Psychometrics of the Patient Health Questionnaire (PHQ-9) in Uganda: A Systematic Review.
Psychometrics of the Patient Health Questionnaire (PHQ-9) in Uganda: A Systematic Review.
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DOI：
10.3389/fpsyt.2022.781095
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发表时间：
2022
影响因子：
4.7
通讯作者：
Mamun MA
中科院分区：
文献类型：
--
作者：
Kaggwa MM;Najjuka SM;Ashaba S;Mamun MA
抑郁症可以通过许多心理学工具进行筛查，而患者健康问卷-9（PHQ-9）是最常用的自我管理工具之一。乌干达是一个文化多元的国家，有各种各样的部落，种族群体，语言和疾病状况;迫切需要了解不同队列中使用的PHQ-9的心理测量学。然而，没有事先审查来评估其在这个文化多元化国家的可靠性，而这次审查填补了知识差距。遵循PRISMA指南，在几个数据库中进行了系统检索（即，PubMed、Africa-Wide Information、AJOL和PsycINFO等），共有51篇文章被纳入本综述，确认了研究纳入标准（例如，使用PHQ-9）。PHQ-9已在10岁以上的男女中使用，该工具在艾滋病毒患者群体中使用最多（n = 28）。该工具经常通过访谈进行管理，并已被翻译成几种语言（主要是卢甘达语，n = 31）。10的临界值通常用于识别临床或重度抑郁症（n = 23），其患病率范围为8%至67%。它已被验证用于两个人群，（一）艾滋病毒阳性的参与者和（二）一般人群参加卫生设施。在临界值为10时，敏感性和特异性分别为92%和89%，而在临界值为5时，敏感性和特异性分别为67%和78%。Cronbach α介于0.68和0.94之间。PHQ-9已在乌干达的几项研究中使用，但仅在两个人群中得到验证，并且通常用于一种语言。因此，有必要在不同人群和语言中验证该工具，以提高该工具在乌干达的接受度。
Depression is screened by many psychological tools, whereas the Patient Health Questionnaire-9 (PHQ-9) is one of the most commonly used self-administered tools. Uganda is a culturally diverse country with a wide variety of tribes, ethnic groups, languages, and disease conditions; it is urgent to know the psychometrics of the used PHQ-9 across different cohorts. However, there is no prior review to assess its reliability in this culturally diverse country, where this review fulfills the knowledge gap. Adhering to the PRISMA guideline, a systematic search was performed in several databases (i.e., PubMed, Africa-Wide Information, AJOL, and PsycINFO, among others), and a total of 51 articles were included in this review, confirming the study inclusion criteria (e.g., using the PHQ-9). The PHQ-9 has been used among individuals above 10 years and both genders, and the tool has been used most among the HIV patient group (n = 28). The tool is frequently administered by interviews and has been translated into several languages (mostly Luganda, n = 31). A cutoff of 10 was commonly used to identify clinical or major depression (n = 23), and its prevalence ranged from 8 to 67%. It has been validated for use in two populations, (i) HIV-positive participants and (ii) the general population attending a health facility. The sensitivity and specificity were 92 and 89%, respectively, at a cutoff score of 10, whereas 67 and 78%, respectively, at a cutoff score of 5. The Cronbach alpha ranged between 0.68 and 0.94. The PHQ-9 has been used in several studies in Uganda but validated in only two populations and is commonly used in one language. Thus, validation of the tool in various populations and languages is warranted to improve the tool's acceptance in Uganda.
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