The Potential Utility of the Patient Health Questionnaire as a Screener for Psychiatric Comorbidity in a Chronic Disabling Occupational Musculoskeletal Disorder Population
| Autor: | Meredith M. Hartzell, Randy Neblett, Tom G. Mayer, Mark J. Williams, Robert J. Gatchel, Sali Rahadi Asih, E. Mc Kenna Bradford |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Generalized anxiety disorder endocrine system diseases Population Alcohol abuse Comorbidity Sensitivity and Specificity behavioral disciplines and activities Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires mental disorders medicine Humans Musculoskeletal Diseases Psychiatry education 030203 arthritis & rheumatology education.field_of_study business.industry Mental Disorders Panic disorder Middle Aged medicine.disease humanities Patient Health Questionnaire Anesthesiology and Pain Medicine Major depressive disorder Female Chronic Pain business Psychosocial 030217 neurology & neurosurgery Psychopathology |
| Zdroj: | Pain Practice. 16:168-174 |
| ISSN: | 1530-7085 |
| DOI: | 10.1111/papr.12275 |
| Popis: | Objectives The patient health questionnaire (PHQ) is designed for screening psychopathology in primary care settings. However, little is known about its clinical utility in other chronic pain populations, which usually have high psychiatric comorbidities. Design A consecutive cohort of 546 patients with chronic disabling occupational musculoskeletal disorder (CDOMD) was administered and compared upon psychosocial assessments, including the PHQ and a structured clinical interview for DSM-IV (SCID). Four PHQ modules were assessed: major depressive disorder (MDD), generalized anxiety disorder (GAD), panic disorder (PD), and alcohol use disorders (AUD) [including both alcohol abuse and dependence]. Based on the SCID diagnosis, sensitivity and specificity were determined. Results The specificity of the PHQ ranged from moderate to high for all 4 PHQ modules (MDD, 0.79; GAD, 0.67; PD, 0.89; AUD, 0.97). However, the sensitivity was relatively low: MDD (0.58); GAD (0.61); PD (0.49); and AUD (0.24). The PHQ was also associated with psychosocial variables. Patients whose PHQ showed MDD, GAD, or PD reported significantly more depressive symptoms and perceived disability than patients who did not (Ps |
| Databáze: | OpenAIRE |
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