Standardization of a screening instrument phq15 for somatization. The results of the phq9 may be used to make a depression diagnosis according to dsmiv criteria and takes less than 3 minutes to complete. Methods in a crosssectional study of 236 sicklisted employees, we studied the performance of the phq15 in. A transcultural structural equation modeling sem study. The questions on the phq 15 account for 90% of all symptoms that providers observe in the primary care setting 10 patients must rate how certain symptoms bothered them over the last month.
The highest diabetesrelated distress subscale scores were found in eb 15. Tilburg university diagnostic assessment and clinical characteristics. Diagnostic and statistical manual of mental disorders. Methods we tested the score on a commonly used selfrated symptom questionnaire the patient health questionnaire phq 15 plus enhanced iterations including an additional 10 items on specific neurological symptoms and an additional 5 items on mental state for diagnostic sensitivity and specificity against a medical assessment with 18 months follow. Nov, 2015 efficacy of the phq 9 for depression screening and therapeutic assessment have been described, garnering a sensitivity and specificity of 88% for major depression. Neurocognitive symptoms are common in individuals with somatic symptom and related disorders ssrd, but little is known about the specific impairments in neurocognitive domains in patients with conversion disorder cdfunctional neurological disorder fnd. A sexual counselling model for care providers, such as the plissit model, might be a useful tool. Use of the 9item patient health questionnaire for depression. All participants completed the patient health questionnaire phq 15 and screening for somatic symptom disorders 7soms7. Translations the phq9 has been translated into a range of languages e. Conclusionthe phq15 is a valid questionnaire that can discern somatization from anxiety and depression within different cultures like europe or china. This article is published with open access at abstract introduction within the. Psychological and interactional characteristics of. Phq15, somatoform disorders, validation study, occupational health setting, specificity.
Pdf standardization of a screening instrument phq15. Validation of the phq15 for somatoform disorder in. Bernd lowe, 2015, universitatsklinikum hamburgeppendorf. Kroenke k, strine tw, spritzer rl, williams jb, berry jt, mokdad ah. Validation study of the dutch ssd12 for ssrd 1 the somatic symptom disorder b criteria scale ssd12 in a dutch clinical sample. Validation of persian version of phq9 for diagnosis of major. Full text validation and crosscultural adaptation of. Validation of the phq15 for somatoform disorder in the occupational health care setting by l. Inconsistent findings regarding prevalence and depression treatment outcomes in patients.
Our purpose was to examine the reliability and validity of the chinese version of the patient health questionnaire15 phq15 in taiwan, and to explore its relation to somatoform disorders dsmiv and to somatic symptom and related disorders dsm5. Pdf validation of the phq15 for somatoform disorder in. Classification characteristics of the patient health questionnaire15 for screening somatoform disorders in a primary care setting. The phq 8 as a measure of current depression in the general population. Approximately 80% of the general population shows at least one somatic symptom with at least mild impairment during the last week, while roughly one out of five individuals report severe somatization symptoms 1.
In brief patients n 314 completed the patient health questionnaire and the diabetes distress scale as part of standard care. Validation of the phq9 as a screening instrument for depression in diabetes patients in specialized outpatient clinics. Introduction within the occupational health setting, somatoform disorders are a frequent cause of sick leave. The objectives of the study were to generate normative data and to further investigate the construct validity of the phq15 in the general population. The phq 15 is widely used as an open access screening instrument for somatization syndromes in different health care settings, thus far, normative data from the general population are not available. Efficacy of the phq9 for depression screening and therapeutic assessment have been described, garnering a sensitivity and specificity of 88% for major depression. The aim of this study is to validate the 9item patient health questionnaire phq9 as a screening instrument for depression in diabetes patients in.
The relation between the patient health questionnaire15 and. With a cut off score of 6 or more the sensitivity of the phq15 was 78% true positive and specificity was 71% false negative. Patient health questionnaire somatic symptom severity. Pdf validation of the phq15 for somatoform disorder in the. Mar 20, 20 the phq 15 is a valid measure, which has been used in 40 studies so far in different health care settings for an overview see. Huang fy, chung h, kroenke k, delucchi kl, spitzer rl. By the year 2050, diabetes prevalence is projected to sharply increase to 1 in 3. The aim of this study is to validate the 9item patient health questionnaire phq9 as a screening instrument for depression in diabetes patients in outpatient clinics. Roccurve with the dotted line is the reference line the results presented in this article show that the phq15 can be a highly sensitive screener if a cut point of 6 is used, with a sensitivity of 82,6%.
Advanced search coronavirus articles and preprints search examples. The relationship between depressive symptoms, diabetes. The causes of depression in diabetes are poorly understood, but research suggests a bidirectional association, at least for type 2 diabetes. A screening method for depression is the patient health questionnaire phq 9. The phq15 is widely used as an open access screening instrument for somatization syndromes in different health care settings, thus far, normative data from the general population are not available. Mar 20, 20 the phq 15 is widely used as an open access screening instrument for somatization syndromes in different health care settings, thus far, normative data from the general population are not available. The phq 15 is the 15 question scale from the phq that asks about 15 symptoms relating to somatoform disorders. Pdf standardization of a screening instrument phq15 for. The phq 15 has been validated in different clinical and occupational populations. The patient health questionnaire phq15 is a short, practical selfrating instrument for the screening of somatic symptoms.
A relationship between the type of sample and the auc score has also been shown previously. Pdf background the phq15 is widely used as an open access screening instrument for somatization. Validation and crosscultural adaptation of the depression patients health questionnaire 9 in the romanian population of patients with type 2 diabetes mellitus nicoleta lupascu,1 bogdan timar,2,3 alin albai,1,3 deiana roman,1 ovidiu potre,4,5 romulus timar1,31second department of internal medicine, victor babes university of medicine and pharmacy, timisoara, romania. Comparison of the factor structure of the patient health. Aug 12, 2010 for the treatment of depression in diabetes patients, it is important that depression is recognized at an early stage. Translations the phq 9 has been translated into a range of languages e. Reliability and validity of the farsi version of the patient. We recruited 471 individuals, 151 with somatoform disorders and 200 with somatic symptom and related disorders. Validation of the phq15 for somatoform disorder in the occupational health care setting article pdf available in journal of occupational rehabilitation 221.
The somatic symptom disorder b criteria scale ssd12 in a. The phq15 could discern somatization from anxiety and depression within the three samples. The relation between the patient health questionnaire 15 and dsm somatic diagnoses standardization of a screening instrument phq 15 for somatization syndromes in the general population bmc psychiatry, mar 20. The aim of this study is to validate the 9item patient health questionnaire phq 9 as a screening instrument for depression in diabetes patients in outpatient clinics. Standardization of a screening instrument phq15 for. A screening method for depression is the patient health questionnaire phq9. Valid and reliable measures for the assessment of somatic symptoms, as the phq15, have been used in psychiatric research and routinely in clinical practice so far i.
Methods we tested the score on a commonly used selfrated symptom questionnaire the patient health questionnaire phq 15 plus enhanced iterations including an additional 10 items on specific neurological symptoms and an additional 5 items on mental state for diagnostic sensitivity and specificity against a medical assessment with 18 months followup in a prospective cohort study of 3781. The phq15 is a valid measure, which has been used in 40 studies so far in different health care settings for an overview see. The phq 15 is a selfadministered somatic symptoms subscale derived from the full phq 14, 43. The relation between the patient health questionnaire15. Data were analyzed by pearson and spearman correlation coefficient, factor analysis, independent t test, and discriminant analysis using spss20 software.
Depression presents in roughly 20% of people with diabetes worldwide, and adversely affects quality of life and treatment outcomes. Roccurve with the dotted line is the reference line the results presented in this article show that the phq 15 can be a highly sensitive screener if a cut point of 6 is used, with a sensitivity of 82,6%. Frontiers type d personality, concomitant depressive and. Jul 22, 2011 validation of the phq15 for somatoform disorder in the occupational health care setting article pdf available in journal of occupational rehabilitation 221. The relation between the patient health questionnaire15 and dsm somatic diagnoses. It includes 15 prevalent somatic symptoms that represent over 90% of the symptoms observed in primary care 16. Standardization of a screening instrument phq15 for somatization syndromes in the general population. The phq15 is a selfreport symptom questionnaire derived from the patient health questionnaire that consists of 15 items scored from 0 not bothered at all to 2 bothered a lot, with scores.
The patient health questionnaire has been developed further to encompass the phq15 for severity of somatic symptoms, an ultrabrief version phq4, and the phq8 to measure current depression in the general population3,4,5. We recruited 471 individuals, 151 with somatoform disorders and 200 with somatic symptom and related. Lage witsiebaan 4, 5042 da, tilburg, the netherlands email. Sexual dysfunction is prevalent in patients with type 2 diabetes mellitus, but remains one of the most frequently neglected complications in diabetes care. Validation of the phq9 as a screening instrument for. Validation of the phq15 for somatoform disorder in the. The phq 15 consists of a list of 15 somatic symptoms. Neurocognitive functioning in patients with conversion. Frontiers comparison of the factor structure of the patient. The phq15 scores of 5, 10, and 15 represent cut off points for low, medium, and high somatic symptom. The mean phq score for anxiety symptoms was reduced significantly, from moderate 10. The phq 15 is a selfreport symptom questionnaire derived from the patient health questionnaire that consists of 15 items scored from 0 not bothered at all to 2 bothered a lot, with scores. The negative predictive value of 97% indicates that only 3% of individuals who have a. Mar 09, 2018 the phq15 has been validated in different clinical and occupational populations.
The phq15 has been validated in different clinical and occupational populations. Inconsistent findings regarding prevalence and depression treatment outcomes in patients with diabetes seem partly. American psychiatric association diagnostic and statistical manual of mental. Validation of the phq15 for somatoform disorder in the occupational health care setting. The present study was conducted to determine psychometric properties of the persian version of screening for somatic symptom disorders7soms7 in an iranian population. With a cut off score of 6 or more the sensitivity of the phq 15 was 78% true positive and specificity was 71% false negative. Conclusionthe phq 15 is a valid questionnaire that can discern somatization from anxiety and depression within different cultures like europe or china. The patient health questionnaire phq15 is used as a screening instrument. Both patients and care providers appear to have difficulty with discussing sexual problems in diabetes care. The objectives of the study were to generate normative data and to further investigate the construct validity of the phq 15 in the general population. Psychometric properties of the persian version of screening. This was a multi centric comprehensive study conducted in psychosomatic research center of isfahan university of medical sciences in collaboration with department of. Classification characteristics of the patient health questionnaire 15 for screening somatoform disorders in a primary care setting. The phq 15 could discern somatization from anxiety and depression within the three samples.
The somatic symptom disorder b criteria scale ssd12 in a dutch clinical sample. Few validated screening questionnaires for these disorders are available. The phq 9 versus the phq 8is item 9 useful for assessing suicide risk in coronary artery disease patients. Personal health questionnaire depression scale phq 8.
The patient health questionnaire has been developed further to encompass the phq 15 for severity of somatic symptoms, an ultrabrief version phq 4, and the phq 8 to measure current depression in the general population3,4,5. Of the 314 patients who completed the dds17, 75 23. The somatic symptom disorder b criteria scale ssd12 in. Reliability and validity of the farsi version of the. The phq9 dep9 in some sourcesis a 9question instrument given to patients in a primary care setting to screen for the presence and severity of depression.
Diabetes is a chronic condition that affects many people in the united states 1 in 10 adults and is the leading cause of heart disease, stroke, renal disease, blindness, and amputation cdc, 2011, huang et al. For the treatment of depression in diabetes patients, it is important that depression is recognized at an early stage. The phq15 has also been suggested by the dsm5 workgroup on somatic symptom disorders ssd as a measurement tool of somatic symptom severity for the classi. Pmc free article korber s, frieser d, steinbrecher n. Valid and reliable measures for the assessment of somatic symptoms, as the phq 15, have been used in psychiatric research and routinely in clinical practice so far i. Thepatienthealthquestionnairephq15 the patient health questionnaire phq15 16 is a short, practical selfrating instrument for the screening of somatic symptoms. The phq 15 was originally validated by spitzer et al. Most patients decreased one or more levels in depression severity 66. Jul 22, 2011 the phq 15 is the somatic symptom severity scale of the patient health questionnaire phq, which is a short, selfreport version of the primary care evaluation of mental disorders primemd developed by kroenke and colleagues. Full text validation and crosscultural adaptation of the. It is the 9question depression scale from the patient health questionnaire phq.
Validation of the phq 15 for somatoform disorder in the occupational health care setting. Patient health questionnaire somatic symptom severity scale. Depression screening in diabetes care to improve outcomes. The aim of this study is to validate the phq15 in this setting. Frontiers comparison of the factor structure of the. Psychological and interactional characteristics of patients. Tilburg university validation of the phq15 for somatoform. Somatic symptom count scores do not identify patients with.
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