A Comparison of Depression and Mental Distress Indicators, Rhode Island Behavioral Risk Factor Surveillance System, 2006

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Jiang, Yongwen ; Hesser, Jana Earl
• Description:
  Introduction
  
  Depression is a public health concern that warrants accurate population estimates. The patient health questionnaire 8 (PHQ-8) offers high sensitivity and specificity for assessing depression but is time-consuming to administer, answer, and score. We sought to determine whether 1 of 3 simpler instruments — the shorter PHQ-2 or 2 single questions from the health-related quality of life (HRQOL) module of the Behavioral Risk Factor Surveillance System (BRFSS) — could offer accuracy comparable to the PHQ-8.
  
  Methods
  
  We compared the depression and mental distress indicators of 2006 Rhode Island BRFSS data by using 4 types of analyses: 1) sensitivity and specificity estimates, 2) prevalence estimates, 3) multivariable logistic regression modeling of the relationship between each of the 4 indicators and 11 demographic and health risk variables, and 4) geographic distribution of prevalence.
  
  Results
  
  Compared with the PHQ-8, the 3 other measures have high levels of specificity but lower sensitivity. Depression prevalence estimates ranged from 8.6% to 10.3%. The adjusted odds ratios from logistic regression modeling were consistent. Each of the indicators was significantly associated with low income, being unable to work, current smoking, and having a disability.
  
  Conclusion
  
  The PHQ-8 indicator is the most sensitive and specific and can assess depression severity. The HRQOL and PHQ-2 indicators are adequate to obtain population prevalence estimates if questionnaire length is limited.
  
  
• Subjects:
  Adolescent Adult Aged Behavioral Risk Factor Surveillance System Depression Female Humans Male Mental Health Middle Aged Prevalence Risk Factors Sensitivity And Specificity Socioeconomic Factors Young Adult

  More +
• Source:
  Prev Chronic Dis. 8(2).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  Rhode Island
• Location:
  North America
• Volume:
  8
• Issue:
  2
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:b8ee288b8e8609bd382ac35de8e67a3ea5e7bc0b323bd941b0f43c3f9e93892c2635e3a9754475eb8fdbd2b4a1d437f5bcfa8af15958236c3df8e3f743ab1dea
• Download URL:
  https://stacks.cdc.gov/view/cdc/20560/cdc_20560_DS1.pdf
• File Type:
  [PDF - 697.45 KB ]