ACI. METHODS:We performed a population-based random digit dialing survey of 493 adults in Georgia to determine their expectations regarding the duration o...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,评审

    doi:10.1370/afm.1430

    authors: Ebell MH,Lundgren J,Youngpairoj S

    更新日期:2013-01-01 00:00:00

  • Context matters: the experience of 14 research teams in systematically reporting contextual factors important for practice change.

    abstract:PURPOSE:We aimed to advance the internal and external validity of research by sharing our empirical experience and recommendations for systematically reporting contextual factors. METHODS:Fourteen teams conducting research on primary care practice transformation retrospectively considered contextual factors important ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1549

    authors: Tomoaia-Cotisel A,Scammon DL,Waitzman NJ,Cronholm PF,Halladay JR,Driscoll DL,Solberg LI,Hsu C,Tai-Seale M,Hiratsuka V,Shih SC,Fetters MD,Wise CG,Alexander JA,Hauser D,McMullen CK,Scholle SH,Tirodkar MA,Schmidt L,Don

    更新日期:2013-05-01 00:00:00

  • Validation of 2 new measures of continuity of care based on year-to-year follow-up with known providers of health care.

    abstract:PURPOSE:In a primary care context favoring group practices, we assessed the validity of 2 new continuity measures (both versions of known provider continuity, KPC) that capture the concentration of care over time from multiple physicians (multiple provider continuity, KPC-MP) or from the physician seen most often (pers...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1692

    authors: Tousignant P,Diop M,Fournier M,Roy Y,Haggerty J,Hogg W,Beaulieu MD

    更新日期:2014-11-01 00:00:00

  • Preventive services delivery in patients with chronic illnesses: parallel opportunities rather than competing obligations.

    abstract:PURPOSE:Whether patients with 1 or more chronic illnesses are more or less likely to receive recommended preventive services is unclear and an important public health and health care system issue. We addressed this issue in a large national practice-based research network (PBRN) that maintains a longitudinal database d...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1502

    authors: Ornstein SM,Jenkins RG,Litvin CB,Wessell AM,Nietert PJ

    更新日期:2013-07-01 00:00:00

  • The dark bridal canopy.

    abstract::Physician narratives in family medicine have the potential to convey the vibrant spirit of our field and provide meaningful insights into disease, illness, suffering, and the nature of healing. They may also complement empirical research, education, and practice through their integrative, expressive nature. This true ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.372

    authors: Borkan J

    更新日期:2006-01-01 00:00:00

  • Overcoming challenges in the changing environment of practice-based research.

    abstract:PURPOSE:Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strate...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1370/afm.1809

    authors: Finch SA,Wasserman R,Nabi-Burza E,Hipple B,Oldendick R,Winickoff JP

    更新日期:2015-09-01 00:00:00

  • Getting the news.

    abstract::Modern medical care is a 2-edged sword. Technical advances have improved our ability to diagnosis and treat disease, but they can also create a frightening, painful and bewildering environment for the patient seeking care. In this essay, the author shares his recent encounter with a life-threatening disease, emphasizi...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.93

    authors: Rosenblatt RA

    更新日期:2004-03-01 00:00:00