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Revista médica de Chile

Print version ISSN 0034-9887

Abstract

BORGHERO, Francesca et al. Screening depressive episodes in adolescents. Validation of the Patient Health Questionnaire-9 (PHQ-9). Rev. méd. Chile [online]. 2018, vol.146, n.4, pp.479-486. ISSN 0034-9887.  http://dx.doi.org/10.4067/s0034-98872018000400479.

Background:

There is a paucity of validated instruments for screening depression in adolescent populations in Chile.

Aim:

To determine the diagnostic accuracy of the adolescent version of Patient Health Questionnaire-9 (PHQ-9).

Material and Methods:

The PHQ-9 was transculturally adapted and administered to adolescents aged 15 to 19 years residing in Santiago de Chile, who were then evaluated with a semi structured interview (Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version or K-SADS-PL) and the Beck Depression Inventory. Internal validity, concurrent validity, and discriminatory power of the PHQ-9 were analyzed.

Results:

We evaluated 245 adolescents aged 16.2 ± 1 years (71% females). Two hundred and ten presented with a depressive episode and 35 were healthy. The sensitivity and specificity of the scale were 86.2 and 82.9% for 11 points, with a positive likelihood ratio of 5.02.

Conclusions:

The PHQ-9 is sensitive and specific enough to be used as a screening tool in adolescents with suspected depression. At a 11-point cut-off score as proposed, the likelihood to find a positive result in a subject with depression is five times higher.

Keywords : Adolescent; Depression; Mass Screening; Patient Health Questionnaire; Primary Health Care.

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