Screening for Depressive Disorder in Elderly Patients with Chronic Physical Diseases Using the Patient Health Questionnaire-9
- Authors
- Park, Seon-Cheol; Lee, Hwa-Young; Lee, Dong-Woo; Hahn, Sang-Woo; Park, Sang-Ho; Kim, Yeo Ju; Choi, Jae Sung; Lee, Ho-Sung; Lee, Soyoung Irene; Na, Kyoung-Sae; Jung, Sung Won; Shim, Se-Noon; Kim, Ki Won; Paik, Jong-Woo; Kwon, Young-Joon
- Issue Date
- May-2017
- Publisher
- 대한신경정신의학회
- Keywords
- Depressive disorder; Elderly; Chronic physical diseases; Patient health questionnaire-9
- Citation
- PSYCHIATRY INVESTIGATION, v.14, no.3, pp 306 - 313
- Pages
- 8
- Journal Title
- PSYCHIATRY INVESTIGATION
- Volume
- 14
- Number
- 3
- Start Page
- 306
- End Page
- 313
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7611
- DOI
- 10.4306/pi.2017.14.3.306
- ISSN
- 1738-3684
1976-3026
- Abstract
- Objective We aimed to identify depressive symptom profiles that indicated the presence of depressive disorder and present optimal cutoff sub-scores for depressive symptom profiles for detecting depressive disorder in elderly subjects with chronic physical diseases including diabetes, chronic obstructive pulmonary disease/asthma, and coronary artery disease, using the Patient Health Questionnaire-9 (PHQ-9). Methods Two hundred and thirty-one elderly patients with chronic physical diseases were recruited consecutively from a university-affiliated general hospital in South Korea. Results Greater severities of all 9 depressive symptoms in the PHQ-9 were presented in those with depressive disorder rather than those without depressive disorder. A binary logistic regression modeling presented that little interest [adjusted odds ratio (aOR)=4.648, p < 0.001], reduced/increased sleep (aOR=3.269, p < 0.001), psychomotor retardation/agitation (aOR=2.243, p=0.004), and concentration problem (aOR=16.116, p < 0.001) were independently associated with increased likelihood of having depressive disorder. Receiver operating characteristics (ROC) curve analysis presented that the optimal cut-off value of score on the items for little interest, reduced/increased sleep, psychomotor retardation/agitation and concentration problem (PHQ-9) for detecting depressive disorder was 4 with 61.9% of sensitivity and 91.5% of specificity [area under curve (AUC)=0.937, p < 0.001]. Conclusion Our findings suggested that the diagnostic weighting of little interest, reduced/increased sleep, psychomotor retardation/agitation, and concentration problem is needed to detect depressive disorder among the elderly patients with chronic physical diseases.
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Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Psychiatry > 1. Journal Articles
- College of Medicine > Department of Psychiatry > 1. Journal Articles
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