Authors: Gilbody, Simon¹; Richards, David²; Barkham, Michael³

Source: British Journal of General Practice, Volume 57, Number 541, August 2007 , pp. 650-652(3)

Publisher: Royal College of General Practitioners

Abstract:

There is increased emphasis on routine assessment of depression in primary care. This report is the first UK validation of two self-completed measures: the Patient Health Questionnaire (PHQ-9) and the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). Optimum cut-off points were established against a diagnostic gold standard in 93 patients. PHQ-9 sensitivity = 91.7% (95% confidence interval [CI] = 77.5 to 98.3%) and specificity 78.3% (95% CI = 65.8 to 87.9%). CORE-OM sensitivity = 91.7% (95% CI = 77.5 to 98.2%) and specificity = 76.7% (95% CI = 64.0 to 86.6%). Brief self-rated questionnaires are as good as clinician-administered instruments in detecting depression in UK primary care.

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Supplementary Data: 2 items

Keywords: DEPRESSION; DIAGNOSIS; PRIMARY CARE; SCREENING

Document Type: Short communication

Affiliations: 1: Professor of psychological medicine & health services research, Department of Health Sciences, University of York, York, UK 2: Professor in mental health, Department of Health Sciences, University of York, York, UK 3: Professor of clinical and counselling psychology, Psychological Therapies Research Centre, Leeds, UK

Publication date: 2007-08-01

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