TY - JOUR
T1 - Profiles of depression in a treatment-seeking Hispanic population
T2 - Psychometric properties of the Patient Health Questionnaire-9
AU - Killian, Michael O.
AU - Sanchez, Katherine
AU - Eghaneyan, Brittany H.
AU - Cabassa, Leopoldo J.
AU - Trivedi, Madhukar H.
N1 - Funding Information:
This study was funded by grants from the US Department of Health and Human Services Center for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation, Grants to Support the Hispanic Health Services Research Grant Program (Grant No. 1H0CMS331363‐01‐00) and the National Institute of Health (NIH) National Institute on Minority Health and Health Disparities (NIMHD, 1R15MD010220‐01).
Publisher Copyright:
© 2020 The Authors. International Journal of Methods in Psychiatric Research published by John Wiley & Sons Ltd.
PY - 2021/3
Y1 - 2021/3
N2 - Objectives: Screening instruments can be powerful tools in assisting primary care providers with detecting depression in their patients and monitoring treatment response. Health disparities among racial and ethnic minorities result from inaccurate assessment in primary care. Methods: The current study used baseline data from two federally funded research studies of treatment for depression among Hispanics in primary care. The Patient Health Questionnaire-9 (PHQ-9) was administered at baseline prior to the study interventions, and 499 participants provided responses. Results: Confirmatory factor analyses found excellent factor validity for the PHQ-9, yet reliability remained poor. Possible heterogeneity in depressive item scores was examined, and latent profile analysis identified four distinct profiles of PHQ-9 responses. Profiles included a lower depression, moderate/somatization, moderate/negative self-view, and severe depression profiles. Results indicate modest support for the PHQ-9 and its use among Hispanics for the purpose of depression screening. Conclusion: Capturing four profiles of depression in a large primary care sample helps characterize the manifestation of depression in a Hispanic population. The single item related to fatigue had the greatest variation across groups indicating it might be useful as a screening item. Inadequate evaluation of symptoms could lead to significant under identification of the disorder among Hispanics.
AB - Objectives: Screening instruments can be powerful tools in assisting primary care providers with detecting depression in their patients and monitoring treatment response. Health disparities among racial and ethnic minorities result from inaccurate assessment in primary care. Methods: The current study used baseline data from two federally funded research studies of treatment for depression among Hispanics in primary care. The Patient Health Questionnaire-9 (PHQ-9) was administered at baseline prior to the study interventions, and 499 participants provided responses. Results: Confirmatory factor analyses found excellent factor validity for the PHQ-9, yet reliability remained poor. Possible heterogeneity in depressive item scores was examined, and latent profile analysis identified four distinct profiles of PHQ-9 responses. Profiles included a lower depression, moderate/somatization, moderate/negative self-view, and severe depression profiles. Results indicate modest support for the PHQ-9 and its use among Hispanics for the purpose of depression screening. Conclusion: Capturing four profiles of depression in a large primary care sample helps characterize the manifestation of depression in a Hispanic population. The single item related to fatigue had the greatest variation across groups indicating it might be useful as a screening item. Inadequate evaluation of symptoms could lead to significant under identification of the disorder among Hispanics.
KW - Hispanics
KW - depression
KW - latent profile analysis
KW - primary care
UR - http://www.scopus.com/inward/record.url?scp=85089975826&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85089975826&partnerID=8YFLogxK
U2 - 10.1002/mpr.1851
DO - 10.1002/mpr.1851
M3 - Article
C2 - 32862484
AN - SCOPUS:85089975826
SN - 1049-8931
VL - 30
JO - International Journal of Methods in Psychiatric Research
JF - International Journal of Methods in Psychiatric Research
IS - 1
M1 - e1851
ER -