Study of the discriminative validity of the PHQ-9 and PHQ-2 in a sample of Brazilian women in the context of primary health care

Perspect Psychiatr Care. 2009 Jul;45(3):216-27. doi: 10.1111/j.1744-6163.2009.00224.x.

Abstract

Purpose: This study aimed to assess the discriminative validity of the Brazilian version of the Patient Health Questionnaire (PHQ-9) and of its reduced version (PHQ-2).

Design and methods: The sample consisted of 177 women (60 cases of depression and 117 noncases). The SCID-IV was used as the gold standard.

Findings: For the PHQ-9, a cutoff score equal to or higher than 10 proved to be the most adequate for the screening of depression, whereas the best cutoff score for the PHQ-2 was found to lie between 3 and 4.

Practice implications: The systematic use of these instruments in nursing and in the context of primary health care could favor the early detection of depression.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brazil
  • Cross-Cultural Comparison*
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / nursing*
  • Female
  • Humans
  • Mass Screening / nursing
  • Middle Aged
  • Nursing Diagnosis
  • Personality Inventory / statistics & numerical data*
  • Psychometrics / statistics & numerical data
  • Reproducibility of Results