Peters Lila, Peters Aimee, Andreopoulos Evie, Pollock Naomi, Pande Reena L, Mochari-Greenberger Heidi
AbleTo Clinical Research, New York, NY, United States.
Heliyon. 2021 Mar 18;7(3):e06473. doi: 10.1016/j.heliyon.2021.e06473. eCollection 2021 Mar.
Validated depression and anxiety symptom screeners are commonly used in clinical settings. How results from different brief depression and anxiety symptom assessment tools compare to each other is not well established, especially in real world healthcare settings. This study aimed to compare the Depression Anxiety Stress Scales 21 Depression scale (DASS-Depression) and Anxiety (DASS-Anxiety) scale to the Patient Health Questionnaire 8 (PHQ-8) and Generalized Anxiety Disorder 7 (GAD-7) respectively, in a real-world virtual behavioral healthcare setting.
This was a retrospective comparison study of clinical data from a population of adults who completed a consultation via telephone or secure video with a licensed therapist as part of a standardized, evidence-based, virtual behavioral therapy program for individuals with comorbid medical and behavioral health conditions. The joint distributions and correlations between scores yielded by each depression and anxiety scale were assessed using descriptive and Spearman correlation statistics.
The DASS-Depression and PHQ-8 were highly correlated (r = .71; p=<.001); the DASS-Anxiety and GAD-7 correlation was also high (r = .61; p=<.001). The PHQ-8 categorized more individuals as having above-threshold depression scores versus the DASS-Depression (71.5% vs. 43.5%; p < .001). The GAD-7 categorized more individuals as having above-threshold anxiety scores versus the DASS-Anxiety (59.0% vs. 45.0%; p < .001).
This study compared results yielded by validated screeners, precluding conclusions related to the validity of screener results.
The DASS-Depression and PHQ-8 and the DASS-Anxiety and GAD-7 similarly ranked symptom severity. The PHQ-8 and GAD-7 were more likely than the DASS-21 Depression or Anxiety scales to classify individuals as having above-threshold symptom severity.
经过验证的抑郁和焦虑症状筛查工具在临床环境中普遍使用。不同的简短抑郁和焦虑症状评估工具的结果如何相互比较尚未明确，尤其是在现实世界的医疗环境中。本研究旨在比较在现实世界的虚拟行为医疗环境中，抑郁焦虑压力量表21抑郁量表（DASS - 抑郁）和焦虑量表（DASS - 焦虑）分别与患者健康问卷8（PHQ - 8）和广泛性焦虑障碍7（GAD - 7）的情况。
这是一项回顾性比较研究，研究对象为成年人群的临床数据，这些成年人通过电话或安全视频与持牌治疗师完成了一次咨询，该咨询是针对患有合并医疗和行为健康状况的个体的标准化、循证虚拟行为治疗项目的一部分。使用描述性和Spearman相关性统计评估每个抑郁和焦虑量表得分之间的联合分布和相关性。
DASS - 抑郁和PHQ - 8高度相关（r = 0.71；p < 0.001）；DASS - 焦虑和GAD - 7的相关性也很高（r = ０.61；p < 0.001）。与DASS - 抑郁相比，PHQ - 8将更多个体归类为抑郁得分高于阈值（71.5%对43.5%；p < 0.001）。与DASS - 焦虑相比，GAD - 7将更多个体归类为焦虑得分高于阈值（59.0%对45.0%；p < 0.001）。
本研究比较了经过验证的筛查工具产生的结果，排除了与筛查结果有效性相关的结论。
DASS - 抑郁和PHQ - 8以及DASS - 焦虑和GAD - 7在症状严重程度排名上相似。与DASS - 21抑郁或焦虑量表相比，PHQ - 8和GAD - 7更有可能将个体归类为症状严重程度高于阈值。
