Post Stroke Depression: Clinimetric Properties of the Patient Health Questionnaire

2.50
Hdl Handle:
http://hdl.handle.net/10755/304276
Category:
Abstract
Type:
Presentation
Title:
Post Stroke Depression: Clinimetric Properties of the Patient Health Questionnaire
Author(s):
Hafsteinsdottir, Thora; Man-van Ginkel, Janneke; Burger, Huibert; Lindeman, Eline; Grobbee, Diederick; Schepers, Vera; Schuurmans, Marieke; Gooskes, Floor
Lead Author STTI Affiliation:
Rho Chi
Author Details:
Thora Hafsteinsdottir, RN, PhD, t.hafsteinsdottir@umcutrecht.nl; Janneke Man-van Ginkel, RN, PhD; Huibert Burger, MD, PhD; Eline Lindeman, MD, PhD; Diederick Grobbee, MD, PhD; Vera Schepers, MD, PhD; Marieke Schuurmans, RN, PhD; Floor Gooskes, RN, MSc;
Abstract:

Session presented on: Monday, July 22, 2013

Purpose: Study 1: To investigate the clinimetric properties of the 9 items and 2 items Patients Health Questionnaire in nursing practice of stroke patients compared with the Geriatric Depression Scale. Study2: To investigate the diagnostic value of the 9-item and the 2-item PHQ.

Methods: Study 1: Depression was measured in stroke patients (n=55), able to communicate using the PHQ-9. The inter-rater reliability, test-retest reliability, internal consistency, concurrent validity, diagnostic accuracy and clinical utility were evaluated. Study 2: Depression was measured in patients (n=171) in week 6-8 after stroke using the PHQ-2 and PHQ-9 and diagnosed with the Composite International Diagnostic Interview (CIDI).

Results: Study 1: The inter-rater reliability (ICC = 0.98), the test-retest reliability (ρSp = 0.75, p<0.001) and the internal consistency (Cronbach’s α = 0.79) of the PHQ-9 were good. The concurrent validity was moderate for the PHQ-9, and acceptable for the PHQ-2. The optimum cut-off point of the PHQ-9 for major depression was 10 (sensitivity, 100%; specificity, 86%; positive predicted value, 50%; negative predicted value, 100%). For the PHQ-2 it was 2 (sensitivity, 100%; specificity, 77%; positive predicted value, 38% and negative predicted value, 100%). Study 2: The PHQ-9 performed best at a score ≥10 (sensitivity: 0,80, specificity: 0.79) and the PHQ-2 at a score ≥2 (sensitivity: 0.75, specificity: 0.76). Administering the PHQ-9 only to patients who scored ≥2 on the PHQ-2 improved the identification of depression.

Conclusion: The PHQ is a brief and easy-to-use instrument showing good clinimetric properties for patients with stroke able to communicate. The diagnostic value for scores of ≥10 (PHQ-9) and ≥2 PHQ-2, but conducting a PHQ-9 only in patients with a PHQ-2 score ≥ 2 generates the best results. Based on these findings the PHQ can be recommended for nurses to use for the early detection of depression in patients with stroke.

Keywords:
instrument; stroke; depression
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePost Stroke Depression: Clinimetric Properties of the Patient Health Questionnaireen_GB
dc.contributor.authorHafsteinsdottir, Thoraen_GB
dc.contributor.authorMan-van Ginkel, Jannekeen_GB
dc.contributor.authorBurger, Huiberten_GB
dc.contributor.authorLindeman, Elineen_GB
dc.contributor.authorGrobbee, Diedericken_GB
dc.contributor.authorSchepers, Veraen_GB
dc.contributor.authorSchuurmans, Mariekeen_GB
dc.contributor.authorGooskes, Flooren_GB
dc.contributor.departmentRho Chien_GB
dc.author.detailsThora Hafsteinsdottir, RN, PhD, t.hafsteinsdottir@umcutrecht.nl; Janneke Man-van Ginkel, RN, PhD; Huibert Burger, MD, PhD; Eline Lindeman, MD, PhD; Diederick Grobbee, MD, PhD; Vera Schepers, MD, PhD; Marieke Schuurmans, RN, PhD; Floor Gooskes, RN, MSc;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304276-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b> Study 1: To investigate the clinimetric properties of the 9 items and 2 items Patients Health Questionnaire in nursing practice of stroke patients compared with the Geriatric Depression Scale. Study2: To investigate the diagnostic value of the 9-item and the 2-item PHQ. <p><b>Methods: </b> Study 1: Depression was measured in stroke patients (n=55), able to communicate using the PHQ-9. The inter-rater reliability, test-retest reliability, internal consistency, concurrent validity, diagnostic accuracy and clinical utility were evaluated. Study 2: Depression was measured in patients (n=171) in week 6-8 after stroke using the PHQ-2 and PHQ-9 and diagnosed with the Composite International Diagnostic Interview (CIDI). <p><b>Results: </b> Study 1: The inter-rater reliability (ICC = 0.98), the test-retest reliability (ρSp = 0.75, p<0.001) and the internal consistency (Cronbach’s α = 0.79) of the PHQ-9 were good. The concurrent validity was moderate for the PHQ-9, and acceptable for the PHQ-2. The optimum cut-off point of the PHQ-9 for major depression was 10 (sensitivity, 100%; specificity, 86%; positive predicted value, 50%; negative predicted value, 100%). For the PHQ-2 it was 2 (sensitivity, 100%; specificity, 77%; positive predicted value, 38% and negative predicted value, 100%). Study 2: The PHQ-9 performed best at a score ≥10 (sensitivity: 0,80, specificity: 0.79) and the PHQ-2 at a score ≥2 (sensitivity: 0.75, specificity: 0.76). Administering the PHQ-9 only to patients who scored ≥2 on the PHQ-2 improved the identification of depression. <p><b>Conclusion: </b> The PHQ is a brief and easy-to-use instrument showing good clinimetric properties for patients with stroke able to communicate. The diagnostic value for scores of ≥10 (PHQ-9) and ≥2 PHQ-2, but conducting a PHQ-9 only in patients with a PHQ-2 score ≥ 2 generates the best results. Based on these findings the PHQ can be recommended for nurses to use for the early detection of depression in patients with stroke.en_GB
dc.subjectinstrumenten_GB
dc.subjectstrokeen_GB
dc.subjectdepressionen_GB
dc.date.available2013-10-22T20:32:36Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:32:36Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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