Jacobus Donders1, Kara Darland2. 1. a Psychology Service , Mary Free Bed Rehabilitation Hospital , Grand Rapids , MI , USA. 2. b Calvin College , Grand Rapids , MI , USA.
Abstract
PRIMARY OBJECTIVE: To determine the predictive accuracy of the Patient Health Questionnaire (PHQ)-2 in predicting PHQ-9 findings and to examine demographic, historical, and injury correlates of PHQ-9 ratings. RESEARCH DESIGN: Retrospective analysis of data collected as part of routine clinical outpatient care over a period of 30 months on 168 persons with mild to severe traumatic brain injury, who were referred for neuropsychological evaluation within 1-12 months after injury. MAIN OUTCOMES AND RESULTS: PHQ-2 scores ≥2 had a sensitivity of 0.90 in predicting PHQ-9 scores ≥10, and a sensitivity of 0.95 in predicting endorsement of any passive or active suicidal thoughts on the PHQ-9. Premorbid history of having experienced personal abuse was the strongest predictor of post-injury PHQ-9 ratings. CONCLUSIONS: The PHQ-2 has adequate sensitivity in predicting PHQ-9 findings and can be used as a screener in clinical practice in persons with traumatic brain injury, as long as formal psychometric assessment is supplemented with a comprehensive review of premorbid history.
PRIMARY OBJECTIVE: To determine the predictive accuracy of the Patient Health Questionnaire (PHQ)-2 in predicting PHQ-9 findings and to examine demographic, historical, and injury correlates of PHQ-9 ratings. RESEARCH DESIGN: Retrospective analysis of data collected as part of routine clinical outpatient care over a period of 30 months on 168 persons with mild to severe traumatic brain injury, who were referred for neuropsychological evaluation within 1-12 months after injury. MAIN OUTCOMES AND RESULTS: PHQ-2 scores ≥2 had a sensitivity of 0.90 in predicting PHQ-9 scores ≥10, and a sensitivity of 0.95 in predicting endorsement of any passive or active suicidal thoughts on the PHQ-9. Premorbid history of having experienced personal abuse was the strongest predictor of post-injury PHQ-9 ratings. CONCLUSIONS: The PHQ-2 has adequate sensitivity in predicting PHQ-9 findings and can be used as a screener in clinical practice in persons with traumatic brain injury, as long as formal psychometric assessment is supplemented with a comprehensive review of premorbid history.
Authors: Nicole von Steinbuechel; Katrin Rauen; Fabian Bockhop; Amra Covic; Ugne Krenz; Anne Marie Plass; Katrin Cunitz; Suzanne Polinder; Lindsay Wilson; Ewout W Steyerberg; Andrew I R Maas; David Menon; Yi-Jhen Wu; Marina Zeldovich Journal: J Clin Med Date: 2021-05-28 Impact factor: 4.241
Authors: Jasmine L Wong; Fernando Martinez; Andrea P Aguila; Amrita Pal; Ravi S Aysola; Luke A Henderson; Paul M Macey Journal: Sci Rep Date: 2021-06-16 Impact factor: 4.379