Evidence map›Paper›PMID 20529487›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Identification of depression in diabetes: the efficacy of PHQ-9 and HADS-D.

Prasuna Reddy, Benjamin Philpot, Dale Ford, James A Dunbar

Registry-linked trialOpen access · bronzeAbstract readComparative StudyEvaluation Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05348499 (Mixed Methods Study Exploring the Impact of Hybrid Closed-loop Systems on Patient Reported Outcomes in People With Type I Diabetes and Their Partners), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05348499 unknown statusnot on this mapstarted 2021, after this paper: background citation

Mixed Methods Study Exploring the Impact of Hybrid Closed-loop Systems on Patient Reported Outcomes in People With Type I Diabetes and Their Partners

TypeobservationalSponsorUniversity of LeicesterRan2021 to 2023Enrolled350ConditionsType 1 Diabetes, Insulin Pump Therapy, Patient Reported OutcomesArmsQuestionnaire/Interview
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Measurement properties of depression questionnaires in patients with diabetes: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
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  14. Development of a brief psychological intervention for perinatal depression (BIND-P).Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Prasuna ReddyGreater Green Triangle University Department of Rural Health (GGT UDRH), Flinders University & Deakin University, Australia. director.research@greaterhealth.org
Benjamin Philpot
Dale Ford
James A Dunbar
Deakin University · AUFlinders University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical guidelines advise screening for depression in patients with diabetes. The Patient Health Questionnaire (PHQ-9) and the depression subscale of the Hospital Anxiety and Depression Scale (HADS-D) are commonly used in primary care.

aimTo compare the efficacy of HADS-D and PHQ-9 in identifying moderate to severe depression among primary care patients with type 2 diabetes. DESIGN OF STUDY: Self-report postal survey, clinical records assessed by GPs.

settingSeven metropolitan and rural general practices in Victoria, Australia.

methodPostal questionnaires were sent to all patients with diabetes on the registers of seven practices in Victoria. A total of 561 completed postal questionnaires were returned, giving a response rate 47%. Surveys included demographic information, and history of diabetes and depression. Participants completed both the PHQ-9 and HADS-D. Clinical data from patient records included glycosylated hemoglobin (HbA1c) levels and medications.

resultsThe proportion of the total sample completing HADS-D was 96.8% compared with 82.4% for PHQ-9. Level of education was unrelated to responses on the HADS-D but was related to completion of the PHQ-9. Using complete data (n = 456) from both measures, 40 responders showed HADS-D scores in the moderate to severe range, compared with 103 cases identified by PHQ-9. Only 35 cases were classified in the moderate to severe category by both the PHQ-9 and HADS-D. Items with the highest proportions of positive responses on the PHQ-9 were related to tiredness and sleeping problems and, on the HADS-D, feeling slowed down.

conclusionIt may be that the items contributing to the higher prevalence of moderate to severe depression using the PHQ-9 are due to diabetes-related symptoms or sleep disorders.

Indexed as

AgedAustraliaDepressive DisorderDiabetes Mellitus, Type 2FemaleHumansMalePsychiatric Status Rating ScalesSleep Wake DisordersSurveys and Questionnaires

Identifiers

PMID20529487
PMCPMC2880765
OpenAlexW2120764226

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.