Evidence map›Paper›PMID 33095779›Full record

Trial reportPloS one2020

People with diabetes need a lower cut-off than others for depression screening with PHQ-9.

Ewelina Cichoń, Andrzej Kiejna, Andrzej Kokoszka, Tomasz M Gondek, Rafał Radzio, Adam Jastrzębski, Beata E Andrzejewska, Fahad D Alosaimi, Cathy E Lloyd, Norman Sartorius

Open access · goldAbstract readRandomized Controlled TrialValidation Study
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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

10 authors at 6 institutions in 4 countries.

Ewelina CichońDepartment of Psychology, WSB University in Toruń, Toruń, Poland.ORCID 0000-0001-5728-3003
Andrzej KiejnaDepartment of Psychology, WSB University in Toruń, Toruń, Poland.
Andrzej KokoszkaII Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Tomasz M GondekSpecialty Training Section, Polish Psychiatric Association, Wrocław, Poland.
Rafał RadzioII Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Adam JastrzębskiInstitute of Psychotherapy Mind Med Warsaw, Warsaw, Poland.ORCID 0000-0003-1027-5836
Beata E AndrzejewskaDepartment of Psychology, WSB University in Toruń, Toruń, Poland.
Fahad D AlosaimiDepartment of Psychiatry, King Saud University, Riyadh, Saudi Arabia.
Cathy E LloydFaculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, United Kingdom.
Norman SartoriusAssociation for the Improvement of Mental Health Programmes (AMH), Geneva, Switzerland.
WSB Merito University in Torun · PLMedical University of Warsaw · PLInstitute of Criminology of the Polish Forensic Association · PLKing Saud University · SAThe Geneva Association · CHThe Open University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study evaluated the psychometric characteristics of the Polish version of the PHQ-9 in detecting major depression (MDD) and 'MDD and/or dysthymia' in people with and without type 2 diabetes.

methodsParticipants were randomly selected from a diabetes outpatient facility (N = 216) and from among patients admitted to a medical center and psychiatric hospital (N = 99). The participants completed the PHQ-9. The Hamilton Depression Rating Scale and the Mini International Neuropsychiatric Interview were used to identify the presence of psychiatric symptoms. The optimal cut-offs for PHQ-9 in people with and without type 2 diabetes were investigated based on two methods: 1) Youden's index which identifies cut-off points useful in scientific research; 2) a second method of two-stage screening for depressive disorders to provide guidance for clinical practice.

resultsThe Polish version of the PHQ-9 is a reliable and valid screening tool for depression in people with and without type 2 diabetes. An optimal cut-off of ≥ 7 was indicated by Youden's index and ≥ 5 by the two-stage method for screening for MDD and 'MDD and/or dysthymia' in the group with type 2 diabetes. A cut-off of ≥ 11 was optimal for screening for both MDD and 'MDD and/or dysthymia' among people without diabetes (Youden's index). The two-stage approach suggested a ≥ 10 score for screening for MDD and ≥ 9 for screening for 'MDD and/or dysthymia' in people without diabetes.

conclusionsA lower cut-off score of the PHQ-9 is recommended for people with type 2 diabetes as compared to the general population.

Indexed as

Patient Health QuestionnaireDiabetes ComplicationsDiabetes Mellitus, Type 2FemaleHumansMajor Depressive DisorderMaleMiddle AgedPolandReproducibility of Results

Identifiers

PMID33095779
PMCPMC7584169
OpenAlexW3094598913

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.