The DOI matches its Crossref record; 65 of the 65 references it cites were found in a registry or an index.
Validity of the patient health questionnaire-9 for depression screening and diagnosis in East Africa
Open accessAbstract
Depression is often underdiagnosed and undertreated in primary care settings, particularly in developing countries. This is, in part, due to challenges resulting from a lack of skilled mental health workers, stigma associated with mental illness, and lack of cross-culturally validated screening instruments. We conducted this study to evaluate the reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) questionnaire as a screen for diagnosing major depressive disorder among adults in Ethiopia, the second most populous country in sub-Saharan Africa. A total of 926 adults attending outpatient departments in a major referral hospital in Ethiopia participated in this study. We assessed criterion validity and performance characteristics against an independent, blinded, and psychiatrist administered semi-structured Schedules for Clinical Assessment in Neuropsychiatry (SCAN) interview. Overall, the PHQ-9 items showed good internal (Cronbach's alpha=0.85) and test re-test reliability (intraclass correlation coefficient=0.92). A factor analysis confirmed a 1-factor structure. Receiver Operating Characteristics (ROC) analysis showed that a PHQ-9 threshold score of 10 offered optimal discriminatory power with respect to diagnosis of MDD via the clinical interview (sensitivity=86% and specificity=67%). The PHQ-9 appears to be a reliable and valid instrument that may be used to diagnose major depressive disorders among Ethiopian adults.
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Cites
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Cited by
Wang, W., Bian, Q., Zhao, Y., Li, X., Wang, W., Du, J., Zhang, G., Zhou, Q., & Zhao, M. (2014) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2014.05.021 · Cited by 1,480
Manea, L., Gilbody, S., & McMillan, D. (2015) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2014.09.009 · Cited by 795
Costantini, L., Pasquarella, C., Odone, A., Colucci, M. E., Costanza, A., Serafini, G., Aguglia, A., Belvederi Murri, M., Brakoulias, V., Amore, M., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.09.131 · Cited by 733
Sawaya, H., Atoui, M., Hamadeh, A., Zeinoun, P., & Nahas, Z. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.03.030 · Cited by 450
Moriarty, A. S., Gilbody, S., McMillan, D., & Manea, L. (2015) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2015.06.012 · Cited by 372
Metadata
- Authors
- Gelaye, B., Williams, M. A., Lemma, S., Deyessa, N., Bahretibeb, Y., Shibre, T., Wondimagegn, D., Lemenhe, A., Fann, J. R., Vander Stoep, A., & Andrew Zhou, X.-H.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 210
- Issue
- 2
- Pages
- 653-661
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2083334198
- Cited by
- 543
- References
- 65
- FWCI
- 20.56
- Type
- journal article
- Language
- en
- Open access
- green
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- Gelaye, B., Williams, M. A., Lemma, S., Deyessa, N., Bahretibeb, Y., Shibre, T., Wondimagegn, D., Lemenhe, A., Fann, J. R., Vander Stoep, A., & Andrew Zhou, X.-H. (2013). Validity of the patient health questionnaire-9 for depression screening and diagnosis in East Africa. Psychiatry Research. https://doi.org/10.1016/j.psychres.2013.07.015
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