Assessing depression in primary care with the PHQ-9:: Can it be carried out over the telephone?
Assessing depression in primary care with the PHQ-9:: Can it be carried out over the telephone?
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DOI：
10.1111/j.1525-1497.2005.0144.x
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发表时间：
2005-08-01
影响因子：
5.7
通讯作者：
Haro, JM
中科院分区：
文献类型：
--
作者：
Pinto-Meza, A;Serrano-Blanco, A;Haro, JM
背景：用于研究目的的抑郁症电话评估越来越多地被使用。患者健康问卷9项抑郁模块（PHQ-9）是一个经过充分验证的、简短的、自我报告的、诊断性的和严重程度的抑郁测量方法，旨在用于初级保健（PC）。据我们所知，目前还没有关于通过电话管理PHQ-9有效性的可用数据。目的：本研究的目的是评估自我管理和电话管理PHQ-9之间的一致性，调查可能的系统偏差，并评估电话管理PHQ-9的内部一致性。方法：来自两个PC中心的346名参与者使用PHQ-9进行了两次评估。参与者根据PHQ-9的给药程序顺序和给药程序分为4组：自我给药/电话给药;电话给药/自我给药;电话给药/电话给药;自我给药/自我给药。前两组用于分析电话管理PHQ-9的程序效度。最后2个允许自我和电话管理PHQ-9的重测信度分析。计算组内相关系数（ICC）和加权Kappa（每个项目）作为一致性的指标。此外，皮尔逊的相关系数，学生的t检验，和克朗巴赫的α进行了analysed.Results：两个管理程序之间的组内相关系数和加权卡帕是优秀的，揭示了强烈的一致性之间的电话和自我管理的PHQ-9。在电话咨询的PHQ-9中，观察到一个小的、临床上不显著的分数降低趋势。电话管理的PHQ-9的内部一致性很高，接近自我管理的one.CONCLUSIONS：电话和亲自评估的PHQ-9产生类似的结果。因此，电话管理的PHQ-9似乎是一个可靠的程序来评估抑郁症的PC。
BACKGROUND: Telephone assessment of depression for research purposes is increasingly being used. The Patient Health Questionnaire 9-item depression module (PHQ-9) is a well-validated, brief, self-reported, diagnostic, and severity measure of depression designed for use in primary care (PC). To our knowledge, there are no available data regarding its validity when administered over the telephone.OBJECTIVE: The aims of the present study were to evaluate agreement between self-administered and telephone-administered PHQ-9, to investigate possible systematic bias, and to evaluate the internal consistency of the telephone-administered PHQ-9.METHODS: Three hundred and forty-six participants from two PC centers were assessed twice with the PHQ-9. Participants were divided into 4 groups according to administration procedure order and administration procedure of the PHQ-9: Self-administered/Telephone-administered; Telephone-administered/Self-administered; Telephone-administered/ Telephone-administered; and Self-administered/Self-administered. The first 2 groups served for analyzing the procedural validity of telephone-administered PHQ-9. The last 2 allowed a test-retest reliability analysis of both self- and telephone-administered PHQ-9. Intraclass correlation coefficient (ICC) and weighted kappa (for each item) were calculated as measures of concordance. Additionally, Pearson's correlation coefficient, Student's t-test, and Cronbach's alpha were analyzed.RESULTS: Intraclass correlation coefficient and weighted kappa between both administration procedures were excellent, revealing a strong concordance between telephone- and self-administered PHQ-9. A small and clinically nonsignificant tendency was observed toward lower scores for the telephone- administered PHQ-9. The internal consistency of the telephone- administered PHQ-9 was high and close to the self-administered one.CONCLUSIONS: Telephone and in-person assessments by means of the PHQ-9 yield similar results. Thus, telephone administration of the PHQ-9 seems to be a reliable procedure for assessing depression in PC.