Accuracy of alternative PHQ-9 scoring algorithms to screen for depression in people living with HIV in Sub-Saharan Africa
| dc.rights.license | open | en_US |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| hal.structure.identifier | Global Health in the Global South [GHiGS] | |
| dc.contributor.author | BERNARD, Charlotte
ORCID: 0000-0003-2677-4023 | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| hal.structure.identifier | Global Health in the Global South [GHiGS] | |
| dc.contributor.author | FONT, Helene | |
| dc.contributor.author | ZOTOVA, Natalia | |
| dc.contributor.author | WOOLS-KALOUSTIAN, Kara | |
| dc.contributor.author | GOODRICH, Suzanne | |
| dc.contributor.author | KWOBAH, Edith Kamaru | |
| dc.contributor.author | AWOH, Ajeh Rogers | |
| dc.contributor.author | NKO'O MBONGO'O, Guy Calvin | |
| dc.contributor.author | NSONDE, Dominique Mahambu | |
| dc.contributor.author | GANDOU, Paul | |
| dc.contributor.author | MINGA, Albert | |
| dc.contributor.author | TINE, Judicaël Malick | |
| dc.contributor.author | NDIAYE, Ibrahima | |
| dc.contributor.author | DABIS, François | |
| dc.contributor.author | SEYDI, Moussa | |
| dc.contributor.author | DE REKENEIRE, Nathalie | |
| dc.contributor.author | YOTEBIENG, Marcel | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| hal.structure.identifier | Global Health in the Global South [GHiGS] | |
| dc.contributor.author | JAQUET, Antoine | |
| dc.date.accessioned | 2024-11-20T09:38:31Z | |
| dc.date.available | 2024-11-20T09:38:31Z | |
| dc.date.issued | 2024-10-24 | |
| dc.identifier.issn | 1944-7884 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/203367 | |
| dc.description.abstractEn | Screening for depression remains a priority for people living with HIV (PLWH) accessing care. The nine-item Patient Health Questionnaire (PHQ-9) is a widely used depression screening tool, but has limited accuracy when applied across various cultural contexts. We aimed to evaluate the performance of alternative PHQ-9 scoring algorithms in sub-Saharan African PLWH. five HIV programs in Cameroon, Côte d'Ivoire, Kenya, Senegal and the Republic of Congo. Adult PLWH were screened for depression during the 2018-2022 period. Diagnosis confirmation was done by psychiatrist blinded clinical evaluation (gold standard). Diagnostic performances, including sensitivity, and area under the curve (AUC)) of the traditional PHQ-9 scoring (positive screening - score≥10) was compared to alternative scoring algorithms including: i) the presence of ≥1 mood symptom (PHQ-9 items 1&2) combined with ≥2 other symptoms listed in the PHQ-9, and ii) a simplified recoding of each 4-response item into two categories (absence/presence). A total of 735 participants were included (54% female, median age 42 years [IQR 34-50]). Depression was diagnosed by a psychiatrist in 95(13%) participants. Alternative scoring sensitivities (0.59 to 0.74) were higher than that of the traditional score's (0.39). Compared to traditional scoring, AUC were significantly higher for PHQ-9 alternative scoring. Across settings, alternative scoring algorithms increased sensitivity and reduced variability. As a primary screening test, new scoring algorithms appeared to improve the PHQ-9 sensitivity in identifying depression and reduce heterogeneity across settings. This alternative might be considered to identify PLWH in need of referral for further diagnostic evaluations. | |
| dc.language.iso | EN | en_US |
| dc.title.en | Accuracy of alternative PHQ-9 scoring algorithms to screen for depression in people living with HIV in Sub-Saharan Africa | |
| dc.title.alternative | J Acquir Immune Defic Syndr | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1097/QAI.0000000000003551 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 39446481 | en_US |
| bordeaux.journal | Journal of Acquired Immune Deficiency Syndromes - JAIDS | 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 |
| bordeaux.import.source | pubmed | |
| hal.identifier | hal-04792633 | |
| hal.version | 1 | |
| hal.date.transferred | 2024-11-20T09:38:33Z | |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | true | |
| workflow.import.source | pubmed | |
| 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=Journal%20of%20Acquired%20Immune%20Deficiency%20Syndromes%20-%20JAIDS&rft.date=2024-10-24&rft.eissn=1944-7884&rft.issn=1944-7884&rft.au=BERNARD,%20Charlotte&FONT,%20Helene&ZOTOVA,%20Natalia&WOOLS-KALOUSTIAN,%20Kara&GOODRICH,%20Suzanne&rft.genre=article |
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