Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.

Objective: To determine the diagnostic accuracy of the two questions with help question (TQWHQ) in the Malay language. The two questions are case-finding questions on depression, and a question on whether help is needed was added to increase the specificity of the two questions. Method: This cross s...

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Main Authors: Mohd Sidik, Sherina, Arroll, Bruce, Goodyear-Smith, Felicity, Md. Zain, Azhar
Format: Article
Language:English
English
Published: Baywood Publishing 2011
Online Access:http://psasir.upm.edu.my/id/eprint/24405/1/Screening%20for%20depression%20with%20a%20brief%20questionnaire%20in%20a%20primary%20care%20setting.pdf
id oai:psasir.upm.edu.my:24405
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spelling oai:psasir.upm.edu.my:24405 http://psasir.upm.edu.my/id/eprint/24405/ Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question. Mohd Sidik, Sherina Arroll, Bruce Goodyear-Smith, Felicity Md. Zain, Azhar Objective: To determine the diagnostic accuracy of the two questions with help question (TQWHQ) in the Malay language. The two questions are case-finding questions on depression, and a question on whether help is needed was added to increase the specificity of the two questions. Method: This cross sectional validation study was conducted in a government funded primary care clinic in Malaysia. The participants included 146 consecutive women patients receiving no psychotropic drugs and who were Malay speakers. The main outcome measures were sensitivity, specificity, and likelihood ratios of the two questions, the help question, and combination of the two questions and help question. Results: The two questions showed a sensitivity of 99% (95% confidence interval 88% to 99.9%) and a specificity of 70% (62% to 78%), respectively. The likelihood ratio for a positive test was 3.3 (2.5 to 4.5) and the likelihood ratio for a negative test was 0.01 (0.00 to 0.57). The addition of the help question to the two questions increased the specificity to 95% (89% to 98%). Conclusion: The two questions on depression detected most cases of depression in this study. The questions have the advantage of brevity. The addition of the help question increased the specificity of the two questions. Based on these findings, the TQWHQ can be strongly recommended for detection of depression in government primary care clinics in Malaysia. Translation did not appear to affect the validity of the TQWHQ. Baywood Publishing 2011-01-01 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/24405/1/Screening%20for%20depression%20with%20a%20brief%20questionnaire%20in%20a%20primary%20care%20setting.pdf Mohd Sidik, Sherina and Arroll, Bruce and Goodyear-Smith, Felicity and Md. Zain, Azhar (2011) Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question. International Journal of Psychiatry in Medicine, 41 (2). pp. 143-154. ISSN 0091-2174; ESSN: 1541-3527 English
institution UPM IR
collection UPM IR
language English
English
description Objective: To determine the diagnostic accuracy of the two questions with help question (TQWHQ) in the Malay language. The two questions are case-finding questions on depression, and a question on whether help is needed was added to increase the specificity of the two questions. Method: This cross sectional validation study was conducted in a government funded primary care clinic in Malaysia. The participants included 146 consecutive women patients receiving no psychotropic drugs and who were Malay speakers. The main outcome measures were sensitivity, specificity, and likelihood ratios of the two questions, the help question, and combination of the two questions and help question. Results: The two questions showed a sensitivity of 99% (95% confidence interval 88% to 99.9%) and a specificity of 70% (62% to 78%), respectively. The likelihood ratio for a positive test was 3.3 (2.5 to 4.5) and the likelihood ratio for a negative test was 0.01 (0.00 to 0.57). The addition of the help question to the two questions increased the specificity to 95% (89% to 98%). Conclusion: The two questions on depression detected most cases of depression in this study. The questions have the advantage of brevity. The addition of the help question increased the specificity of the two questions. Based on these findings, the TQWHQ can be strongly recommended for detection of depression in government primary care clinics in Malaysia. Translation did not appear to affect the validity of the TQWHQ.
format Article
author Mohd Sidik, Sherina
Arroll, Bruce
Goodyear-Smith, Felicity
Md. Zain, Azhar
spellingShingle Mohd Sidik, Sherina
Arroll, Bruce
Goodyear-Smith, Felicity
Md. Zain, Azhar
Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.
author_facet Mohd Sidik, Sherina
Arroll, Bruce
Goodyear-Smith, Felicity
Md. Zain, Azhar
author_sort Mohd Sidik, Sherina
title Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.
title_short Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.
title_full Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.
title_fullStr Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.
title_full_unstemmed Screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.
title_sort screening for depression with a brief questionnaire in a primary care setting : validation of the two questions with help question.
publisher Baywood Publishing
publishDate 2011
url http://psasir.upm.edu.my/id/eprint/24405/1/Screening%20for%20depression%20with%20a%20brief%20questionnaire%20in%20a%20primary%20care%20setting.pdf
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score 12.833586