The aim of this study is to validate the phq15 in this setting. For the treatment of depression in diabetes patients, it is important that depression is recognized at an early stage. In brief patients n 314 completed the patient health questionnaire and the diabetes distress scale as part of standard care. Methods in a crosssectional study of 236 sicklisted employees, we studied the performance of the phq15 in. 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 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. Diagnostic and statistical manual of mental disorders. 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. Conclusionthe phq15 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 a short, practical selfrating instrument for the screening of somatic symptoms. 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. Sexual dysfunction is prevalent in patients with type 2 diabetes mellitus, but remains one of the most frequently neglected complications in diabetes care. Conclusionthe phq 15 is a valid questionnaire that can discern somatization from anxiety and depression within different cultures like europe or china.
Pmc free article korber s, frieser d, steinbrecher n. The phq 15 was originally validated by spitzer et al. Aug 12, 2010 for the treatment of depression in diabetes patients, it is important that depression is recognized at an early stage. Standardization of a screening instrument phq15 for. Reliability and validity of the farsi version of the. A screening method for depression is the patient health questionnaire phq 9. Patient health questionnaire somatic symptom severity. 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. The negative predictive value of 97% indicates that only 3% of individuals who have a. We recruited 471 individuals, 151 with somatoform disorders and 200 with somatic symptom and related. Pdf standardization of a screening instrument phq15 for. 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. A screening method for depression is the patient health questionnaire phq9.
Validation of the phq 15 for somatoform disorder in the occupational health care setting. 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. Advanced search coronavirus articles and preprints search examples. 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. Somatic symptom count scores do not identify patients with. Pdf validation of the phq15 for somatoform disorder in the. 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. The causes of depression in diabetes are poorly understood, but research suggests a bidirectional association, at least for type 2 diabetes. Mar 09, 2018 the phq15 has been validated in different clinical and occupational populations. 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 somatic symptom disorder b criteria scale ssd12 in a dutch clinical sample. Most patients decreased one or more levels in depression severity 66. Translations the phq 9 has been translated into a range of languages e.
The phq 9 versus the phq 8is item 9 useful for assessing suicide risk in coronary artery disease patients. The phq15 had an optimal cut point of 9 patients scoring 9. American psychiatric association diagnostic and statistical manual of mental. Validation study of the dutch ssd12 for ssrd 1 the somatic symptom disorder b criteria scale ssd12 in a dutch clinical sample. The relation between the patient health questionnaire15.
Validation of persian version of phq9 for diagnosis of. Full text validation and crosscultural adaptation of the. The somatic symptom disorder b criteria scale ssd12 in a. 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. Psychological and interactional characteristics of patients. The objectives of the study were to generate normative data and to further investigate the construct validity of the phq15 in the general population. Standardization of a screening instrument phq15 for somatization. Frontiers type d personality, concomitant depressive and. The mean phq score for anxiety symptoms was reduced significantly, from moderate 10. Translations the phq9 has been translated into a range of languages e. 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.
Few validated screening questionnaires for these disorders are available. This was a multi centric comprehensive study conducted in psychosomatic research center of isfahan university of medical sciences in collaboration with department of. Data were analyzed by pearson and spearman correlation coefficient, factor analysis, independent t test, and discriminant analysis using spss20 software. The highest diabetesrelated distress subscale scores were found in eb 15. It is the 9question depression scale from the patient health questionnaire phq. Thepatienthealthquestionnairephq15 the patient health questionnaire phq15 16 is a short, practical selfrating instrument for the screening of somatic symptoms. Bernd lowe, 2015, universitatsklinikum hamburgeppendorf. Lage witsiebaan 4, 5042 da, tilburg, the netherlands email.
Of the 314 patients who completed the dds17, 75 23. Both patients and care providers appear to have difficulty with discussing sexual problems in diabetes care. 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 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. 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. Validation of the chinese version of the phq15 in a tertiary hospital validation of the chinese version of the phq15 in a tertiary hospital. Classification characteristics of the patient health questionnaire15 for screening somatoform disorders in a primary care setting. Frontiers comparison of the factor structure of the. Psychological and interactional characteristics of. Validation of the phq15 for somatoform disorder in. 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 phq 15 could discern somatization from anxiety and depression within the three samples. It includes 15 prevalent somatic symptoms that represent over 90% of the symptoms observed in primary care 16.
The phq15 scores of 5, 10, and 15 represent cut off points for low, medium, and high somatic symptom. Frontiers comparison of the factor structure of the patient. Depression presents in roughly 20% of people with diabetes worldwide, and adversely affects quality of life and treatment outcomes. 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. Validation of the phq15 for somatoform disorder in the.
Inconsistent findings regarding prevalence and depression treatment outcomes in patients with diabetes seem partly. The phq 15 has been validated in different clinical and occupational populations. Validation of the phq9 as a screening instrument for. Pdf standardization of a screening instrument phq15. 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. Comparison of the factor structure of the patient health. 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. 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. Phq15, somatoform disorders, validation study, occupational health setting, specificity. 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.
Personal health questionnaire depression scale phq 8. 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%. Validation of the phq15 for somatoform disorder in the occupational health care setting by l. 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. Validation of persian version of phq9 for diagnosis of major. 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.
With a cut off score of 6 or more the sensitivity of the phq15 was 78% true positive and specificity was 71% false negative. Tilburg university validation of the phq15 for somatoform. 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. Introduction within the occupational health setting, somatoform disorders are a frequent cause of sick leave. Efficacy of the phq9 for depression screening and therapeutic assessment have been described, garnering a sensitivity and specificity of 88% for major depression. Huang fy, chung h, kroenke k, delucchi kl, spitzer rl. The relation between the patient health questionnaire15 and. The phq15 could discern somatization from anxiety and depression within the three samples. Psychometric properties of the persian version of screening. Validation of the phq9 as a screening instrument for depression in diabetes patients in specialized outpatient clinics. Neurocognitive functioning in patients with conversion. 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. The aim of this study is to validate the 9item patient health questionnaire phq9 as a screening instrument for depression in diabetes patients in.
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. This article is published with open access at abstract introduction within the. The phq15 has been validated in different clinical and occupational populations. A relationship between the type of sample and the auc score has also been shown previously. Classification characteristics of the patient health questionnaire 15 for screening somatoform disorders in a primary care setting. Validation of the phq15 for somatoform disorder in the occupational health care setting. The relation between the patient health questionnaire15 and dsm somatic diagnoses. The relationship between depressive symptoms, diabetes. Depression screening in diabetes care to improve outcomes. Pdf background the phq15 is widely used as an open access screening instrument for somatization. The patient health questionnaire phq15 is used as a screening instrument. The phq 15 is the 15 question scale from the phq that asks about 15 symptoms relating to somatoform disorders. A sexual counselling model for care providers, such as the plissit model, might be a useful tool. The phq 8 as a measure of current depression in the general population.
The phq 15 is a selfadministered somatic symptoms subscale derived from the full phq 14, 43. All participants completed the patient health questionnaire phq 15 and screening for somatic symptom disorders 7soms7. We recruited 471 individuals, 151 with somatoform disorders and 200 with somatic symptom and related disorders. The present study was conducted to determine psychometric properties of the persian version of screening for somatic symptom disorders7soms7 in an iranian population. Full text validation and crosscultural adaptation of. 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.
Pdf validation of the phq15 for somatoform disorder in. Validation of the phq15 for somatoform disorder in the occupational health care setting article pdf available in journal of occupational rehabilitation 221. 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. Use of the 9item patient health questionnaire for depression. By the year 2050, diabetes prevalence is projected to sharply increase to 1 in 3. A transcultural structural equation modeling sem study. The somatic symptom disorder b criteria scale ssd12 in. Tilburg university diagnostic assessment and clinical characteristics. The phq 15 consists of a list of 15 somatic symptoms. 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%. Inconsistent findings regarding prevalence and depression treatment outcomes in patients. Reliability and validity of the farsi version of the patient. 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. Kroenke k, strine tw, spritzer rl, williams jb, berry jt, mokdad ah.