Enhancing the clinical utility of depression screening

Kroenke, Kurt

doi:10.1503/cmaj.112004

Cited by 217Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesHealth Promotion and Cardiovascular Prevention

Enhancing the clinical utility of depression screening

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Kroenke, Kurt·2012·Canadian Medical Association Journal

DOI 10.1503/cmaj.112004PMC PMC3281149

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Abstract

See related research article by Manea and colleagues on page [E191][1] and at [www.cmaj.ca/lookup/doi/10.1503/cmaj.110829][2] Screening has a checkered legacy in health care. Too often, clinicians have been advised to screen for a variety of diseases or risk factors in advance of evidence that

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A five-point change on the Patient Health Questionnaire is considered clinically significant.
“A 5-point change on the PHQ-9 is considered clinically significant (Kroenke, 2012).”
From Effects of a Mindfulness-Based Weight Loss Intervention on Long-term Psychological Well-being Among Adults with Obesity: Secondary Analyses from the Supporting Health by Integrating Nutrition and Exercise (SHINE) Trial (2022) · cites this paper as Kroenke, 2012
The PHQ-9 is a valid instrument for assessing the presence and severity of depressive symptoms, with a sensitivity of 88%, specificity of 85%, high reliability (Cronbach's alpha 0.86-0.89, test-retest reliability 0.84), and prior validation in a Colombian population.
“se administró la escala PHQ-9, una herramienta válida que evalúa la presencia y la severidad de los síntomas depresivos14. Tiene la ventaja de ser breve, de dominio público, de fácil aplicación, puntuación e interpretación15, y cuenta con una sensibilidad del 88%, una especificidad del 85% y una elevada fiabilidad (α de Cronbach = 0,86-0,89, fiabilidad test-retest = 0,84)14. Este instrumento const”
From Síntomas depresivos en trabajadores de la salud dos años después del inicio de la pandemia COVID-19 en Bogotá, Colombia (2025) · cites this paper as [15]

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Authors: Kroenke, K.
Affiliations: Indiana University Indianapolis (US)
Corresponding author: Kroenke, Kurt
ORCID: Kroenke, Kurt
Venue: Canadian Medical Association Journal
Publisher: CMA Joule Inc.
Published: 2012-01-09
Volume: 184
Issue: 3
Pages: 281-282
ISSN: 0820-3946 (ISSN-L)
1488-2329
DOI: 10.1503/cmaj.112004
PMC: PMC3281149
OpenAlex: W2146442722
Cited by: 216
References: 13
Citations by year: 2026: 18 · 2025: 33 · 2024: 32 · 2023: 22 · 2022: 32 · 2021: 28 · 2020: 18 · 2019: 7 · 2018: 6 · 2017: 1 · 2016: 1 · 2015: 9 · 2014: 8 · 2012: 1
FWCI: 8.66
Type: journal article
Language: en
Open access: gold
doi.org
Licence: public-domain
Locations: Canadian Medical Association Journal (publishedVersion, public-domain)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords: depression screening, clinical utility, screening guidelines, depression diagnosis, overuse of screening
MeSH terms: Major Depressive Disorder, Humans, Psychiatric Status Rating Scales

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