D. S. Reuland|A. Cherrington|G. S. Watkins|D. W. Bradford|R. A. Blanco|Bradley N. Gaynes
Diagnostic Accuracy of Spanish Language Depression-Screening Instruments
University of North Carolina at Chapel Hill|University of Alabama|University of North Carolina at Chapel Hill|Durham VA Medical Center|Duke University Hospital|Duke Medical Center|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
purposeto make decisions implementing systematic depression screening primary care physicians serve spanishspeaking populations need know whether spanish language depressionscreening instruments accuratewe aimed review systematically evidence regarding diagnostic accuracy depressionscreening instruments spanishspeaking primary care populations methodswe searched pubmed psycinfo cinahl embase cochrane libraries inception may 28 2008 studies examining diagnostic accuracy spanish language depression casefi nding instruments administered primarycare outpatientstwo authors independently assessed studies inclusion quality resultstwelve studies met inclusion criteriain general primary care screening spanish language version center epidemiologic studiesdepression scale cesd sensitivities ranging 76 92 specifi cities ranging 70 74we found us study reporting accuracy primary care evaluation mental disorders primemd9 patient health questionnaire phq9 depression module spanishspeakersone fairquality european study 1 poorquality study conducted honduras found 9item primemd sensitivities ranging 72 77 specifi cities ranging 86 100the 2item primemd 92 sensitive 44 specifi c depression 1 us studyin geriatric outpatients 15item spanish language version geriatric depression scale gds sensitivities ranging 76 82 specifi cities ranging 64 98in postpartum women spanish language version edinburgh postnatal depression scale epds 72 89 sensitive 86 95 specifi c major depression 2 nonus studiesthe spanish language version postpartum depression screening scale pdss 78 sensitive 85 specifi c combined majorminor depression 1 us studyconclusions depression screening spanishspeaking outpatients fair evidence supports diagnostic accuracy cesd primemd9 general primary care gds15spanish geriatric patients spanish language versions epds pdss postpartum patientsthe ultrashort 2item version primemd may lack specifi city us spanishspeakers