Depression screening using the Patient Health Questionnaire-9 administered on a touch screen computer.

Depression screening using the Patient Health Questionnaire-9 administered on a touch screen computer.
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DOI:
10.1002/pon.1368
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发表时间:
2009-01
期刊:
影响因子:
3.6
通讯作者:
McCorkle, Ruth
McCorkle, Ruth
中科院分区:
医学2区
文献类型:
--
作者:
Fann, Jesse R.;Berry, Donna L.;Wolpin, Seth;Austin-Seymour, Mary;Bush, Nigel;Halpenny, Barbara;Lober, William B.;McCorkle, Ruth

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1)使用患者健康问卷-9(PHQ-9)评估癌症患者中触摸屏抑郁筛查的可行性,2)使用触摸屏方式评估PHQ-9的结构效度,3)使用该筛查方式检查抑郁的患病率和严重程度。PHQ-9被放置在计算机化症状和生活质量筛查的临床影响研究中的基于网络的调查中。内科肿瘤学、放射肿瘤学和造血干细胞移植(HSCT)诊所的患者在治疗前(T1)和治疗期间(T2)在候诊室的触摸屏计算机上使用该程序。抑郁情绪或快感缺乏(PHQ-2主要抑郁症状)的反应触发了额外的项目。实时向肿瘤学团队提供PHQ-9评分。在入组的342例患者中,T1时33例(9.6%)和T2时69例(20.2%)通过认可至少一种主要症状触发了完整的PHQ-9。可行性很高,至少97%完成PHQ-2,至少96%完成PHQ-9,平均完成时间约为2分钟。PHQ-9具有良好的结构效度。内科肿瘤患者在T1时的阳性筛查百分比最高(12.9%),而HSCT患者在T2时的阳性筛查百分比最高(30.5%)。使用这种方法,21(6.1%)在T1和54(15.8%)在T2的总样本有中度至重度抑郁症。PHQ-9在触摸屏计算机上给药是可行的,并在不同的癌症人群中提供了有效的抑郁数据。
To 1) evaluate the feasibility of touch screen depression screening in cancer patients using the Patient Health Questionnaire-9 (PHQ-9), 2) evaluate the construct validity of the PHQ-9 using the touch screen modality, and 3) examine the prevalence and severity of depression using this screening modality. The PHQ-9 was placed in a web-based survey within a study of the clinical impact of computerized symptom and quality of life screening. Patients in medical oncology, radiation oncology, and hematopoietic stem cell transplantation (HSCT) clinics used the program on a touch screen computer in waiting rooms prior to therapy (T1) and during therapy (T2). Responses of depressed mood or anhedonia (PHQ-2 cardinal depression symptoms) triggered additional items. PHQ-9 scores were provided to the oncology team in real-time. Among 342 patients enrolled, 33 (9.6%) at T1 and 69 (20.2%) at T2 triggered the full PHQ-9 by endorsing at least one cardinal symptom. Feasibility was high, with at least 97% completing the PHQ-2 and at least 96% completing the PHQ-9 when triggered and a mean completion time of about 2 minutes. The PHQ-9 had good construct validity. Medical oncology patients had the highest percent of positive screens (12.9%) at T1, while HSCT patients had the highest percent (30.5%) at T2. Using this method, 21 (6.1%) at T1 and 54 (15.8%) at T2 of the total sample had moderate to severe depression. The PHQ-9 administered on a touch screen computer is feasible and provides valid depression data in a diverse cancer population.
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