Accuracy of PHQ-9 against psychiatric diagnosis for depression among people living with HIV: A multicounty cross-sectional study
| dc.rights.license | open | en_US |
| dc.contributor.author | YOTEBIENG, Marcel | |
| dc.contributor.author | ZOTOVA, Natalia | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| hal.structure.identifier | Global Health in the Global South [GHiGS] | |
| dc.contributor.author | BERNARD, Charlotte | |
| dc.contributor.author | GOODRICH, Suzanne | |
| dc.contributor.author | AWOH, Ajeh Rogers | |
| dc.contributor.author | WATNICK, Dana | |
| dc.contributor.author | NSONDE, Dominique Mahambu | |
| dc.contributor.author | MOUNGANG, Elodie Flore Tchiengang | |
| dc.contributor.author | NOUMEDEM, Julie Laure Nguemo | |
| dc.contributor.author | MBONGO'O, Guy Calvin Nko'o | |
| dc.contributor.author | MINGA, Albert | |
| dc.contributor.author | SEYDI, Moussa | |
| dc.contributor.author | GANDOU, Paul | |
| dc.contributor.author | KWOBAH, Edith Kamaru | |
| dc.contributor.author | ATWOLI, Lukoye | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| hal.structure.identifier | Global Health in the Global South [GHiGS] | |
| dc.contributor.author | JAQUET, Antoine | |
| dc.contributor.author | WOOLS-KALOUSTIAN, Kara | |
| dc.contributor.author | ANASTOS, Kathryn | |
| dc.contributor.author | IE, D. E. A. Consortium | |
| dc.date.accessioned | 2024-07-19T12:10:00Z | |
| dc.date.available | 2024-07-19T12:10:00Z | |
| dc.date.issued | 2024-06-21 | |
| dc.identifier.issn | 1473-5571 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/201036 | |
| dc.description.abstractEn | OBJECTIVE: The aim of this study was to assess the performance of the 9-item Patient Health questionnaire (PHQ-9) against psychiatrist diagnosis in PLWH. DESIGN: Cross-sectional analysis of data collected between January 2018 and July 2022 across five sites in Cameroon, Cote d'Ivoire, Kenya, Senegal, and the Republic of Congo. Participants were ≥18 years and receiving HIV care at the participating site. PHQ-9 was administered by study staff followed by a psychiatrist's evaluation within 3 days. RESULTS: Overall, 778 participants with complete data were included: 297 (38.2%) in Cameroon, 132 (17.0%) in Congo, 148 (19.0%) in Cote d'Ivoire, 98 (12.6%) in Kenya, and 103 (13.2%) in Senegal. The area under the curve for PHQ-9 score was generally high ranging from 0.935 (95% CI: 0.893, 0.977) in Cote d'Ivoire to 0.768 (95% CI: 0.589, 0.947) in Congo. However, for the common cut-off score ≥10, sensitivity was low: 50% or lower in Cameroon, Congo and Senegal, 66.7% in Kenya and 70.6% in Cote d'Ivoire. But negative predictive values (NPV) were high: 98.9% (95% CI: 96.9%, 99.8%) in Cameroon, 96.1 (95% CI: 91.1, 98.7) in Cote d'Ivoire, 96.3% (95% CI: 89.7%, 99.2%) in Kenya, 95.7% (95% CI: 90.2%, 98.6%) in Congo, and 89.0% (95% CI: 81.2%, 94.4%) in Senegal. INTERPRETATION: Across all countries, PHQ-9 score ≥10 performed very poorly (low sensitivity) as a tool to identify psychiatrist diagnosed depression. However, the observed high NPV suggests it can be used to rule out depression. | |
| dc.language.iso | EN | en_US |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.subject.en | Depression | |
| dc.subject.en | PHQ-9 | |
| dc.subject.en | HIV | |
| dc.subject.en | sensitivity | |
| dc.subject.en | Specificity | |
| dc.subject.en | Sub-Saharan Africa | |
| dc.title.en | Accuracy of PHQ-9 against psychiatric diagnosis for depression among people living with HIV: A multicounty cross-sectional study | |
| dc.title.alternative | AIDS | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1097/QAD.0000000000003963 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 38905494 | en_US |
| bordeaux.journal | AIDS. Official journal of the international AIDS Society | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | GHIGS_BPH | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.identifier.funderID | Institut de Recherche pour le Développement | en_US |
| hal.identifier | hal-04654193 | |
| hal.version | 1 | |
| hal.date.transferred | 2024-07-19T12:13:19Z | |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | true | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=AIDS.%20Official%20journal%20of%20the%20international%20AIDS%20Society&rft.date=2024-06-21&rft.eissn=1473-5571&rft.issn=1473-5571&rft.au=YOTEBIENG,%20Marcel&ZOTOVA,%20Natalia&BERNARD,%20Charlotte&GOODRICH,%20Suzanne&AWOH,%20Ajeh%20Rogers&rft.genre=article |
