Reliability and Validity of the Persian Version of the 9-Item and 2-Item Patient Health Questionnaires (PHQ-9 and PHQ-2) as Screening Tools for Diagnosing Depression among Patients with Coronary Heart Disease (CHD)

Seyed Mojtaba Ahmadi; Abbas Masjedi Arani; Maryam  Bakhtiari; Mohamad Hasan Davazdah Emamy

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Reliability and Validity of the Persian Version of the 9-Item and 2-Item Patient Health Questionnaires (PHQ-9 and PHQ-2) as Screening Tools for Diagnosing Depression among Patients with Coronary Heart Disease (CHD)

Author(s):

Seyed Mojtaba Ahmadi

¹,

Abbas Masjedi Arani

^1,*,

Maryam Bakhtiari¹,

Mohamad Hasan Davazdah Emamy¹

1Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran

International Cardiovascular Research Journal:Vol. 13, issue 2; 45-49

Published online:Jun 01, 2019

Article type:Research Article

Received:Oct 10, 2018

Accepted:Mar 12, 2019

How to Cite:Ahmadi SM, Masjedi Arani A, Bakhtiari M, Davazdah Emamy MH. Reliability and Validity of the Persian Version of the 9-Item and 2-Item Patient Health Questionnaires (PHQ-9 and PHQ-2) as Screening Tools for Diagnosing Depression among Patients with Coronary Heart Disease (CHD). Int Cardiovasc Res J. 2019;13(2):e85208. doi:

Abstract

Background:

Patient Health Questionnaire-9 (PHQ-9) and Patient Health Questionnaire-2 (PHQ-2) have been characterized as appropriate screening tools for coronary heart patients. However, their psychometric properties have not been assessed in Iranian coronary heart patients.

Objectives:

This study aimed to determine the psychometric properties of the Persian versions of PHQ-9 and PHQ-2 in patients with Coronary Heart Disease (CHD).

Methods:

This cross-sectional study was conducted to investigate the psychometric properties of the Persian versions of PHQ-9 and PHQ-2 in patients with CHD. Totaly, 284 patients with CHD referred to Imam Ali Hospital in Kermanshah were selected through purposive sampling. They were first given a structured clinical interview (SCID-I) and were then asked to complete PHQ-9, PHQ-2, and Beck Depression Inventory-version 2 (BDI-II). The data were analyzed by descriptive statistics, Cronbach’s α, Spearman’s correlation coefficient, exploratory factor analysis, and Receiver Operating Characteristic (ROC) curve.

Results:

Cronbach’s alpha was 0.86 for PHQ-9 and 0.77 for PHQ-2. The correlation between PHQ-9, and BDI-II and PHQ-2 was 0.74 and 0.80, respectively (P < 0.001). Additionally, the correlation between PHQ-2 and BDI-II was 0.64 (P < 0.001). Using exploratory factor analysis, a one-factor structure was extracted. The optimal cutoff point for PHQ-9 was ≥ 8 with the sensitivity of 0.80, specificity of 0.81, and Area Under the Curve (AUC) of 0.87 (95% confidence interval: 0.83 - 0.91). Additionally, the optimal cutoff point for PHQ-2 was ≥ 3 with the sensitivity of 0.68, specificity of 0.83, and AUC of 0.81 (95% confidence interval: 0.75 - 0.86).

Conclusion:

The Persian versions of PHQ-9 and PHQ-2 possessed acceptable psychometric properties and could, consequently, be used to screen depression in CHD patients.

Keywords

Patient Health Questionnaire

Depression

Coronary Disease

Psychometrics

Sensitivity and Specificity

Fulltext

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References

1.
The references are available in PDF.

Psychometric Properties of Persian Version of Patient Health Questionnaires-4 (PHQ-4) in Coronary Heart Disease Patients

Seyed Mojtaba Ahmadi,

Abbas Masjedi Arani,

Maryam Bakhtiari,

Mohamad Hasan Davazdah Emamy

Ahmadi SM, Masjedi Arani A, Bakhtiari M, Davazdah Emamy MH. Psychometric Properties of Persian Version of Patient Health Questionnaires-4 (PHQ-4) in Coronary Heart Disease Patients. Iran J Psychiatry Behav Sci. 2019;13(4):e85820. doi: https://doi.org/10.5812/ijpbs.85820

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Factor Structure of Persian Translation of the Patient Health Questionnaire in Iranian Earthquake Survivors

Hassan Rafiey,

Fardin Alipour,

Richard LeBeau,

Yahya Salimi,

Shokoufeh Ahmadi

Rafiey H, Alipour F, LeBeau R, Salimi Y, Ahmadi S. Factor Structure of Persian Translation of the Patient Health Questionnaire in Iranian Earthquake Survivors. Iran J Psychiatry Behav Sci. 2018;12(4):e59416. doi: https://doi.org/10.5812/ijpbs.59416

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Psychometric Properties of the Persian Version of the Instrument for Assessing Cardiac Patients’ Knowledge, Attitude, and Beliefs regarding Heart Attack

Hayedeh Rezaei,

Dashty Ismil Jamil,

Abbas Ebadi,

Reza Ghanei Gheshlagh

Rezaei H, Ismil Jamil D, Ebadi A, Ghanei Gheshlagh R. Psychometric Properties of the Persian Version of the Instrument for Assessing Cardiac Patients’ Knowledge, Attitude, and Beliefs regarding Heart Attack. Int Cardiovasc Res J. 2019;13(2):e84462. doi:

1

Dec

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Examination of the Psychometric Properties of the Persian Version of the Cardiac Health Behavior Scale

Madjid Shafiayan,

Mahdie Ghalenoee,

Abbas Ebadi,

Reza Ghanei Gheshlagh,

Arezoo Fallahi,

Seyed Hassan Niksima

Shafiayan M, Ghalenoee M, Ebadi A, Ghanei Gheshlagh R, Fallahi A, et al. Examination of the Psychometric Properties of the Persian Version of the Cardiac Health Behavior Scale. Int Cardiovasc Res J. 2019;13(4):e92172. doi:

30

Jun

2011

Validity of Persian Version of Mood Disorder Questionnaire in Diagnosis of Bipolar Mood Disorder in Depressive Phase

Mohammad Ali Ghoreishizadeh,

Shahrokh Amiri,

Mohammad Zakaria Pezeshki,

Farhad Bakhtshadi,

Fatemeh Ranjba

Ghoreishizadeh MA, Amiri S, Pezeshki MZ, Bakhtshadi F, Ranjba F. Validity of Persian Version of Mood Disorder Questionnaire in Diagnosis of Bipolar Mood Disorder in Depressive Phase. Iran J Psychiatry Behav Sci. 2011;5(1):. doi:

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Author(s):

Seyed Mojtaba Ahmadi:[PubMed][Scholar]
Abbas Masjedi Arani:[PubMed][Scholar]
Maryam Bakhtiari:[PubMed][Scholar]
Mohamad Hasan Davazdah Emamy:[PubMed][Scholar]

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

Outlines

Reliability and Validity of the Persian Version of the 9-Item and 2-Item Patient Health Questionnaires (PHQ-9 and PHQ-2) as Screening Tools for Diagnosing Depression among Patients with Coronary Heart Disease (CHD)

Abstract

Fulltext

References

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