Retrospective Rates of Positive Depression Screens in Pediatric Diabetes Using Two PHQ-9 Cutoff Scores: A Brief Report.

IF 1.1 Q3 PSYCHOLOGY, CLINICAL

Clinical Practice in Pediatric Psychology Pub Date : 2025-06-20 DOI:10.1177/21694826251353219

Alexandra D Monzon, Susana R Patton, Shilpa Gurnurkar, Marisse Padron, Jessica Pierce

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引用次数: 0

Abstract

Objective: Compare two empirically supported cutoff scores for the Patient Health Questionnaire (PHQ-9) in a clinical sample of youth with type 1 diabetes (T1D).

Methods: The sample comprises 212 youth with T1D aged 12-18. We retroactively collected PHQ-9 scores from electronic health records. We compared the normative cutoff score of 10 on the PHQ-9 to a newly modified score of 5.

Results: Using the cutoff score of 5 on the PHQ-9, 44.3% of patients screened positive for symptoms of depression, while 22.6% of patients screened positive for symptoms of depression using the cutoff score of 10.

Conclusions: The modified cutoff score of 5 on the PHQ-9 resulted in twice as many patients screening positive for symptoms of depression as the normative cutoff score of 10. However, it is important to consider these findings in the context of the healthcare system and the overall impact of false positives.

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使用两个PHQ-9截止评分对儿童糖尿病抑郁筛查的回顾性阳性率：简要报告

目的：比较青年1型糖尿病（T1D）临床样本中患者健康问卷（PHQ-9）的两种经验支持的截止分数。方法：选取212例12 ~ 18岁青年T1D患者。我们从电子健康记录中追溯收集PHQ-9分数。我们将PHQ-9的标准分值10分与新修改的分值5分进行了比较。结果：采用PHQ-9截断分5分，44.3%的患者筛查出抑郁症状阳性，而采用截断分10分的患者筛查出抑郁症状阳性的比例为22.6%。结论：修改后的PHQ-9分值为5分的患者筛查出抑郁症状阳性的人数是标准分值为10分的两倍。然而，在医疗保健系统和假阳性的总体影响的背景下考虑这些发现是很重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Practice in Pediatric Psychology Psychology-Clinical Psychology

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Clinical Practice in Pediatric Psychology® publishes articles representing the professional and applied activities of pediatric psychology. The journal comprehensively describes the breadth and richness of the field in its diverse activities;complements the scientific development of the field with information on the applied/clinical side;provides modeling that addresses the ways practicing pediatric psychologists incorporate empirical literature into day-to-day activities;emphasizes work that incorporates and cites evidence from the science base; andprovides a forum for those engaged in primarily clinical activities to report on their activities and inform future research activities. Articles include a range of formats such as commentaries, reviews, and clinical case reports in addition to more traditional empirical clinical studies. Articles address issues such as: professional and training activities in pediatric psychology and interprofessional functioning;funding/reimbursement patterns and the evaluation of the cost-effectiveness of clinical services;program development;organization of clinical services and workforce analyses;applications of evidence based interventions in "real world" settings with particular attention to potential barriers and solutions and considerations of diverse populations;critical analyses of professional practice issues;clinical innovations, e.g., emerging use of technology in clinical practice;case studies, particularly case studies that have enough detail to be replicated and that provide a basis for larger scale intervention studies; andorganizational, state and federal policies as they impact the practice of pediatric psychology, with a particular emphasis on changes due to health care reform.