Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9

Background: There is a paucity of validated instruments for screening depression in adolescent populations in Chile. Aim: To determine the diagnostic accuracy of the adolescent version of Patient Health Questionnaire-9 (PHQ-9). Material and Methods: The PHQ-9 was transculturally adapted and admin...

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Autores principales:	Borghero,Francesca, Martínez,Vania, Zitko,Pedro, Vöhringer,Paul A., Cavada,Gabriel, Rojas,Graciela
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2018
Materias:	Adolescent Depression Mass Screening Patient Health Questionnaire Primary Health Care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400479
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spelling	oai:scielo:S0034-988720180004004792018-07-03Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9Borghero,FrancescaMartínez,VaniaZitko,PedroVöhringer,Paul A.Cavada,GabrielRojas,Graciela Adolescent Depression Mass Screening Patient Health Questionnaire Primary Health Care Background: There is a paucity of validated instruments for screening depression in adolescent populations in Chile. Aim: To determine the diagnostic accuracy of the adolescent version of Patient Health Questionnaire-9 (PHQ-9). Material and Methods: The PHQ-9 was transculturally adapted and administered to adolescents aged 15 to 19 years residing in Santiago de Chile, who were then evaluated with a semi structured interview (Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version or K-SADS-PL) and the Beck Depression Inventory. Internal validity, concurrent validity, and discriminatory power of the PHQ-9 were analyzed. Results: We evaluated 245 adolescents aged 16.2 ± 1 years (71% females). Two hundred and ten presented with a depressive episode and 35 were healthy. The sensitivity and specificity of the scale were 86.2 and 82.9% for 11 points, with a positive likelihood ratio of 5.02. Conclusions: The PHQ-9 is sensitive and specific enough to be used as a screening tool in adolescents with suspected depression. At a 11-point cut-off score as proposed, the likelihood to find a positive result in a subject with depression is five times higher.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.4 20182018-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400479es10.4067/s0034-98872018000400479
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Adolescent Depression Mass Screening Patient Health Questionnaire Primary Health Care
spellingShingle	Adolescent Depression Mass Screening Patient Health Questionnaire Primary Health Care Borghero,Francesca Martínez,Vania Zitko,Pedro Vöhringer,Paul A. Cavada,Gabriel Rojas,Graciela Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9
description	Background: There is a paucity of validated instruments for screening depression in adolescent populations in Chile. Aim: To determine the diagnostic accuracy of the adolescent version of Patient Health Questionnaire-9 (PHQ-9). Material and Methods: The PHQ-9 was transculturally adapted and administered to adolescents aged 15 to 19 years residing in Santiago de Chile, who were then evaluated with a semi structured interview (Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version or K-SADS-PL) and the Beck Depression Inventory. Internal validity, concurrent validity, and discriminatory power of the PHQ-9 were analyzed. Results: We evaluated 245 adolescents aged 16.2 ± 1 years (71% females). Two hundred and ten presented with a depressive episode and 35 were healthy. The sensitivity and specificity of the scale were 86.2 and 82.9% for 11 points, with a positive likelihood ratio of 5.02. Conclusions: The PHQ-9 is sensitive and specific enough to be used as a screening tool in adolescents with suspected depression. At a 11-point cut-off score as proposed, the likelihood to find a positive result in a subject with depression is five times higher.
author	Borghero,Francesca Martínez,Vania Zitko,Pedro Vöhringer,Paul A. Cavada,Gabriel Rojas,Graciela
author_facet	Borghero,Francesca Martínez,Vania Zitko,Pedro Vöhringer,Paul A. Cavada,Gabriel Rojas,Graciela
author_sort	Borghero,Francesca
title	Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9
title_short	Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9
title_full	Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9
title_fullStr	Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9
title_full_unstemmed	Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9
title_sort	tamizaje de episodio depresivo en adolescentes. validación del instrumento phq-9
publisher	Sociedad Médica de Santiago
publishDate	2018
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018000400479
work_keys_str_mv	AT borgherofrancesca tamizajedeepisodiodepresivoenadolescentesvalidaciondelinstrumentophq9 AT martinezvania tamizajedeepisodiodepresivoenadolescentesvalidaciondelinstrumentophq9 AT zitkopedro tamizajedeepisodiodepresivoenadolescentesvalidaciondelinstrumentophq9 AT vohringerpaula tamizajedeepisodiodepresivoenadolescentesvalidaciondelinstrumentophq9 AT cavadagabriel tamizajedeepisodiodepresivoenadolescentesvalidaciondelinstrumentophq9 AT rojasgraciela tamizajedeepisodiodepresivoenadolescentesvalidaciondelinstrumentophq9
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Tamizaje de episodio depresivo en adolescentes. Validación del instrumento PHQ-9

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