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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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) |
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Depression adolescent PHQ-9 autism ROC Psychiatry RC435-571 |
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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 |
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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 |
work_keys_str_mv |
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