Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10.

Autor:	Rodríguez-Barragán M; Primary Health Centre La Mina, Gerència Territorial d'Atenció Primària de Barcelona, Institut Català de la Salut, Sant Adrià de Besòs, Barcelona, Spain.; Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.; Faculty of Medicine, Department of Pediatrics, Obstetrics, Gynecology and Preventive Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain., Fernández-San-Martín MI; Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.; Gerència Territorial d'Atenció Primària de Barcelona, Institut Català de la Salut, Barcelona, Spain., Clavería A; I-Saúde Group, South Galicia Health Research Institute [IISGS-Servicio Gallego de Salud (SERGAS)], Vigo, Spain.; Vigo Health Area, Servicio Gallego de Salud (SERGAS), Vigo, Spain.; Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, Spain., Le Reste JY; Department of General Practice, ER 7479 SPURBO Soins Primaires, Santé Publique, Registre des Cancers de Bretagne Occidentale, Université de Bretagne Occidentale, Brest, France., Nabbe P; Department of General Practice, ER 7479 SPURBO Soins Primaires, Santé Publique, Registre des Cancers de Bretagne Occidentale, Université de Bretagne Occidentale, Brest, France., Motrico E; Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, Spain.; Department of Psychology, Universidad Loyola, Andalucía, Spain., Gómez-Gómez I; Network for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, Spain.; Department of Psychology, Universidad Loyola, Andalucía, Spain., Peguero-Rodríguez E; Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.; Primary Health Centre El Castell, Gerència Territorial d'Atenció Primària Metropolitana Sud, Institut Català de la Salut, Castelldefels, Barcelona, Spain.; Departamento de Ciencias Clinicas, Facultad de Medicina, Universidad de Barcelona, Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	Frontiers in medicine [Front Med (Lausanne)] 2023 Jan 09; Vol. 9, pp. 1014340. Date of Electronic Publication: 2023 Jan 09 (Print Publication: 2022).
DOI:	10.3389/fmed.2022.1014340
Abstrakt:	Background: Depression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use. There are short versions of this scale that could be useful in Primary Care (PC) settings, but their psychometric properties are unknown. Aim: To assess in PC patients the psychometric properties and diagnostic accuracy of the Spanish version of the HSCL-10 and the HSCL-5 consisting of 10 and 5 items, respectively. Methods: A multicenter, cross-sectional study was carried out at six PC centers in Spain. The HSCL-25 was administered to outpatients aged 45-75 who also participated in the structured Composite International Diagnostic Interview (CIDI). HSCL-10 and HSCL-5 were assessed and compared to HSCL-25 regarding total score correlation, internal consistency, and criterion validity against the gold-standard CIDI. This is a methodological study from a secondary data analysis and the primary data has been previously published. Results: Out of 790 patients, 767 completed the HSCL-25 and 736 the CIDI interview (96.0%). Cronbach's Alpha was 0.84 for HSCL-10 and 0.77 for HSCL-5. The known-group method and confirmatory factor analysis were acceptable for the establishment of construct validity. Sensitivity was 79.7% (CI95%, 67.7-88.0%) for HSCL-10, and 78.0% (CI95%, 65.9-86.6%) for HSCL-5, whereas specificity was 83% (CI95%, 80.0-85.7%) for HSCL-10, and 72.8% (CI95%, 69.3-76.0%) for HSCL-5. Area under the curve against CIDI was 0.88 (CI95%, 0.84-0.92%) for HSCL-10, and 0.85 (CI95%, 0.81-0.89%) for HSCL-5. Optimum cutoff point calculated with Youden Index was 1.90 for the HSCL-10 and 1.80 for the HSCL-5. Conclusion: HSCL-10 and HSCL-5 are reliable and valid tools to detect depression symptoms and can be used in PC settings. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Rodríguez-Barragán, Fernández-San-Martín, Clavería, Le Reste, Nabbe, Motrico, Gómez-Gómez and Peguero-Rodríguez.)
Databáze:	MEDLINE
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