Literature DB >> 19453391

How bad is depression? Preference score estimates from depressed patients and the general population.

Jeffrey M Pyne1, John C Fortney, Shanti Tripathi, David Feeny, Peter Ubel, John Brazier.   

Abstract

OBJECTIVE: To compare depression health state preference scores across four groups: (1) general population, (2) previous history of depression but not currently depressed, (3) less severe current depression, and (4) more severe current depression. DATA SOURCES: Primary data were collected from 95 general population, 163 primary care, and 83 specialty mental health subjects. STUDY
DESIGN: Stratified sampling frames were used to recruit general population and patient subjects. Subjects completed cross-sectional surveys. Key variables included rating scale and standard gamble scores assigned to depression health state descriptions developed from the Patient Health Questionnaire-9 (PHQ-9) and SF-12. DATA COLLECTION/EXTRACTION
METHODS: Each subject completed an in-person interview. Forty-nine subjects completed test/retest reliability interviews. PRINCIPAL
FINDINGS: Depressed patient preference scores for three of six SF-12 depression health states were significantly lower than the general population using the rating scale and two of six were significantly lower using standard gamble. Depressed patient scores for five of six PHQ-9 depression health states were significantly lower than the general population using the rating scale and two of six were significantly lower using standard gamble.
CONCLUSIONS: Depressed patients report lower preference scores for depression health states than the general population. In effect, they perceived depression to be worse than the general public perceived it to be. Additional research is needed to examine the implications for cost-effectiveness ratios using general population preference scores versus depressed patient preference scores.

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Year:  2009        PMID: 19453391      PMCID: PMC2739035          DOI: 10.1111/j.1475-6773.2009.00974.x

Source DB:  PubMed          Journal:  Health Serv Res        ISSN: 0017-9124            Impact factor:   3.402


  45 in total

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3.  Methodology for measuring health-state preferences--II: Scaling methods.

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  23 in total

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7.  Depression increases subjective stigma of chronic pain.

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