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Accuracy of alternative PHQ-9 scoring algorithms to screen for depression in people living with HIV in Sub-Saharan Africa

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorBERNARD, Charlotte
ORCID: 0000-0003-2677-4023
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorFONT, Helene
dc.contributor.authorZOTOVA, Natalia
dc.contributor.authorWOOLS-KALOUSTIAN, Kara
dc.contributor.authorGOODRICH, Suzanne
dc.contributor.authorKWOBAH, Edith Kamaru
dc.contributor.authorAWOH, Ajeh Rogers
dc.contributor.authorNKO'O MBONGO'O, Guy Calvin
dc.contributor.authorNSONDE, Dominique Mahambu
dc.contributor.authorGANDOU, Paul
dc.contributor.authorMINGA, Albert
dc.contributor.authorTINE, Judicaël Malick
dc.contributor.authorNDIAYE, Ibrahima
dc.contributor.authorDABIS, François
dc.contributor.authorSEYDI, Moussa
dc.contributor.authorDE REKENEIRE, Nathalie
dc.contributor.authorYOTEBIENG, Marcel
hal.structure.identifierBordeaux population health [BPH]
hal.structure.identifierGlobal Health in the Global South [GHiGS]
dc.contributor.authorJAQUET, Antoine
dc.date.accessioned2024-11-20T09:38:31Z
dc.date.available2024-11-20T09:38:31Z
dc.date.issued2024-10-24
dc.identifier.issn1944-7884en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/203367
dc.description.abstractEnScreening 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.isoENen_US
dc.title.enAccuracy of alternative PHQ-9 scoring algorithms to screen for depression in people living with HIV in Sub-Saharan Africa
dc.title.alternativeJ Acquir Immune Defic Syndren_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1097/QAI.0000000000003551en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed39446481en_US
bordeaux.journalJournal of Acquired Immune Deficiency Syndromes - JAIDSen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamGHIGS_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDInstitut de Recherche pour le Développementen_US
bordeaux.import.sourcepubmed
hal.identifierhal-04792633
hal.version1
hal.date.transferred2024-11-20T09:38:33Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
workflow.import.sourcepubmed
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_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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