Validity of the Patient Health Questionnaire-9 in assessing major depressive disorder during inpatient spinal cord injury rehabilitation

Archives of Physical Medicine and Rehabilitation
Charles H BombardierJesse R Fann

Abstract

To investigate the validity of the Patient Health Questionnaire-9 (PHQ-9) depression screening measure in people undergoing acute inpatient rehabilitation for spinal cord injury (SCI). We performed a blinded comparison of the PHQ-9 administered by research staff with the major depression module of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID) conducted by a mental health professional. Inpatient rehabilitation units. Participants (N=142) were patients undergoing acute rehabilitation for traumatic SCI who were at least 18 years of age, English speakers, and without severe cognitive, motor speech, or psychotic disorders. We obtained the SCID on 173 (84%) of 204 eligible patients. The final sample of 142 patients (69%) consisted of those who underwent both assessments within 7 days of each other. Not applicable. PHQ-9 and SCID major depression module. Participants were on average 42.2 years of age, 78.2% men, and 81.7% white, and 66.9% had cervical injuries. The optimal PHQ-9 cutoff (≥11) resulted in 35 positive screens (24.6%). Key indices of criterion validity were as follows: sensitivity, 1.00 (95% confidence interval [CI], .73-1.00); specificity, .84 (95% ...Continue Reading

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Citations

Jul 23, 2013·Archives of Physical Medicine and Rehabilitation·Jesse R FannCharles H Bombardier
Nov 4, 2015·Archives of Physical Medicine and Rehabilitation·Charles H BombardierJeanne M Hoffman
Mar 5, 2015·Nordic Journal of Psychiatry·Agneta PetterssonLisa Ekselius
Mar 10, 2015·Archives of Physical Medicine and Rehabilitation·Daniel W KlyceClaire Z Kalpakjian
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Feb 25, 2014·The Journal of Spinal Cord Medicine·Claire Z KalpakjianCharles H Bombardier
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Mar 12, 2015·Archives of Physical Medicine and Rehabilitation·Arielle M SilvermanMark P Jensen
Nov 26, 2013·Archives of Physical Medicine and Rehabilitation·Narineh HartoonianCharles H Bombardier
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Apr 26, 2016·Disability and Rehabilitation·Catherine S WilsonCheryl McCullumsmith
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