Measuring depression severity in general practice: Discriminatory performance of the PHQ-9, HADS-D, and BDI-II

British Journal of General Practice

Volumn 61, Issue 588, 2011, Pages

  Cameron, Isobel M ^a   Cardy, Amanda ^a   Crawford, John R ^a   Du Toit, Schalk W ^b   Hay, Steven ^b   Lawton, Kenneth ^a   Mitchell, Kenneth ^b   Sharma, Sumit ^b   Shivaprasad, Shilpa ^b   Winning, Sally ^b   Reid, Ian C ^a  

^a UNIVERSITY OF ABERDEEN   (United Kingdom)

^b ROYAL CORNHILL HOSPITAL   (United Kingdom)

Author keywords

Depression; Primary care; Sensitivity; Severity; Specificity

Indexed keywords

ADULT; AREA UNDER THE CURVE; ARTICLE; CONTROLLED STUDY; DEPRESSION; DISEASE SEVERITY; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONER; HUMAN; MAJOR CLINICAL STUDY; SENSITIVITY AND SPECIFICITY;

ADULT; DEPRESSIVE DISORDER; FEMALE; GENERAL PRACTICE; HUMANS; MALE; MIDDLE AGED; OBSERVER VARIATION; PSYCHIATRIC STATUS RATING SCALES; PSYCHOMETRICS; QUESTIONNAIRES; ROC CURVE; SCOTLAND; SENSITIVITY AND SPECIFICITY;

EID: 83355172558     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp11X583209     Document Type: Article

References (35)

1. NHS Employers and the General Practitioners' Committee. Quality and Outcome Frameworks: guidance for GMS contract 2009/10. 2009: 1-162.
2. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 2001; 16(9): 606-613. (Pubitemid 32823891)
3. Zigmond AS, Snaith P. The Hospital Anxiety and Depression Scale (HAD). Acta Psychiatrica Scandinavica 1983; 67(6): 361-370. (Pubitemid 13098606)
4. Beck AT, Steer RA, Ball R, Ranieri WF. Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. J Pers Assess 1996; 67(3): 588-597. (Pubitemid 26382973)
5. NICE.Depression: the treatment and management in adults (update). London: NHS National Institute for Clinical Excellence, 2009; CG90: 1-585.
6. Kendrick T, King F, Albertella L, Smith P. GP treatment decisions for patients with depression. Br J Gen Pract 2005; 55(513): 280-286.
7. Anderson IM, Baldwin RC, Cowen PJ, et al. Evidence-based guidelines for treating depressive disorders with antidepressants: a revision of the 2000 British Association for Psychopharmacology guidelines. J Psychopharmacol 2008; 22(4): 343-396. (Pubitemid 351989984)
8. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23: 56-62.
9. Cameron IM, Crawford JR, Lawton K, Reid IC. Psychometric comparison of the PHQ-9 and HADS for measuring depression severity in primary care. Br J Gen Pract 2008; 58(546): 32-36.
10. Hansson M, Chotai J, Nordstom A, Bodlund O. Comparison of two self-rating scales to detect depression: HADS and PHQ-9. Br J Gen Pract 2009; 59(566): e283-288.
11. Reddy P, Dunbar J, Ford D, Philpot B. Identification of depression in diabetes: the utility of the PHQ-9 and HADS-D. Br J Gen Pract 2010; 60(575): 239-245.
12. Kendrick T, Dowrick C, McBride A, et al. Management of depression in UK general practice in relation to scores on depression severity questionnaires: analysis of medical record data. BMJ 2009; 338: b750.
13. Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med 2007; 22(11): 1596-1602. (Pubitemid 47568684)
14. Wittkampf KA, Naeije L, Schene AH, et al. Diagnostic accuracy of the mood module of the Patient Health Questionnaire: a systematic review. Gen Hosp Psychiatry 2007; 29(5): 388-395. (Pubitemid 47410307)
15. Kroenke K, Spitzer RL, Williams JBW, Lowe B. The Patient Health Questionnaire Somatic, Anxiety, and Depressive Scales: a systematic review. Gen Hosp Psychiatry 2010; 32(4): 345-359.
16. Lowe B, Spitzer RL, Kerstin G, et al. Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians' diagnoses. J Affect Disord 2004; 78(2): 131-140. (Pubitemid 38045472)
17. Spitzer RL, Williams JBW, Gibbon M, First MB. User's guide for the Structured Clinical Interview for DSM-III-R. Washington DC, US: American Psychiatric Press, 1990.
18. Beck AT, Steer RA, Brown GK. Manual for Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation, 1996.
19. Herrmann C. International experiences with the Hospital Anxiety and Depression Scale -A review of validation data and clinical results. J Psychosom Res 1997; 42(1): 17-41. (Pubitemid 27095712)
20. Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale: an updated literature review. J Psychosom Res 2002; 52(2): 69-77. (Pubitemid 34192886)
21. Crawford JR, Henry JD, Crombie C, Taylor EP. Normative data for the HADS from a large non-clinical sample. Br J Clin Psychol 2001; 40(Pt 4): 429-434. (Pubitemid 33080898)
22. American Psychiatric Association Task Force for the Handbook of Psychiatric Measures editor. Handbook of psychiatric measures. Washington DC, US: American Psychiatric Association, 2000.
23. NICE. Depression with a chronic physical health problem. NHS National Institute for Clinical Excellence, 2009; CG91.
24. Potts MK, Daniels M, Burnam MA, Wells KB. A structured interview version of the Hamilton Depression Rating Scale: evidence of reliability and versatility of administration. J Psychiat Res 1990; 24(4): 335-350.
25. Murphy JM, Berwick DM, Weinstein MC, et al. Performance of screening and diagnostic tests. Application of receiver operating characteristic analysis. Arch Gen Psychiatry 1987; 44(6): 550-555. (Pubitemid 17082096)
26. Harper R, Reeves B. Reporting of precision of estimates for diagnostic accuracy: a review. BMJ 1999; 318(7194): 1322-1323. (Pubitemid 29219045)
27. Deeks JJ, Altman DG. Diagnostic tests 4: likelihood ratios.BMJ 2004; 329(7458): 168-169.
28. Altman DG, Machin D, Bryant TN, Gardner MJ. Statistics with confidence. 2nd edn. London: BMJ Books; 2000.
29. Kirsch I, Deacon BJ, Huedo-Medina TB, et al. Initial severity and antidepressant benefits: a meta-analysis of data submitted to the Food and Drug Administration. PLoS Med 2008; 5(2): e45.
30. Fournier JC, DeRubeis RJ, Hollon SD, et al. Antidepressant drug effects and depression severity: a patient-level meta-analysis. JAMA 2010; 303(1): 47-53.
31. NHS National Services Scotland. General Practice - Practice Team Information (PTI.) http://www.isdscotland.org/isd/3711.html (accessed 1 Jun 2011).
32. Wittkampf K, van Ravesteijn H, Baas K, et al. The accuracy of Patient Health Questionnaire-9 in detecting depression and measuring depression severity in high-risk groups in primary care. Gen Hosp Psychiatry 2009; 31(5): 451-459.
33. Leydon GM, Dowrick CF, McBride AS, et al. Questionnaire severity measures for depression: a threat to the doctor-patient relationship? Br J Gen Pract 2011; 61(583): 117-123.
34. Mitchell C, Dwyer R, Hagan T, Mathers N. Impact of the QOF and the NICE guideline in the diagnosis and management of depression: a qualitative study. Br J Gen Pract 2011; 61(586): 279-289.
35. Dowrick C, Leydon GM, McBride A,et al. Patients' and doctors' views on depression severity questionnaires incentivised in UK quality and outcomes framework: qualitative study.BMJ 2009; 338: b663.