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Validity, Reliability, and Optimal Cut-Off Scores of the Who-5, Phq-9, and Phq-2 to Screen Depression Among University Students in Iran Publisher



Ghazisaeedi M1 ; Mahmoodi H2 ; Arpaci I3 ; Mehrdar S4 ; Barzegari S5
Authors
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Authors Affiliations
  1. 1. Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Health Information Management Research Center, Kashan University Medical Sciences, Kashan, Iran
  3. 3. Department of Computer Education and Instructional Technology, Tokat Gaziosmanpasa University, Tokat, 60250, Turkey
  4. 4. Urmia University of Technology, Urmia, Iran
  5. 5. Health Information Management, Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Mental Health and Addiction Published:2022


Abstract

This study aimed to investigate the validity, reliability, and optimal cut-off points for the Patient Health Questionnaire-2 (PHQ-2), Patient Health Questionnaire-9 (PHQ-9), and Well-being Index (WHO-5) to screen mild depression among 400 Iranian students who completed these tools and Beck Depression Inventory (BDI-13). Further, a psychiatrist diagnosed the depression by using the “Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders.” The validity and internal consistency of tools assessed and the accuracy were computed using the receiver operating characteristic (ROC) and area under the curve (AUC). The internal consistency values of PHQ-2, PHQ-9, and WHO-5 were.73,.88, and.94, respectively. The PHQ-2 (.53), PHQ-9 (.60), and WHO-5 (.54) were significantly associated with the BDI. The PHQ-2, PHQ-9, and WHO-5 had optimal cut-off points of 2, 5, and 9 with an AUC of.809,.851, and.823, respectively. Based on these findings, it is recommended to use the PHQ-9 for mild depression screening among medical university students in Iran because of its high sensitivity and specificity. © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.