RESUMO
BACKGROUND: The Patient Health Questionnaire-9 (PHQ-9) is a brief tool to assess the presence and severity of depressive symptoms. This study aimed to validate and calibrate the PHQ-9 to determine appropriate cut-off points for different degrees of severity of depression in Argentina. METHODS: We conducted a cross-sectional study on an intentional sample of adult ambulatory care patients with different degrees of severity of depression. All patients who completed the PHQ-9 were further interviewed by a trained clinician with the Mini International Neuropsychiatric Interview (MINI) and the Beck Depression Inventory-II (BDI-II). Reliability and validity tests, including receiver operating curve analysis, were performed. RESULTS: One hundred sixty-nine patients were recruited with a mean age of 47.4 years (SD = 14.8), of whom 102 were females (60.4%). The local PHQ-9 had high internal consistency (Cronbach's alpha = 0.87) and satisfactory convergent validity with the BDI-II scale [Pearson's correlation = 0.88 (p < 0.01)]. For the diagnosis of Major Depressive Episode (MDE) according to the MINI, a PHQ-9 ≥ 8 was the optimal cut-off point found (sensitivity 88.2%, specificity 86.6%, PPV 90.91%). The local version of PHQ-9 showed good ability to discriminate among depression severity categories according to the BDI-II scale. The best cut off points were 6-8 for mild cases, 9-14 for moderate and 15 or more for severe depressive symptoms respectively. CONCLUSIONS: The Argentine version of the PHQ-9 questionnaire has shown acceptable validity and reliability for both screening and severity assessment of depressive symptoms.
Assuntos
Transtorno Depressivo/diagnóstico , Questionário de Saúde do Paciente/normas , Adulto , Argentina , Estudos Transversais , Transtorno Depressivo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Questionário de Saúde do Paciente/estatística & dados numéricos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Índice de Gravidade de DoençaRESUMO
Introducción: los Cuidados Centrados en la Persona (CCP) secaracterizan por cuatro dimensiones: alianza terapéutica, el paciente como persona, el médico como persona, y el enfoque biopsicosocial. Los objetivos de este estudio fueron determinar y analizar el nivel de Preferencia por los Cuidados Centrados en la Persona (PCCP) encentros de salud de dos países de Sudamérica. Materiales y métodos:Se realizaron encuestas en siete centros de salud de Argentina yBolivia, utilizando el cuestionario ECP1. Resultados: Se analizaron 844cuestionarios, en los que se observó un porcentaje general de PCCPde 70%. Conclusiones: Los CCP demostraron tener una importantepreferencia en los siete centros de salud evaluados en los dos países de Sudamérica.
Background: person-Centered Care (PCC) is characterized by fourdimensions: the therapeutic alliance, the patient as a person, thephysician as a person, and the biopsychosocial approach. The objectivesof this study were to determine and analyze the level of Preferencefor Person-Centered Care (PPCC) in healthcare centers of two SouthAmerican countries. Materials and methods: Surveys were conductedin seven healthcare centers in Argentina and Bolivia, using the ECP1questionnaire. Results: 844 questionnaires were analyzed, in whichan overall percentage of 70% PPCC care was observed. Conclusions:PCC showed to have an important preference in the healthcare centersevaluated.