Validation of the Patient Health Questionnaire-9 for depression screening among Chinese Americans

Compr Psychiatry. Mar-Apr 2008;49(2):211-7. doi: 10.1016/j.comppsych.2006.06.002. Epub 2007 Oct 24.

Abstract

Objective: The objective of this study was to validate the Chinese Bilingual version of the Patient Health Questionnaire (CB-PHQ-9) for screening for depression among Chinese Americans in primary care.

Method: Chinese-American patients attending a primary care clinic were screened for major depressive disorder (MDD) using the CB-PHQ-9. All patients who scored 15 or higher on the CB-PHQ-9 were interviewed using the Chinese-bilingual Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, patient version. Eight percent of patients who scored less than 15 on the CB-PHQ-9 were randomly selected and interviewed with the depression module of the Chinese-bilingual Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, patient version.

Results: During the study, 1940 unduplicated patients completed the CB-PHQ-9. The CB-PHQ-9 had high internal consistency (alpha = 0.91), and the scores of each of its 9 items had moderate to moderately high correlations (0.52-0.85) with the total scores. The sensitivity and specificity of the CB-PHQ-9 for recognizing MDD were found to be 81% and 98%, respectively, and the area under the receiver operating characteristic curve was estimated to be 0.97 (SE, 0.01).

Conclusion: The CB-PHQ-9 is a valid and useful instrument for screening for MDD among Chinese Americans in primary care.

Publication types

  • Research Support, N.I.H., Extramural
  • Validation Study

MeSH terms

  • Asian Americans / ethnology*
  • Depression / diagnosis*
  • Depression / ethnology*
  • Female
  • Humans
  • Male
  • Mass Screening / methods*
  • Middle Aged
  • Reproducibility of Results
  • Surveys and Questionnaires*