Validity of the patient health questionnaire 9-item in autistic youths: a pilot study

Abstract Background Autistic adolescents have greater predisposition to depression and suicidality than neurotypical adolescents. Early detection is essential for timely treatment. The Patient Health Questionnaire 9-item (PHQ-9) is a brief screen for depression. The study examines the validity of th...

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Autores principales: Thanita Pilunthanakul, Tze Jui Goh, Daniel Shuen Sheng Fung, Rehena Sultana, John Carson Allen, Min Sung
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/b9dd6a3e981041cd88fefb6727ac8380
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spelling oai:doaj.org-article:b9dd6a3e981041cd88fefb6727ac83802021-11-14T12:08:25ZValidity of the patient health questionnaire 9-item in autistic youths: a pilot study10.1186/s12888-021-03556-w1471-244Xhttps://doaj.org/article/b9dd6a3e981041cd88fefb6727ac83802021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03556-whttps://doaj.org/toc/1471-244XAbstract Background Autistic adolescents have greater predisposition to depression and suicidality than neurotypical adolescents. Early detection is essential for timely treatment. The Patient Health Questionnaire 9-item (PHQ-9) is a brief screen for depression. The study examines the validity of the PHQ-9 for detecting major depressive disorder (MDD) in autistic youths. Methods English speaking youths aged 10–18 years, with DSM-IV/DSM-5/ICD-10 diagnosis of Autism Spectrum Disorder (ASD), and their parents presenting to a child psychiatric service were invited to participate between May 2018 to August 2020. Participants completed the respective self- and parent-rated PHQ-9 independently. MDD was verified using the MINI-Kid (Mini-International Neuropsychiatric Interview, Kid version). Results One hundred one youth, mean (SD) age 14.6 (2.3), were enrolled. 27 (27%) met criteria for current MDD. Mean total PHQ-9 scores, percentage ratings for severity of symptoms of depression, functional impairment, dysthymia and suicidality were compared. Areas under the ROC curve and statistically optimal cutoffs were determined. Parents rated depressive symptoms severity lower than their children. The PHQ-9 displayed low sensitivity with high false negative rates at conventional, adjusted and proposed cutoffs. Conclusions Future studies should improve on the validity and reliability of existing depression screening tools, or develop more appropriate screening methods of depression, for autistic youths.Thanita PilunthanakulTze Jui GohDaniel Shuen Sheng FungRehena SultanaJohn Carson AllenMin SungBMCarticleDepression adolescent PHQ-9 autism ROCPsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Depression adolescent PHQ-9 autism ROC
Psychiatry
RC435-571
spellingShingle Depression adolescent PHQ-9 autism ROC
Psychiatry
RC435-571
Thanita Pilunthanakul
Tze Jui Goh
Daniel Shuen Sheng Fung
Rehena Sultana
John Carson Allen
Min Sung
Validity of the patient health questionnaire 9-item in autistic youths: a pilot study
description Abstract Background Autistic adolescents have greater predisposition to depression and suicidality than neurotypical adolescents. Early detection is essential for timely treatment. The Patient Health Questionnaire 9-item (PHQ-9) is a brief screen for depression. The study examines the validity of the PHQ-9 for detecting major depressive disorder (MDD) in autistic youths. Methods English speaking youths aged 10–18 years, with DSM-IV/DSM-5/ICD-10 diagnosis of Autism Spectrum Disorder (ASD), and their parents presenting to a child psychiatric service were invited to participate between May 2018 to August 2020. Participants completed the respective self- and parent-rated PHQ-9 independently. MDD was verified using the MINI-Kid (Mini-International Neuropsychiatric Interview, Kid version). Results One hundred one youth, mean (SD) age 14.6 (2.3), were enrolled. 27 (27%) met criteria for current MDD. Mean total PHQ-9 scores, percentage ratings for severity of symptoms of depression, functional impairment, dysthymia and suicidality were compared. Areas under the ROC curve and statistically optimal cutoffs were determined. Parents rated depressive symptoms severity lower than their children. The PHQ-9 displayed low sensitivity with high false negative rates at conventional, adjusted and proposed cutoffs. Conclusions Future studies should improve on the validity and reliability of existing depression screening tools, or develop more appropriate screening methods of depression, for autistic youths.
format article
author Thanita Pilunthanakul
Tze Jui Goh
Daniel Shuen Sheng Fung
Rehena Sultana
John Carson Allen
Min Sung
author_facet Thanita Pilunthanakul
Tze Jui Goh
Daniel Shuen Sheng Fung
Rehena Sultana
John Carson Allen
Min Sung
author_sort Thanita Pilunthanakul
title Validity of the patient health questionnaire 9-item in autistic youths: a pilot study
title_short Validity of the patient health questionnaire 9-item in autistic youths: a pilot study
title_full Validity of the patient health questionnaire 9-item in autistic youths: a pilot study
title_fullStr Validity of the patient health questionnaire 9-item in autistic youths: a pilot study
title_full_unstemmed Validity of the patient health questionnaire 9-item in autistic youths: a pilot study
title_sort validity of the patient health questionnaire 9-item in autistic youths: a pilot study
publisher BMC
publishDate 2021
url https://doaj.org/article/b9dd6a3e981041cd88fefb6727ac8380
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