Patient Health Questionnaire-9 Is a Valid Assessment for Depression in Minimally Invasive Lumbar Discectomy.
Patient Health Questionnaire-9 Is a Valid Assessment for Depression in Minimally Invasive Lumbar Discectomy.
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DOI：
10.14245/ns.2142162.031
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发表时间：
2021-06
期刊：
影响因子：
3.2
通讯作者：
Singh K
中科院分区：
文献类型：
--
作者：
Lynch CP;Cha EDK;Jenkins NW;Parrish JM;Geoghegan CE;Jadczak CN;Mohan S;Singh K
患者健康问卷-9 （PHQ-9）是评估抑郁症状的筛选工具。关于PHQ-9评分与微创腰椎间盘切除术（MIS LD）后其他患者报告的心理健康结果的有效性和相关性的研究很少。我们的目的是验证PHQ-9作为评估MIS LD患者心理健康的指标。回顾性分析了选择性单级MIS LD患者的数据库。如果患者术前PHQ-9、12项简短健康调查（SF-12）或Veterans RAND 12项健康调查（VR-12）不完整，则排除患者。术前、术后1年收集调查评分。平均评分用于计算术前评分的术后改善。计算PHQ-9与SF-12心理综合评分（MCS）和VR-12 MCS评分的相关性。相关强度分为以下几类：0.1≤|或| < 0.3 =低；0.3≤|r| < 0.5 =中等；|≥0.5 =强。共有239例患者接受了单级MIS LD。PHQ-9、VR-12 MCS和SF-12 MCS在术后各时间点的评分均较术前有统计学显著升高（p≤0.001）。用Pearson相关系数和偏相关系数评估时，SF-12 MCS和VR-12 MCS在所有时间点均与PHQ-9具有强而显著的相关性。我们观察到PHQ-9、SF-12 MCS和VR-12 MCS在腰椎间盘切除术后均显著改善，PHQ-9评分与这些先前建立的测量结果密切相关。我们的结果证实了其他外科领域的证据，即PHQ-9评分是评估术前和术后抑郁症状的有效工具。
The Patient Health Questionnaire-9 (PHQ-9) is a screening tool for evaluating depressive symptoms. Research is scarce regarding the validity and correlation of PHQ-9 scores with other patient-reported outcomes of mental health after minimally invasive lumbar discectomy (MIS LD). We aim to validate PHQ-9 as a metric for assessing mental health in MIS LD patients. A database was retrospectively reviewed for patients who underwent elective, single-level MIS LD. Patients were excluded if they had incomplete preoperative PHQ-9, 12-item Short Form Health Survey (SF-12), or Veterans RAND 12-item health survey (VR-12). Survey scores were collected preoperatively and postoperatively through 1 year. Mean scores were used to calculate postoperative improvement from preoperative scores. Correlation of PHQ-9 with SF-12 mental composite score (MCS) and VR-12 MCS scores was also calculated. Correlation strength was assessed by the following categories: 0.1 ≤ |r| < 0.3 = low; 0.3 ≤ |r| < 0.5 = moderate; |r| ≥ 0.5 = strong. A total of 239 patients underwent single-level MIS LD. PHQ-9, VR-12 MCS, and SF-12 MCS all demonstrated statistically significant increases from preoperative scores at all postoperative timepoints (p ≤ 0.001). SF-12 MCS and VR-12 MCS were each observed to have strong and significant correlations with PHQ-9 at all timepoints when evaluated with both Pearson correlation coefficients and partial correlation coefficients. We observed that PHQ-9, SF-12 MCS and VR-12 MCS all significantly improve following lumbar discectomy and that PHQ-9 scores strongly correlated with these previously established measures. Our results substantiate evidence from other surgical fields that PHQ-9 scores are a valid tool to evaluate pre- and postsurgical depressive symptoms.