Evidence map›Paper›PMID 32593853›Full record

SynthesisPsychiatry research2020

Establishing reliability and validity for mental health screening instruments in resource-constrained settings: Systematic review of the PHQ-9 and key recommendations.

Haley A Carroll, Kimberly Hook, Oscar F Rojas Perez, Christy Denckla, Christine Cooper Vince, Senait Ghebrehiwet, Kanako Ando, Mia Touma, Christina P C Borba, Gregory L Fricchione and 1 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Psychiatry research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
10.1field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.

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  18. Prevalence of depressive symptoms among teachers in the Tshwane Metropolitan Municipality, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2026
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11 more citing papers are in PubMed but not listed here.

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

11 authors at 6 institutions in 2 countries.

Haley A CarrollBoston Medical Center, Department of Psychiatry, Boston, MA, United States; Boston University School of Medicine, Department of Psychiatry, Boston, MA, United States; Massachusetts General Hospital, Department of Psychiatry, Boston, MA, United States.
Kimberly HookBoston Medical Center, Department of Psychiatry, Boston, MA, United States; Boston University School of Medicine, Department of Psychiatry, Boston, MA, United States; Massachusetts General Hospital, Department of Psychiatry, Boston, MA, United States. Electronic address: kimberly.hook@bmc.org.
Oscar F Rojas PerezBoston Medical Center, Department of Psychiatry, Boston, MA, United States; Boston University School of Medicine, Department of Psychiatry, Boston, MA, United States; Massachusetts General Hospital, Department of Psychiatry, Boston, MA, United States.
Christy DencklaBoston University School of Medicine, Department of Psychiatry, Boston, MA, United States; Massachusetts General Hospital, Department of Psychiatry, Boston, MA, United States; Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Christine Cooper VinceUniversity of Geneva, Department of Psychiatry, Geneva, Switzerland.
Senait GhebrehiwetBoston Medical Center, Department of Psychiatry, Boston, MA, United States.
Kanako AndoNortheastern University, Boston, MA, United States.
Mia ToumaBoston University, Boston, MA, United States.
Christina P C BorbaBoston Medical Center, Department of Psychiatry, Boston, MA, United States; Boston University School of Medicine, Department of Psychiatry, Boston, MA, United States.
Gregory L FricchioneMassachusetts General Hospital, Department of Psychiatry, Boston, MA, United States; Harvard Medical School, Boston, USA.
David C HendersonBoston Medical Center, Department of Psychiatry, Boston, MA, United States; Boston University School of Medicine, Department of Psychiatry, Boston, MA, United States; Massachusetts General Hospital, Department of Psychiatry, Boston, MA, United States; Harvard T.H. Chan School of Public Health, Boston, MA, United States.
Boston Medical Center · USMassachusetts General Hospital · USBoston University · USHarvard University · USNortheastern University · USUniversity of Geneva · CH

Funding

Boston University Medical Campus-Massachusetts General Hospital Global Psychiatric Clinical Research Training ProgramT32MH116140 · NIMH · BOSTON MEDICAL CENTER · PI FRICCHIONE, GREGORY L, HENDERSON, DAVID C · 2018 to 2022
$1.6M
Pathogenic mechanisms in post-bereavement psychopathology: Contributions of gene-environment interplay, psychosocial factors, and cognitive ability in two population-based cohortsK23MH117278 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI DENCKLA, CHRISTY ANN · 2019 to 2023
$942k
NIMH NIH HHS K23 MH117278NIMH NIH HHS T32 MH116140
6 · The paper itself

Abstract

Mental illness is one of the largest contributors to the global disease burden. The importance of valid and reliable mental health measures is crucial in order to accurately measure said burden, to capture symptom improvement, and to ensure that symptoms are appropriately identified and quantified. This is of particular importance in low and middle-income countries (LMICs), where the burden of mental illness is relatively high, and there is heterogeneity in linguistic, racial, and ethnic groups. Using the PHQ-9 as an illustrative example, this systematic review aims to provide an overview of existing work and highlight common validation and reporting practices. A systematic review of published literature validating the use of the PHQ-9 in LMICs as indexed in the PubMed and PsychInfo databases was conducted. The review included n = 49 articles (reduced from n = 2,349). This manuscript summarizes these results in terms of the frequency of reporting on important procedures and in regards to the types of reliability and validity measured. Then, building off of the existing literature, we provide key recommendations for measure validation in LMICs, which can be generalized for any type of measure used in a setting in which it was not initially developed.

Indexed as

Health ResourcesHumansMass ScreeningMental DisordersPatient Health QuestionnairePovertyPsychological TechniquesReproducibility of ResultsGlobal mental healthLow- and middle-income countriesPsychometrics

Identifiers

PMID32593853
PMCPMC7484202
OpenAlexW3036325417

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.