Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus
Nicoleta Lupascu,1 Bogdan Timar,2,3 Alin Albai,1,3 Deiana Roman,1 Ovidiu Potre,4,5 Romulus Timar1,31Second Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 2Department of Functional Sciences, “Victor Babes&rdqu...
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oai:doaj.org-article:6b080d866acf4312a123fc0846e90f9f2021-12-02T06:51:53ZValidation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus1178-7007https://doaj.org/article/6b080d866acf4312a123fc0846e90f9f2019-05-01T00:00:00Zhttps://www.dovepress.com/validation-and-cross-cultural-adaptation-of-the-depression-patients-he-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Nicoleta Lupascu,1 Bogdan Timar,2,3 Alin Albai,1,3 Deiana Roman,1 Ovidiu Potre,4,5 Romulus Timar1,31Second Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 2Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 3Department of Diabetes and Metabolic Diseases, “Pius Brinzeu” Emergency Hospital, Timisoara, Romania; 4First Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 5Department of Hematology, Municipal Emergency Hospital, Timisoara, RomaniaPurpose: To validate and to evaluate the performance in depression screening of the Patient’s Health Questionnaire – 9 (PHQ-9) for Romanian patients with Type 2 Diabetes Mellitus (T2DM).Patients and methods: In a consecutive-case, population-based, non-interventional study design 107 hospitalized patients with T2DM were enrolled. The PHQ-9 was evaluated in regard to its acceptability, ceiling and floor effect, reproducibility, and test–retest performance. Its validity was tested by comparing it to the Beck depression scale, which is a validated tool for this patient population.Results: The PHQ-9 questionnaire had an excellent acceptability, having no non-responders for any of its questions and a median completion time of 3 mins and 12 s, a good reliability with a Cronbach’s α=0.897 [0.865–0.924] 95%CI, a good test–retest performance (Spearman’s rho =0.972; p<0.001 between two administrations of the test) without any ceiling or floor effect observed for the total score. At the same time, the score demonstrated a good validity when compared to a more complex and previously validated instrument like the Beck depression scale (Spearman’s rho =0.777; p<0.001). The limits of agreement (Bland-Altmann analysis) between the two measurements are 2.6 to −2.5 points.Conclusion: The PHQ-9 is a valid, useful instrument for depression screening in Romanian patients with T2DM.Keywords: questionnaire validation, depression screening, chronic diseases, screening instrument, depression in diabetesLupascu NTimar BAlbai ARoman DPotre OTimar RDove Medical Pressarticlequestionnaire validationdepression screeningchronic diseasesscreening instrumentdepression in diabetesSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 841-849 (2019) |
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questionnaire validation depression screening chronic diseases screening instrument depression in diabetes Specialties of internal medicine RC581-951 |
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questionnaire validation depression screening chronic diseases screening instrument depression in diabetes Specialties of internal medicine RC581-951 Lupascu N Timar B Albai A Roman D Potre O Timar R Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus |
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Nicoleta Lupascu,1 Bogdan Timar,2,3 Alin Albai,1,3 Deiana Roman,1 Ovidiu Potre,4,5 Romulus Timar1,31Second Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 2Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 3Department of Diabetes and Metabolic Diseases, “Pius Brinzeu” Emergency Hospital, Timisoara, Romania; 4First Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 5Department of Hematology, Municipal Emergency Hospital, Timisoara, RomaniaPurpose: To validate and to evaluate the performance in depression screening of the Patient’s Health Questionnaire – 9 (PHQ-9) for Romanian patients with Type 2 Diabetes Mellitus (T2DM).Patients and methods: In a consecutive-case, population-based, non-interventional study design 107 hospitalized patients with T2DM were enrolled. The PHQ-9 was evaluated in regard to its acceptability, ceiling and floor effect, reproducibility, and test–retest performance. Its validity was tested by comparing it to the Beck depression scale, which is a validated tool for this patient population.Results: The PHQ-9 questionnaire had an excellent acceptability, having no non-responders for any of its questions and a median completion time of 3 mins and 12 s, a good reliability with a Cronbach’s α=0.897 [0.865–0.924] 95%CI, a good test–retest performance (Spearman’s rho =0.972; p<0.001 between two administrations of the test) without any ceiling or floor effect observed for the total score. At the same time, the score demonstrated a good validity when compared to a more complex and previously validated instrument like the Beck depression scale (Spearman’s rho =0.777; p<0.001). The limits of agreement (Bland-Altmann analysis) between the two measurements are 2.6 to −2.5 points.Conclusion: The PHQ-9 is a valid, useful instrument for depression screening in Romanian patients with T2DM.Keywords: questionnaire validation, depression screening, chronic diseases, screening instrument, depression in diabetes |
| format |
article |
| author |
Lupascu N Timar B Albai A Roman D Potre O Timar R |
| author_facet |
Lupascu N Timar B Albai A Roman D Potre O Timar R |
| author_sort |
Lupascu N |
| title |
Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus |
| title_short |
Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus |
| title_full |
Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus |
| title_fullStr |
Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus |
| title_full_unstemmed |
Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus |
| title_sort |
validation and cross-cultural adaptation of the depression patient’s health questionnaire – 9 in the romanian population of patients with type 2 diabetes mellitus |
| publisher |
Dove Medical Press |
| publishDate |
2019 |
| url |
https://doaj.org/article/6b080d866acf4312a123fc0846e90f9f |
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