未经证实:抑郁症是由许多心理工具筛选,而患者健康问卷-9(PHQ-9)是最常用的自我管理工具之一。乌干达是一个文化多元化的国家,拥有各种各样的部落,种族群体,语言,和疾病状况;迫切需要了解不同队列中使用的PHQ-9的心理测量学。然而,没有事先审查来评估其在这个文化多样的国家的可靠性,这篇评论填补了知识空白。
未经批准:遵守PRISMA准则,在几个数据库中进行了系统的搜索(即,PubMed,非洲信息,AJOL,和PsycINFO,除其他外),这篇综述共包括51篇文章,确认研究纳入标准(例如,使用PHQ-9)。
未经评估:PHQ-9已在10岁以上的个体和两种性别中使用,该工具在HIV患者组中使用最多(n=28)。该工具经常通过访谈进行管理,并已被翻译成多种语言(主要是卢干达,n=31)。10的截止值通常用于识别临床或重度抑郁症(n=23),其患病率为8%至67%。它已被验证用于两个群体,(i)艾滋病毒阳性参与者和(ii)在医疗机构就诊的普通人群。敏感性和特异性分别为92%和89%,分别,截止分数为10分,而67%和78%,分别,截止得分为5分。Cronbachα介于0.68和0.94之间。
未经评估:PHQ-9已在乌干达的几项研究中使用,但仅在两个人群中得到验证,通常以一种语言使用。因此,有必要在各种人群和语言中验证该工具,以提高该工具在乌干达的接受度。
UNASSIGNED: Depression is screened by many psychological tools, whereas the Patient Health Questionnaire-9 (PHQ-9) is one of the most commonly used self-administered tools. Uganda is a culturally diverse country with a wide variety of tribes, ethnic groups, languages, and disease conditions; it is urgent to know the psychometrics of the used PHQ-9 across different cohorts. However, there is no prior
review to assess its reliability in this culturally diverse country, where this
review fulfills the knowledge gap.
UNASSIGNED: Adhering to the PRISMA guideline, a systematic search was performed in several databases (i.e., PubMed, Africa-Wide Information, AJOL, and PsycINFO, among others), and a total of 51 articles were included in this
review, confirming the study inclusion criteria (e.g., using the PHQ-9).
UNASSIGNED: The PHQ-9 has been used among individuals above 10 years and both genders, and the tool has been used most among the HIV patient group (n = 28). The tool is frequently administered by interviews and has been translated into several languages (mostly Luganda, n = 31). A cutoff of 10 was commonly used to identify clinical or major depression (n = 23), and its prevalence ranged from 8 to 67%. It has been validated for use in two populations, (i) HIV-positive participants and (ii) the general population attending a health facility. The sensitivity and specificity were 92 and 89%, respectively, at a cutoff score of 10, whereas 67 and 78%, respectively, at a cutoff score of 5. The Cronbach alpha ranged between 0.68 and 0.94.
UNASSIGNED: The PHQ-9 has been used in several studies in Uganda but validated in only two populations and is commonly used in one language. Thus, validation of the tool in various populations and languages is warranted to improve the tool\'s acceptance in Uganda.