Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetric-gynecologic patients: the PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study.

By R. Spitzer, Janet B W Williams, K. Kroenke, Ray Hornyak, J. Mcmurray. American Journal of Obstetrics and Gynecology, 2000

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OBJECTIVE This study was undertaken to determine the prevalence of mental disorders among obstetric-gynecologic patients and to assess the validity and utility of the PRIME-MD Patient Health Questionnaire (PHQ) in this population. STUDY DESIGN A total of 3000 patients were assessed by 63 clinicians at seven obstetrics-gynecology outpatient care sites. The main outcome measures were PRIME-MD PHQ diagnoses, psychosocial stressors, independent diagnoses made by mental health professionals, functional status measures, disability days, health care use, and treatment or referral decisions. RESULTS Current mental disorders were fairly prevalent, present in 1 in 5 obstetric-gynecologic patients. Patients with PRIME-MD PHQ diagnoses had more functional impairment, disability days, health care use, and psychosocial stressors than did patients without PRIME-MD PHQ diagnoses (P <.005 for all measures). Although most clinicians judged the PRIME-MD PHQ to be useful in management decisions, the questionnaire diagnosis of mental disorder rarely led to therapeutic intervention. CONCLUSION The PRIME-MD PHQ is a useful instrument for the assessment of mental disorders, functional impairment, and recent psychosocial stressors in the busy obstetrics-gynecology setting.

Subfields: Clinical Psychology, Public Health, Environmental and Occupational Health, Social Psychology

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Citations in the corpus

Stigma about Depression and its Impact on Help-Seeking Intentions (2006, background): “Disorders Patient Health Questionnaire) [15], which asks about the experienced frequency of symptoms matching the DSM-IV criteria”
The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. (2010, methodology): “Participants in the obstetrics-gynecology study had a mean age of 31; 100% were women, 15% were African-American and 39% were Hispanic [6].”
Measures of depression and depressive symptoms: Beck Depression Inventory‐II (BDI‐II), Center for Epidemiologic Studies Depression Scale (CES‐D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS), and Patient Health Questionnaire‐9 (PHQ‐9) (2011, methodology): “The PHQ was validated using 3,000 primary care patients in 8 different clinics and 3,000 obstetrics/ gynecology patients in 7 different clinics (51,52).”
Using the patient health questionnaire-9 to measure depression among racially and ethnically diverse primary care patients (2006, methodology): “The process of subject selection, administration of instruments, and data collection of the PHQ Primary Care and Obstetrics/Gynecology Studies are explained in detail in prior publications.(7,8) Briefly, from May 1997 to November 1998, 3,000 primary care patients (1,422 from 5 general internal medic”
The prevalence, impairment, impact, and burden of premenstrual dysphoric disorder (PMS/PMDD). (2003, background): “, 2001) and 19% (Spitzer et al., 2000; Wittchen et al., 2002).”
Alcohol Use and Alcohol-Related Problems Before and After Military Combat Deployment (2008, methodology): “Other anxiety (6 items) and panic (15 items) symptoms were assessed with the Patient Health Questionnaire instrument.(24-26) Selfreported depression symptoms (9 items) were assessed with the Patient Health Questionnaire instrument (sensitivity=0.”
Efficacy of estradiol for the treatment of depressive disorders in perimenopausal women: a double-blind, randomized, placebo-controlled trial. (2001, result): “The recruitment of subjects with depression who primarily sought treatment for physical symptoms in a gynecological outpatient clinic appears to be appropriate and consistent with previous reports showing that depressive disorders are frequently encountered in medical care settings.(40,41) In additi”
Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. (2006, background): “Aspects of convergent validity of the PHQ have also been reported in previous studies conducted in medical settings, showing strong associations between PHQ psychiatric diagnosis and functional impairment as well as disability days [8,11].”
Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians' diagnoses. (2004, methodology): “Since then, the PHQ has been used for the diagnosis and follow-up of psychiatric disorders in multiple studies (O’Malley et al., 2000; Spitzer et al., 2000; Johnson et al., 2001; Kroenke et al., 2001a).”