Update of the standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population

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Update of the standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. / Wicke, Felix Sebastian; Krakau, Lina; Löwe, Bernd; Beutel, Manfred E; Brähler, Elmar.

in: J AFFECT DISORDERS, Jahrgang 312, 01.09.2022, S. 310-314.

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@article{16ff5fc08c31413fbbbe6d7816f91e70,
title = "Update of the standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population",
abstract = "INTRODUCTION: PHQ-4, consisting of PHQ-2 and GAD-2, is a widely used screening instrument for depressive and anxiety symptoms in clinical settings and in epidemiological studies. In the present study we provide an update of normative data from the German general population.METHODS: Data was collected in two randomly selected samples representative of the German general population in 2020 (N = 2503) and 2021 (N = 2519). We computed percentile norm values for the total sample (N = 5022) and for different age groups, stratified by gender.RESULTS: Compared to previous data, only minor changes in normative values were observed. 95 %-thresholds were at a score of 6-7 for the PHQ-4, and 3-4 for PHQ-2 and GAD-2 respectively. The scales showed acceptable reliability with McDonald's omega of ω = 0.77 for PHQ-2, ω = 0.78 for GAD-2, and ω = 0.85 for PHQ-4.LIMITATIONS: Lack of a diagnostic gold standard and suboptimal response proportion (44.2 %) are limitations of this study.CONCLUSION: This update supports the continued use of PHQ-4 scales as reliable instruments. For psychometric application, the reported normative data for PHQ-2, GAD-2 and PHQ-4 facilitates more up-to-date comparisons.",
keywords = "Anxiety Disorders/diagnosis, Depression/diagnosis, Humans, Patient Health Questionnaire, Psychometrics, Reference Standards, Reproducibility of Results, Surveys and Questionnaires",
author = "Wicke, {Felix Sebastian} and Lina Krakau and Bernd L{\"o}we and Beutel, {Manfred E} and Elmar Br{\"a}hler",
note = "Copyright {\textcopyright} 2022. Published by Elsevier B.V.",
year = "2022",
month = sep,
day = "1",
doi = "10.1016/j.jad.2022.06.054",
language = "English",
volume = "312",
pages = "310--314",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Update of the standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population

AU - Wicke, Felix Sebastian

AU - Krakau, Lina

AU - Löwe, Bernd

AU - Beutel, Manfred E

AU - Brähler, Elmar

N1 - Copyright © 2022. Published by Elsevier B.V.

PY - 2022/9/1

Y1 - 2022/9/1

N2 - INTRODUCTION: PHQ-4, consisting of PHQ-2 and GAD-2, is a widely used screening instrument for depressive and anxiety symptoms in clinical settings and in epidemiological studies. In the present study we provide an update of normative data from the German general population.METHODS: Data was collected in two randomly selected samples representative of the German general population in 2020 (N = 2503) and 2021 (N = 2519). We computed percentile norm values for the total sample (N = 5022) and for different age groups, stratified by gender.RESULTS: Compared to previous data, only minor changes in normative values were observed. 95 %-thresholds were at a score of 6-7 for the PHQ-4, and 3-4 for PHQ-2 and GAD-2 respectively. The scales showed acceptable reliability with McDonald's omega of ω = 0.77 for PHQ-2, ω = 0.78 for GAD-2, and ω = 0.85 for PHQ-4.LIMITATIONS: Lack of a diagnostic gold standard and suboptimal response proportion (44.2 %) are limitations of this study.CONCLUSION: This update supports the continued use of PHQ-4 scales as reliable instruments. For psychometric application, the reported normative data for PHQ-2, GAD-2 and PHQ-4 facilitates more up-to-date comparisons.

AB - INTRODUCTION: PHQ-4, consisting of PHQ-2 and GAD-2, is a widely used screening instrument for depressive and anxiety symptoms in clinical settings and in epidemiological studies. In the present study we provide an update of normative data from the German general population.METHODS: Data was collected in two randomly selected samples representative of the German general population in 2020 (N = 2503) and 2021 (N = 2519). We computed percentile norm values for the total sample (N = 5022) and for different age groups, stratified by gender.RESULTS: Compared to previous data, only minor changes in normative values were observed. 95 %-thresholds were at a score of 6-7 for the PHQ-4, and 3-4 for PHQ-2 and GAD-2 respectively. The scales showed acceptable reliability with McDonald's omega of ω = 0.77 for PHQ-2, ω = 0.78 for GAD-2, and ω = 0.85 for PHQ-4.LIMITATIONS: Lack of a diagnostic gold standard and suboptimal response proportion (44.2 %) are limitations of this study.CONCLUSION: This update supports the continued use of PHQ-4 scales as reliable instruments. For psychometric application, the reported normative data for PHQ-2, GAD-2 and PHQ-4 facilitates more up-to-date comparisons.

KW - Anxiety Disorders/diagnosis

KW - Depression/diagnosis

KW - Humans

KW - Patient Health Questionnaire

KW - Psychometrics

KW - Reference Standards

KW - Reproducibility of Results

KW - Surveys and Questionnaires

U2 - 10.1016/j.jad.2022.06.054

DO - 10.1016/j.jad.2022.06.054

M3 - SCORING: Journal article

C2 - 35760191

VL - 312

SP - 310

EP - 314

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -