PHQ-9（马来语版）在马来西亚一家初级保健诊所中的效标效度。

Criterion validity of the PHQ-9 (Malay version) in a primary care clinic in Malaysia.

作者信息

Sherina M S, Arroll B, Goodyear-Smith F

机构信息

Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

出版信息

Med J Malaysia. 2012 Jun;67(3):309-15.

PMID:23082424

Abstract

OBJECTIVE

This study was conducted to determine the validity of the 9-item Patient Health Questionnaire (PHQ-9) (Malay version) as a case-finding instrument for depression among women in a primary care clinic.

METHODS

A cross sectional study was conducted in a primary care clinic in Malaysia. Consecutive adult women patients who attended the clinic during data collection were given self-administered questionnaires, which included the PHQ-9 (Malay version). Systematic weighted random sampling was used to select participants for Composite International Diagnostic Interviews (CIDI). The PHQ-9 was validated against the CIDI reference standard.

RESULTS

The response rate was 87.5% for the questionnaire completion (895/1023), and 96.8% for the CIDI interviews (151/156). The prevalence of depression was 12.1% (based on PHQ-9 scores of 10 and above). The PHQ-9 had a sensitivity of 87% (95% confidence interval 71% to 95%), a specificity of 82% (74% to 88%), positive LR 4.8 (3.2 to 7.2) and negative LR 0.16 (0.06 to 0.40).

CONCLUSIONS

The Malay version of the PHQ-9 was found to be a valid and reliable case-finding instrument for depression in this study. Together with its brevity, it is a suitable case-finding instrument to be used in Malaysian primary care clinics.

摘要

目的

本研究旨在确定9项患者健康问卷（PHQ - 9）（马来语版本）作为基层医疗诊所女性抑郁症筛查工具的有效性。

方法

在马来西亚的一家基层医疗诊所进行了一项横断面研究。在数据收集期间到诊所就诊的成年女性患者连续接受了包括PHQ - 9（马来语版本）在内的自填式问卷。采用系统加权随机抽样法选择参与者进行综合国际诊断访谈（CIDI）。以CIDI作为参考标准对PHQ - 9进行验证。

结果

问卷完成率为87.5%（895/1023），CIDI访谈率为96.8%（151/156）。抑郁症患病率为12.1%（基于PHQ - 9得分10分及以上）。PHQ - 9的灵敏度为87%（95%置信区间71%至95%），特异度为82%（74%至88%），阳性似然比为4.8（3.2至7.2），阴性似然比为0.16（0.06至0.40）。