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Titre : | Clinical Utility of the Patient Health Questionnaire-9 in the Assessment of Major Depression After Broad-Spectrum Traumatic Brain Injury (2017) |
Auteurs : | Jacobus Donders ; Adriene Pendery |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/12, 2017) |
Article en page(s) : | p. 2514-2519 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dépression ; Rééducation et réadaptation ; Sensibilité et spécificité |
Mots-clés: | Brain Injuries ; Lésions encéphaliques ; Sensitivity and Specificity |
Résumé : |
Objective To determine the predictive validity of the Patient Health Questionnaire-9 (PHQ-9) when screening for symptoms of depression after traumatic brain injury. Design Retrospective analysis of data collected as part of routine clinical outpatient care over a period of 30 months. Setting Regional rehabilitation facility. Participants Persons (N=137) with mild to severe traumatic brain injury who were referred for neuropsychological evaluation within 1 to 12 months. Interventions Not applicable. Main Outcome Measures PHQ-9 and Minnesota Multiphasic Personality Inventory-2-Restructured Form. Results PHQ-9 scores ≥10 had a sensitivity of 91.7 and a specificity of 60.2 for predicting a diagnosis of major depression. Correlations between scores of PHQ-9 and Minnesota Multiphasic Personality Inventory-2-Restructured Form Demoralization (.64) and Low Positive Emotions (.48) scales ranged from large to medium. Premorbid outpatient psychiatric treatment was the most consistent predictor of PHQ-9 elevations as well as final diagnoses of major depression. Conclusions The PHQ-9 has adequate clinical utility as a screening instrument for depression in outpatients with traumatic brain injury. Elevations on this instrument cannot, however, be automatically attributed to neuropathology, especially not in the context of premorbid psychiatric dysfunction. Clinicians should conduct more thorough follow-up assessment in those with highly elevated PHQ-9 scores. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317304100 |