Evidence map›Paper›PMID 21647820›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2012

Single-item screens identified patients with elevated levels of depressive and somatization symptoms in outpatient physical therapy.

Dennis L Hart, Mark W Werneke, Steven Z George, Daniel Deutscher

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Dennis L HartDepartment of Consulting and Research, Focus On Therapeutic Outcomes, Inc., 551 Yopps Cove Road, White Stone, VA 22578-2403, USA. hart@fotoinc.com
Mark W Werneke
Steven Z George
Daniel Deutscher

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDevelop efficient and accurate screening tools to identify elevated levels of depressive or somatization symptoms, which can adversely affect functional status outcomes.

methodsWe conducted a secondary analysis of prospectively collected depressive and somatization symptoms (Symptom Checklist 90-Revised) data from 10,920 patients receiving outpatient physical therapy for a variety of neuromusculoskeletal diagnoses. Item response theory methods were used to analyze data, with particular emphasis on differential item functioning among groups of patients, and to identify potential screening items. Screening item accuracy for identifying patients with elevated symptoms was assessed with receiver-operating characteristic analyses.

resultsSeven items for depressive and 10 items for somatization symptoms represented unidimensional scales. Differential item functioning was negligible for demographic and clinical variables known to affect functional status outcomes. Items providing maximum information at the 88th percentile for depressive and 77th percentile for somatization scales accurately dichotomized patients into elevated versus not elevated symptom levels.

conclusionsLack of differential item functioning suggested depressive and somatization screening could be useful in routine clinical practice and allowed the development of single-item screens that accurately identified patients with elevated depressive or somatization symptoms. Item response theory-based single-item screens may facilitate evaluation and management of heterogeneous populations receiving outpatient physical therapy.

Indexed as

AdolescentAdultAgedAged, 80 and overAmbulatory Care FacilitiesDepressionFemaleHumansMaleMass ScreeningMiddle AgedProspective StudiesRehabilitation CentersSomatoform DisordersSurveys and QuestionnairesYoung Adult

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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.