Juliet Nakku|Sujit D Rathod|Dorothy Kizza|Erica Breuer|K. Mutyaba|Emily Baron|Joshua Ssebunnya|Fred Kigozi
Validity and diagnostic accuracy of the Luganda version of the 9-item and 2-item Patient Health Questionnaire for detecting major depressive disorder in rural Uganda
Butabika Hospital|Makerere University|London School of Hygiene & Tropical Medicine|Butabika Hospital|Makerere University|University of Cape Town|Butabika Hospital|Makerere University|University of Cape Town|Butabika Hospital|Makerere University|Butabika Hospital|Makerere University
background prevalence depression rural ugandan communities high yet detection treatment depression primary care setting suboptimal short valid depression screening measures may improve detection depression describe validation luganda translated nine twoitem patient health questionnaires phq9 phq2 screening tools depression two rural primary care facilities eastern uganda methods total 1407 adult respondents screened consecutively using nineitem luganda phq 212 randomly selected respond mini international neuropsychiatric interview diagnostic questionnaire descriptive statistics respondents demographic characteristics phq scores generated sensitivity specificity positive predictive values ppvs area roc curve determined phq9 phq2 results optimum tradeoff sensitivity ppv cutoff 5 weighted area receiver operating characteristic curve 074 95 ci 060089 068 95 ci 054082 phq9 phq2 respectively conclusion luganda translation phq9 found modestly useful detecting depression phq9 performed slightly better phq2 rural ugandan primary care setting future research could improve diagnostic accuracy considering idioms distress among luganda speakers revising phq9 accordingly usefulness phq2 rural population viewed caution