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Cited by 81Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMigration, Health and Trauma

Using the PHQ-9 for depression screening and treatment monitoring for Chinese Americans in primary care

Chen, Teddy M., Huang, Frederick Y., Chang, Christine, Chung, Henry·2006·Psychiatric Services
DOI 10.1176/ps.2006.57.7.976
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Abstract

OBJECTIVE: Because Chinese Americans are known to underutilize mental health services, routine screening for depression in primary care clinics has been advocated as a means of identifying Chinese-American patients with depression and initiating appropriate treatment. This analysis evaluated the utility of the nine-item depression module of the Patient Health Questionnaire (PHQ-9) for depression screening and monitoring treatment outcomes among Chinese Americans at a primary health care setting. METHODS: A total of 3,417 patients who presented for an initial or annual physical examination with their primary care providers were screened for depression between January and October 2003 at the Charles B. Wang Community Health Center, a primary health care center in New York City serving primarily low-income Chinese Americans. The depression screen was a two-tier process: if patients endorsed one or more of three initial questions on an abridged version of the PHQ-9, they were then administered the PHQ-9. RESULTS: A total of 141 individuals (4.1 percent) had clinically significant depressive symptoms (PHQ-9 score of 10 or higher). Women were more likely to have significant levels of depressive symptoms than men (17.3 percent compared with 11.6 percent). A total of 114 of the 141 patients with clinically significant depressive symptoms received treatment plans initiated by their primary care provider. Forty (35.1 percent) responded to treatment (50 percent decrease in PHQ-9 score) by eight weeks of treatment. CONCLUSIONS: The PHQ-9 can be used to screen for depression as well as guide depression treatment planning among Chinese Americans in primary care. Screening for major depression with the PHQ-9 in primary care settings should be considered for appropriate identification and treatment of depression for Chinese-American patients.

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Authors
Chen, T. M., Huang, F. Y., Chang, C., & Chung, H.
ORCID
Chung, Henry
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2006-07
Volume
57
Issue
7
Pages
976-981
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/ps.2006.57.7.976
OpenAlex
W3149336100
Cited by
81
References
17
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 8 · 2019: 1 · 2018: 8 · 2017: 3 · 2016: 6 · 2015: 6 · 2014: 4 · 2013: 6 · 2012: 3
FWCI
3.87
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Center on Minority Health and Health Disparities
  • National Institute on Minority Health and Health Disparities (5-P60-MD0005-38)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
PHQ-9, depression screening, treatment monitoring, Chinese Americans, primary care
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Asian, Community Mental Health Centers, Cross-Sectional Studies, Depressive Disorder, Emigration and Immigration, Female, Follow-Up Studies, Humans, Male, Mass Screening, Middle Aged, New York City, Personality Inventory, Primary Health Care, Psychometrics, Surveys and Questionnaires, Urban Population, Reproducibility of Results, Delivery of Health Care, Integrated

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