Profiles of depression in a treatment-seeking Hispanic population: Psychometric properties of the Patient Health Questionnaire-9.
Profiles of depression in a treatment-seeking Hispanic population: Psychometric properties of the Patient Health Questionnaire-9.
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DOI：
10.1002/mpr.1851
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发表时间：
2021-03
影响因子：
3.1
通讯作者：
Trivedi MH
中科院分区：
文献类型：
--
作者：
Killian MO;Sanchez K;Eghaneyan BH;Cabassa LJ;Trivedi MH
筛查工具可以成为帮助初级保健提供者检测患者抑郁症和监测治疗反应的有力工具。少数种族和族裔之间的健康差距是初级保健评估不准确造成的。目前的研究使用的基线数据来自两项联邦政府资助的研究，这些研究是在初级保健中治疗西班牙裔抑郁症的研究。在研究干预之前，在基线时进行了患者健康问卷调查（PHQ-9），499名参与者提供了回复。验证性因素分析发现PHQ-9的因素效度很好，但可靠性仍然很差。检查了抑郁项目评分的可能异质性，潜在特征分析确定了PHQ-9应答的四种不同特征。特征包括较低的抑郁、中度/躯体化、中度/负面自我观和重度抑郁特征。结果表明，PHQ-9及其在西班牙裔美国人中用于抑郁症筛查的适度支持。在一个大型的初级保健样本中捕获四种抑郁症的特征有助于描述西班牙裔人群中抑郁症的表现。与疲劳相关的单个项目在各组中的变异最大，表明其可能用作筛选项目。对症状的不充分评估可能会导致西班牙裔人对该疾病的识别率显著偏低。
Screening instruments can be powerful tools in assisting primary care providers with detecting depression in their patients and monitoring treatment response. Health disparities among racial and ethnic minorities result from inaccurate assessment in primary care. The current study used baseline data from two federally funded research studies of treatment for depression among Hispanics in primary care. The Patient Health Questionnaire‐9 (PHQ‐9) was administered at baseline prior to the study interventions, and 499 participants provided responses. Confirmatory factor analyses found excellent factor validity for the PHQ‐9, yet reliability remained poor. Possible heterogeneity in depressive item scores was examined, and latent profile analysis identified four distinct profiles of PHQ‐9 responses. Profiles included a lower depression, moderate/somatization, moderate/negative self‐view, and severe depression profiles. Results indicate modest support for the PHQ‐9 and its use among Hispanics for the purpose of depression screening. Capturing four profiles of depression in a large primary care sample helps characterize the manifestation of depression in a Hispanic population. The single item related to fatigue had the greatest variation across groups indicating it might be useful as a screening item. Inadequate evaluation of symptoms could lead to significant under identification of the disorder among Hispanics.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
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通讯作者：
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影响因子：
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影响因子：
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作者：
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