Evidence map›Paper›PMID 35258171›Full record

SynthesisPain practice : the official journal of World Institute of Pain2022

Examining the psychometric properties of brief screening measures of depression and anxiety in chronic pain: The Patient Health Questionnaire 2-item and Generalized Anxiety Disorder 2-item.

Madelyne A Bisby, Eyal Karin, Amelia J Scott, Joanne Dudeney, Alana Fisher, Milena Gandy, Taylor Hathway, Andreea I Heriseanu, Lauren Staples, Nickolai Titov and 1 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Pain practice : the official journal of World Institute of Pain, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
9.4field-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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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  19. The COVID-19 pandemic and mental health in Kazakhstan.Global mental health (Cambridge, England) · 2023
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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

11 authors at 1 institution in 1 country.

Madelyne A BisbyeCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.ORCID 0000-0002-4354-3684
Eyal KarineCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Amelia J ScotteCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Joanne DudeneyeCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Alana FishereCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Milena GandyeCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Taylor HathwayeCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Andreea I HeriseanueCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Lauren StapleseCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Nickolai TitoveCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Blake F DeareCentreClinic, School of Psychological Sciences, Macquarie University, Sydney, Australia.
Macquarie University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIndividuals with chronic pain experience anxiety and depressive symptoms at rates higher than the general population. The Patient Health Questionnaire 2-item (PHQ-2) and Generalized Anxiety Disorder 2-item (GAD-2) are brief screening measures of depression and anxiety, respectively. These brief scales are well-suited for use in routine care due to their brevity and ease of administration, yet their psychometric properties have not been established in heterogeneous chronic pain samples when administered over the Internet. MATERIALS AND

methodsUsing existing data from randomized controlled trials of an established Internet-delivered pain management program (n = 1333), we assessed the reliability, validity, diagnostic accuracy, and responsiveness to treatment change in the PHQ-2 and GAD-2, as well as the long-form counterparts. Exploratory analyses were conducted to obtain cutoff scores using those participants with diagnostic data (n = 62).

resultsThe PHQ-2 and GAD-2 demonstrated appropriate reliability (eg, Cronbach's α = 0.79-0.84), validity (eg, higher scores in individuals with a diagnosis; p < 0.001), and responsiveness to treatment change (eg, pre- to post-treatment scores, p < 0.001). The psychometric properties of the short forms compared well with the longer forms. Cutoff scores on the short forms were consistent with general population samples, while cutoff scores on the long forms were higher than previously observed using general population samples. All four scales favored specificity over sensitivity.

conclusionsThe PHQ-2 and GAD-2 demonstrated acceptable psychometric properties in the current sample, as did the long forms. Based on our findings, the PHQ-2 and GAD-2 can be used as screening tools with chronic pain samples when administered over the Internet.

Indexed as

Chronic PainPatient Health QuestionnaireAnxietyAnxiety DisordersDepressionHumansPsychometricsRandomized Controlled Trials as TopicReproducibility of ResultsSurveys and Questionnairesanxietychronic paindepressionmeasurement

Identifiers

PMID35258171
PMCPMC9311649
OpenAlexW4221114738

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.