Equivalency of the diagnostic accuracy of the PHQ-8 and PHQ-9: a systematic review and individual participant data meta-analysis.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wu Yin, Levis Brooke, Riehm Kira E, Saadat Nazanin, Levis Alexander W, Azar Marleine, Rice Danielle B, Boruff Jill, Cuijpers Pim, Gilbody Simon, Ioannidis John P A, Kloda Lorie A, McMillan Dean, Patten Scott B, Shrier Ian, Ziegelstein Roy C, Akena Dickens H, Arroll Bruce, Ayalon Liat, Baradaran Hamid R, Baron Murray, Bombardier Charles H, Butterworth Peter, Carter Gregory, Chagas Marcos H, Chan Juliana C N, Cholera Rushina, Conwell Yeates, de Man-van Ginkel Janneke M, Fann Jesse R, Fischer Felix H, Fung Daniel, Gelaye Bizu, Goodyear-Smith Felicity, Greeno Catherine G, Hall Brian J, Harrison Patricia A, Härter Martin, Hegerl Ulrich, Hides Leanne, Hobfoll Stevan E, Hudson Marie, Hyphantis Thomas, Inagaki Masatoshi, Jetté Nathalie, Khamseh Mohammad E, Kiely Kim M, Kwan Yunxin, Lamers Femke, Liu Shen-Ing, Lotrakul Manote, Loureiro Sonia R, Löwe Bernd, McGuire Anthony, Mohd-Sidik Sherina, Munhoz Tiago N, Muramatsu Kumiko, Osório Flávia L, Patel Vikram, Pence Brian W, Persoons Philippe, Picardi Angelo, Reuter Katrin, Rooney Alasdair G, Santos Iná S, Shaaban Juwita, Sidebottom Abbey, Simning Adam, Stafford Lesley, Sung Sharon, Tan Pei Lin Lynnette, Turner Alyna, van Weert Henk C, White Jennifer, Whooley Mary A, Winkley Kirsty, Yamada Mitsuhiko, Benedetti Andrea, Thombs Brett D
Аннотация
METHODS: We conducted an individual patient data meta-analysis. We fit bivariate random-effects models to assess diagnostic accuracy.
RESULTS: 16 742 participants (2097 major depression cases) from 54 studies were included. The correlation between PHQ-8 and PHQ-9 scores was 0.996 (95% confidence interval 0.996 to 0.996). The standard cutoff score of 10 for the PHQ-9 maximized sensitivity + specificity for the PHQ-8 among studies that used a semi-structured diagnostic interview reference standard (N = 27). At cutoff 10, the PHQ-8 was less sensitive by 0.02 (-0.06 to 0.00) and more specific by 0.01 (0.00 to 0.01) among those studies (N = 27), with similar results for studies that used other types of interviews (N = 27). For all 54 primary studies combined, across all cutoffs, the PHQ-8 was less sensitive than the PHQ-9 by 0.00 to 0.05 (0.03 at cutoff 10), and specificity was within 0.01 for all cutoffs (0.00 to 0.01).
CONCLUSIONS: PHQ-8 and PHQ-9 total scores were similar. Sensitivity may be minimally reduced with the PHQ-8, but specificity is similar.