抑郁症护理过程的绘制:以患者健康问卷(PHQ- 9)为测量标准的信度概化荟萃分析。

Kenni Wojujutari Ajele, Erhabor Sunday Idemudia
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引用次数: 0

摘要

背景:抑郁症是世界范围内致残的主要原因,需要可靠和适应性强的筛查工具。患者健康问卷- 9 (PHQ- 9)被广泛使用,但其在不同人群和文化适应中的可靠性仍不清楚。目的:本荟萃分析评估了PHQ- 9在不同人群、环境和文化背景下的信度泛化,以确定其在全球心理健康评估中的适用性。方法:采用信度概化(RG)元分析方法对60项研究的232,147名受试者进行meta分析。采用随机效应模型估计合并内部一致性(Cronbach’s α)和重测信度。亚组分析检查了管理模式、文化适应和研究环境的影响。结果:合并的Cronbach's α为0.86 (95% CI[0.85, 0.87]),表明内部一致性高。基于8项研究的重测信度为0.82 (95% CI[0.74, 0.90])。自我管理格式的信度最高(α = 0.87),面对面访谈的信度较低(α = 0.80)。观察到大量异质性(I2 = 99.3%)。结论:PHQ- 9在全球范围内是一种可靠的抑郁症筛查工具,但显著的异质性表明需要继续进行文化适应和验证,以增强其在不同背景下的适用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Charting the course of depression care: a meta-analysis of reliability generalization of the patient health questionnaire (PHQ- 9) as the measure.

Background: Depression is a leading cause of disability worldwide, requiring reliable and adaptable screening tools. The Patient Health Questionnaire- 9 (PHQ- 9) is widely used, yet its reliability across diverse populations and cultural adaptations remains unclear.

Objective: This meta-analysis assessed the reliability generalization of the PHQ- 9 across different populations, settings, and cultural contexts to determine its applicability in global mental health assessments.

Methods: A reliability generalization (RG) meta-analysis was conducted on 60 studies with 232,147 participants. A random-effects model was used to estimate pooled internal consistency (Cronbach's α) and test-retest reliability. Subgroup analyses examined the effects of administration modes, cultural adaptations, and study settings.

Results: The pooled Cronbach's α was 0.86 (95% CI [0.85, 0.87]), indicating high internal consistency. Test-retest reliability, based on eight studies, was 0.82 (95% CI [0.74, 0.90]). Self-administered formats had the highest reliability (α = 0.87), while face-to-face interviews were lower (α = 0.80). Substantial heterogeneity (I2 = 99.3%) was observed.

Conclusions: The PHQ- 9 is a reliable depression screening tool globally, but significant heterogeneity highlights the need for continued cultural adaptation and validation to enhance its applicability across diverse contexts.

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