Standardization of the depression screener Patient Health Questionnaire (PHQ-9) in the general population
Standardization of the depression screener Patient Health Questionnaire (PHQ-9) in the general population
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DOI：
10.1016/j.genhosppsych.2013.04.006
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发表时间：
2013-09-01
影响因子：
7
通讯作者：
Braehler, Elmar
中科院分区：
文献类型：
--
作者：
Kocalevent, Rueya-Daniela;Hinz, Andreas;Braehler, Elmar
背景：《患者健康调查问卷》(PHQ-9)中的九项抑郁模块在不同的医疗保健和社区环境中被广泛用作抑郁症的开放访问筛查工具；到目前为止，来自普通人群的规范数据仍然很少。本研究的目的是产生标准化数据，并进一步调查PHQ-9在一般人群中的结构效度和因素结构。方法：2003-2008年间，在德国进行了具有全国代表性的面对面家庭调查(n=5018)。调查问卷包括PHQ-9、生活满意度量表、用于测量健康相关生活质量和人口学特征的12个条目的简明健康调查问卷(SF-12)。结果：生成了PHQ-9的标准数据，包括性别(53.6%女性)和不同年龄水平[平均年龄(S.D.)]。48.9(18.1)年]。女性的平均数(S.D.)显著高于女性。男性得分[3.1分(3.5分)比2.7分(3.5分)]。中度到重度抑郁症状的患病率为5.6%。与抑郁的相关性最高的是SF-12的心理成分量表，其次是健康相关生活质量的身体成分量表和生活满意度。结果支持抑郁症的单因素模型。结论：标准化数据为抑郁症的解释和与其他人群的比较提供了一个框架。有证据支持一维PHQ-9作为一般人群中抑郁症的测量标准的可靠性和有效性。(C)2013 Elsevier Inc.保留所有权利。
Background: The nine-item depression module from the Patient Health Questionnaire (PHQ-9) is widely used as an open access screening instrument for depression in different health care and community settings; thus far, normative data from the general population are still scarce. The objectives of the study were to generate normative data and to further investigate the construct validity and factor structure of the PHQ-9 in the general population.Methods: Nationally representative face-to face household surveys were conducted in Germany between 2003 and 2008 (n=5018). The survey questionnaires included the PHQ-9, the Satisfaction with Life Scale, the 12-item Short Form Health Survey (SF-12) for the measurement of health-related quality of life and demographic characteristics.Results: Normative data for the PHQ-9 were generated for both genders (53.6% female) and different age levels [mean age (S. D.) of 48.9 (18.1) years]. Women had significantly higher mean (S. D.) scores compared with men [3.1 (3.5) vs. 2.7 (3.5)]. A prevalence rate of moderate to high severity of depressive symptoms of 5.6% was identified. Intercorrelations with depression were highest for the Mental Component Scale of the SF-12, followed by the Physical Component Scale of health-related quality of life, and life satisfaction. Results supported a one-factor model of depression.Conclusions: The normative data provide a framework for the interpretation and comparisons of depression with other populations. Evidence supports reliability and validity of the unidimensional PHQ-9 as a measure of depression in the general population. (C) 2013 Elsevier Inc. All rights reserved.