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:6/26/2016)... Orion, Clarkston, Michigan (PRWEB) , ... June 26, ... ... with respect to fertility once they have been diagnosed with endometriosis. These women ... intercourse but they also require a comprehensive approach that can help for preservation ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX ... Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over ... Cut Pro X . Simply select a ProHand generator and drag it above media ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World Sickle Cell Observance ... and the benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, ... Disease. , Sickle Cell Disease (SCD) is a disorder of the red blood cells, ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas ... , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... June 23, 2016  In a startling report released today, ... residents by lacking a comprehensive, proven plan to eliminate prescription opioid ... ranking of how states are tackling the worst drug crisis in ... states – Kentucky , New Mexico ... . Of the 28 failing states, three – ...
(Date:6/23/2016)... , June 23, 2016 Bracket , a ... its next generation clinical outcomes platform, Bracket eCOA (SM) ... on June 26 – 30, 2016 in Philadelphia ... electronic Clinical Outcome Assessment product of its kind to fully ... Bracket eCOA 6.0 is a flexible platform for ...
(Date:6/23/2016)... , June 23, 2016  Guerbet announced today ... Inc.,s Supplier Horizon Award . One ... Guerbet was recognized for its support of Premier members ... through clinical excellence, and commitment to lower costs. ... receive this recognition of our outstanding customer service from ...
Breaking Medicine Technology: