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People with diabetes need a lower cut-off than others for depression screening with PHQ-9
by
Alosaimi, Fahad D.
, Gondek, Tomasz M.
, Radzio, Rafał
, Kokoszka, Andrzej
, Kiejna, Andrzej
, Sartorius, Norman
, Jastrzębski, Adam
, Andrzejewska, Beata E.
, Lloyd, Cathy E.
, Cichoń, Ewelina
in
Biology and Life Sciences
/ Comorbidity
/ Depression (Mood disorder)
/ Depressive Disorder, Major - diagnosis
/ Depressive Disorder, Major - etiology
/ Diabetes
/ Diabetes Complications - psychology
/ Diabetes mellitus
/ Diabetes mellitus (non-insulin dependent)
/ Diabetes Mellitus, Type 2 - complications
/ Diagnosis
/ Education
/ Emotional disorders
/ Female
/ Health care facilities
/ Humans
/ Male
/ Medical screening
/ Medicine and Health Sciences
/ Mental depression
/ Mental disorders
/ Mental health
/ Middle Aged
/ Mood disorders
/ Patient Health Questionnaire
/ Patients
/ People and Places
/ Physical Sciences
/ Poland
/ Psychiatry
/ Psychological aspects
/ Psychology
/ Psychotherapy
/ Public health
/ Reproducibility of Results
/ Research and Analysis Methods
/ Scientific research
/ Signs and symptoms
/ Social Sciences
2020
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People with diabetes need a lower cut-off than others for depression screening with PHQ-9
by
Alosaimi, Fahad D.
, Gondek, Tomasz M.
, Radzio, Rafał
, Kokoszka, Andrzej
, Kiejna, Andrzej
, Sartorius, Norman
, Jastrzębski, Adam
, Andrzejewska, Beata E.
, Lloyd, Cathy E.
, Cichoń, Ewelina
in
Biology and Life Sciences
/ Comorbidity
/ Depression (Mood disorder)
/ Depressive Disorder, Major - diagnosis
/ Depressive Disorder, Major - etiology
/ Diabetes
/ Diabetes Complications - psychology
/ Diabetes mellitus
/ Diabetes mellitus (non-insulin dependent)
/ Diabetes Mellitus, Type 2 - complications
/ Diagnosis
/ Education
/ Emotional disorders
/ Female
/ Health care facilities
/ Humans
/ Male
/ Medical screening
/ Medicine and Health Sciences
/ Mental depression
/ Mental disorders
/ Mental health
/ Middle Aged
/ Mood disorders
/ Patient Health Questionnaire
/ Patients
/ People and Places
/ Physical Sciences
/ Poland
/ Psychiatry
/ Psychological aspects
/ Psychology
/ Psychotherapy
/ Public health
/ Reproducibility of Results
/ Research and Analysis Methods
/ Scientific research
/ Signs and symptoms
/ Social Sciences
2020
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People with diabetes need a lower cut-off than others for depression screening with PHQ-9
by
Alosaimi, Fahad D.
, Gondek, Tomasz M.
, Radzio, Rafał
, Kokoszka, Andrzej
, Kiejna, Andrzej
, Sartorius, Norman
, Jastrzębski, Adam
, Andrzejewska, Beata E.
, Lloyd, Cathy E.
, Cichoń, Ewelina
in
Biology and Life Sciences
/ Comorbidity
/ Depression (Mood disorder)
/ Depressive Disorder, Major - diagnosis
/ Depressive Disorder, Major - etiology
/ Diabetes
/ Diabetes Complications - psychology
/ Diabetes mellitus
/ Diabetes mellitus (non-insulin dependent)
/ Diabetes Mellitus, Type 2 - complications
/ Diagnosis
/ Education
/ Emotional disorders
/ Female
/ Health care facilities
/ Humans
/ Male
/ Medical screening
/ Medicine and Health Sciences
/ Mental depression
/ Mental disorders
/ Mental health
/ Middle Aged
/ Mood disorders
/ Patient Health Questionnaire
/ Patients
/ People and Places
/ Physical Sciences
/ Poland
/ Psychiatry
/ Psychological aspects
/ Psychology
/ Psychotherapy
/ Public health
/ Reproducibility of Results
/ Research and Analysis Methods
/ Scientific research
/ Signs and symptoms
/ Social Sciences
2020
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People with diabetes need a lower cut-off than others for depression screening with PHQ-9
Journal Article
People with diabetes need a lower cut-off than others for depression screening with PHQ-9
2020
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Overview
This study evaluated the psychometric characteristics of the Polish version of the PHQ-9 in detecting major depression (MDD) and 'MDD and/or dysthymia' in people with and without type 2 diabetes.
Participants were randomly selected from a diabetes outpatient facility (N = 216) and from among patients admitted to a medical center and psychiatric hospital (N = 99). The participants completed the PHQ-9. The Hamilton Depression Rating Scale and the Mini International Neuropsychiatric Interview were used to identify the presence of psychiatric symptoms. The optimal cut-offs for PHQ-9 in people with and without type 2 diabetes were investigated based on two methods: 1) Youden's index which identifies cut-off points useful in scientific research; 2) a second method of two-stage screening for depressive disorders to provide guidance for clinical practice.
The Polish version of the PHQ-9 is a reliable and valid screening tool for depression in people with and without type 2 diabetes. An optimal cut-off of ≥ 7 was indicated by Youden's index and ≥ 5 by the two-stage method for screening for MDD and 'MDD and/or dysthymia' in the group with type 2 diabetes. A cut-off of ≥ 11 was optimal for screening for both MDD and 'MDD and/or dysthymia' among people without diabetes (Youden's index). The two-stage approach suggested a ≥ 10 score for screening for MDD and ≥ 9 for screening for 'MDD and/or dysthymia' in people without diabetes.
A lower cut-off score of the PHQ-9 is recommended for people with type 2 diabetes as compared to the general population.
Publisher
Public Library of Science,Public Library of Science (PLoS)
Subject
/ Depressive Disorder, Major - diagnosis
/ Depressive Disorder, Major - etiology
/ Diabetes
/ Diabetes Complications - psychology
/ Diabetes mellitus (non-insulin dependent)
/ Diabetes Mellitus, Type 2 - complications
/ Female
/ Humans
/ Male
/ Medicine and Health Sciences
/ Patient Health Questionnaire
/ Patients
/ Poland
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