用于筛查冠心病患者抑郁状况的乌尔都语版患者健康问卷-9（PHQ-9）的敏感性和特异性。
Sensitivity and specificity of Urdu version of the PHQ-9 to screen depression in patients with coronary artery disease.
作者信息
Gholizadeh Leila, Ali Khan Shahzad, Vahedi Farnoosh, Davidson Patricia M
机构信息
a Faculty of Health , University of Technology , 15 Broadway, Ultimo, Sydney2007 , NSW , Australia.
b Health Services Academy , Islamabad , Pakistan.
出版信息
Contemp Nurse. 2017 Feb;53(1):75-81. doi: 10.1080/10376178.2017.1283245. Epub 2017 Feb 15.
BACKGROUND
The Patient Health Questionnaire (PHQ-9) possesses many characteristics of a good screening tool and has the capacity to be used for screening depression in patients with coronary artery disease (CAD).
AIM
To examine the psychometric properties and criterion validity of the PHQ-9 to screen and detect depression in patients with CAD in Pakistan.
DESIGN
In this validation study, 150 patients with CAD completed the Urdu version of the PHQ-9. The major depressive episode module of the Mini International Neuropsychiatric Interview (MINI) was used as the gold standard.
RESULTS
The Urdu version of the PHQ-9 revealed a good internal consistency with Cronbach's alpha of 0.83. Optimal sensitivity (76%) and specificity (76%) were achieved using the cut-off score of PHQ-9 ≥6, with area under the ROC curve of 0.86.
CONCLUSION
The Urdu version of the PHQ-9 has acceptable psychometric properties to screen and detect major depression in patients with CAD.
背景
患者健康问卷（PHQ-9）具备良好筛查工具的诸多特性，有能力用于筛查冠状动脉疾病（CAD）患者的抑郁症。
目的
检验PHQ-9在巴基斯坦CAD患者中筛查和检测抑郁症的心理测量特性及标准效度。
设计
在这项效度研究中，150例CAD患者完成了乌尔都语版的PHQ-9。采用迷你国际神经精神访谈（MINI）的重度抑郁发作模块作为金标准。
结果
乌尔都语版的PHQ-9显示出良好的内部一致性，Cronbach's α系数为0.83。使用PHQ-9≥6的截断分数时，获得了最佳敏感性（76%）和特异性（76%），ROC曲线下面积为0.86。
结论
乌尔都语版的PHQ-9具有可接受的心理测量特性，可用于筛查和检测CAD患者的重度抑郁症。
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