Navigation Links
Inexpensive depression screening tool works in resource poor countries
Date:2/24/2009

INDIANAPOLIS A study published in the February 2009 issue of the Journal of General Internal Medicine reports that a highly reliable depression screening tool known as the Patient Health Questionnaire-9 (PHQ-9) used across the United States and Europe can be effectively administered in resource poor Africa to HIV/AID patients, a population whose mental health needs have been underserved. The work also confirms that Kenyans with HIV/AIDS suffer depression at as high or higher a rate than those with HIV/AIDS in developed countries.

"Learning that the PHQ-9 depression measure can be successfully used in Kenya is very good news for the region. Due to lack of resources, depression in individuals with HIV/AIDS has been largely ignored in sub-Saharan Africa, even though 67 percent of the world's cases are there. Yet we know that depression is associated with failure to adopt healthy protective behaviors and that people with less depression are more likely to engage in healthy behaviors such as using precautions if engaging in sex," said Patrick O. Monahan, Ph.D., Indiana University School of Medicine associate professor of medicine, first author of the new JGIM study.

"The people of Kenya are very friendly, hard working and responsible. However, given a culture which prizes stoicism in the face of adversity, we were not sure whether it would be possible to discuss depression and suicidal thoughts. On the contrary, we found a high degree of openness and willingness to talk about depression and hopelessness. We found a 13 percent incidence of major depression disorder and a 21 percent incidence of other depressive disorder in the 345 HIV/AIDS Kenyan patients we studied," said Dr. Monahan.

The PHQ-9 was developed in a 1999 study which was co-authored by one of the authors of the new study, Kurt Kroenke, M.D., IU School of Medicine professor of medicine and a Regenstrief Institute research scientist, to screen primary care patients for depression. It is now increasingly used by psychiatrists.

"The PHQ-9 has become an easy to administer, validated means of quantifying the patient's symptoms, what Dr. Kroenke calls "a sort of a blood pressure cuff for depression."

Although the PHQ-9 has been extensively tested, validated and utilized in the United States and West Europe, only one previous study has evaluated use of the PHQ-9 with an HIV-positive population, and that was in the United States, not in Africa. Only three previous studies have looked at the feasibility of administering the PHQ-9 in Africa, none to patients with HIV/AIDS.

"Our study, taken together with the many studies that validated the PHQ-9 in a variety of U.S. samples, strongly suggests that the PHQ-9 would also be valid and reliable with U.S. patients with HIV/AIDS for assessing severity and helping with diagnosis at a low cost," said Dr. Monahan.


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University
Source:Eurekalert  

Related medicine news :

1. Inexpensive Online Pain Education Program for Physicians as Effective as Live Presentations by National Experts
2. Study: Before a CT scan or angiogram, many people should take inexpensive drug to protect kidneys
3. Study Finds Nearly One-Third of All Inexpensive Earrings Examined Tested Positive for Nickel
4. Inexpensive Compound Could Treat Severe Diarrhea
5. Handbooks in Health Care Company Offers Full Line of Inexpensive Educational Pocket Books
6. Simple, inexpensive and objective tools for the assessment of mucosal inflammation: fecal markers
7. Groundbreaking, inexpensive, pocket-sized ultrasound device can help treat cancer, relieve arthritis
8. Inexpensive Test Can Help Prevent Lung Cancer Caused By Radon
9. Inexpensive and Illegal Buttock - Boosting Injections Not Pretty
10. Clinical depression linked to abnormal emotional brain circuits
11. Depression Taking Toll on Returning U.S. Vets
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Inexpensive depression screening tool works in resource poor countries
(Date:5/27/2016)... ... May 27, 2016 , ... With a ... medical and food industries. Aside from its GMP accreditation, Validation Center is also ... successfully certified products, services and staff. , Validation Center is ISO17025 accredited and ...
(Date:5/26/2016)... ... ... There are many ways to cook a hot dog, but new research ... their dogs straight off the grill. Of the 90 percent of Americans who say ... a hot dog, far outpacing other cooking methods such as steaming (12 percent), microwaving ...
(Date:5/26/2016)... California (PRWEB) , ... May 26, 2016 , ... ... associated with discovery of thousands of defective respirators, according to court documents and ... the case of William and Becky Tyler v. American Optical Corporation, Case No. ...
(Date:5/26/2016)... ... May 26, 2016 , ... Georgia State University College of ... programs. , Answering to the increasing demand for curricular specializations, the Certificate in ... environmental and land use law. ,  , “The demand for lawyers with specific ...
(Date:5/26/2016)... ... ... On Memorial Day, Hope For Heroes and USA Medical Card ... the country. The nonprofit Hope For Heroes partnered with the leading provider of ... disabled military veterans, as well as police, firemen, and EMS professionals across the country, ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... Inivata, a global clinical ... tumour DNA (ctDNA) analysis to improve personalised healthcare ... Clive Morris as Chief Medical Officer. ... development programme, scientific collaborations, and through to commercialisation ... in clinical outcomes for patients. Clive ...
(Date:5/24/2016)... --   , Study met ... cleansing and superiority in , Excellent ... of the ascending colon   , ... Norgine B.V. today announced new positive data from the phase III ... versus standard 2 litre PEG with ascorbate. The study met both ...
(Date:5/24/2016)... , May 24, 2016  Joe Marziani has joined VMS BioMarketing as senior ... executive officer, today. In his new role, Marziani will lead the company,s business development ... professionals to improve outcomes. Photo - http://photos.prnewswire.com/prnh/20160523/371089 ... ... ...
Breaking Medicine Technology: