Charlotte Hanlon|Girmay Medhin|Medhin Selamu|Erica Breuer|Benyam Worku|Maji Hailemariam|Crick Lund|Martin Prince|Abebaw Fekadu
Validity of brief screening questionnaires to detect depression in primary care in Ethiopia
King's College London|Addis Ababa University|Addis Ababa University|Addis Ababa University|University of Cape Town|Addis Ababa University|Addis Ababa University|University of Cape Town|King's College London|King's College London|Addis Ababa University
brief depression screening questionnaires may increase detection depression primary care settings validation studies carried typical populations lowincome countriescultural validation patient health questionnaire phq9phq2 20item selfreporting questionnaire srq20 kessler scales k6k10 carried 306 adults consecutively attending primary care facilities small towns ethiopia assess criterion validity gold standard assessment presence major depressive disorder mdd made ethiopian psychiatric nurses using mini international neuropsychiatric interviewthe prevalence gold standard mdd 59 irritability common depressed mood anhedonia area receiver operating characteristic curve indicated good performance phq9 srq20 k6 k10 083085 fair phq2 078 cutoff score acceptable sensitivity combined adequate positive predictive value screening questionnaires associated disability phq9 srq20 associated higher health service contacts indicating convergent validity construct validity scales indicated unidimensionality exploratory factor analysistestretest reliability assessedbrief depression screening questionnaires found valid primary care lowincome country however questionnaires immediate applicability routine clinical settings studies evaluate utility indicated screening embedded within health system changes support mdd detection investigation irritability core depression symptom warranted