John A. Gallis|Joanna Maselko|Karen O’Donnell|Ke Song|Kiran Saqib|Elizabeth L. Turner|Siham Sikander
Criterion-related validity and reliability of the Urdu version of the patient health questionnaire in a sample of community-based pregnant women in Pakistan
Duke University|Duke Institute for Health Innovation|University of North Carolina at Chapel Hill|Duke Institute for Health Innovation|Duke University|Center for Child and Family Health|Duke University|Duke Institute for Health Innovation|Human Development Research Foundation|Duke University|Duke Institute for Health Innovation|Human Development Research Foundation|Health Services Academy
depression one prevalent yet unrecognized treatable mental disorders low middle income countries lmics locations screening tools easytoadminister valid reliable needed assist detecting symptoms depression patient health questionnaire phq9 one widely used depression screeners however applicability communitybased settings pakistan limited lack studies examining validity reliability settings current study aimed demonstrate criterionrelated validity internal reliability urdu version phq9 sample communitybased pregnant women pakistan compared diagnostic clinical interview structured clinical interview dsm disorders scid using data depression treatment cluster randomized trial rural pakistanpregnant women rural low income subdistrict pakistan approached october 2014 february 2016 providing informed consent screened depression using urdu version phq9 cutoff 10 used indicate significant depressive symptoms following phq9 diagnostic module current major depressive episode scid administered examined psychometric properties phq9 compared scid gold standard using sensitivity specificity negative positive predictive value measure criterionrelated validity phq9 indicator symptoms depression computed area receiver operating characteristic curve determine diagnostic accuracy used cronbachs alpha assess internal reliabilitya total 1731 women third trimester pregnancy assessed major depressive disorder women 572 33 met cutoff significant depressive symptoms phq9 454 26 assessed positive depression using scid sensitivity specificity phq9 cutoff 10 947 889 respectively positive negative predictive values 752 979 respectively area curve 0959 internal reliability measured cronbachs alpha 0844valid reliable screening tools assist detecting symptoms depressive disorder needed low income settings depressive disorders highly prevalent urdu version phq9 previously validated wellknown assessment depression community setting among pregnant women pakistan study demonstrates urdu version phq9 acceptable criterionrelated validity reliability screening depressive symptoms pakistan among communitybased pregnant women recommended cutoff score 10 used also serve accurate screening tool major depressive disorder