Evidence map›Paper›PMID 38925306›Full record

Trial reportJournal of affective disorders2024

Relationship between Patient Health Questionnaire (PHQ-9) and Montgomery-Asberg Depression Rating Scale (MADRS) total scores in older adults with major depressive disorder: An analysis of the OPTIMUM clinical trial.

Helena K Kim, Eric J Lenze, Nicholas J Ainsworth, Daniel M Blumberger, Patrick J Brown, Alastair J Flint, Jordan F Karp, Helen Lavretsky, Emily Lenard, J Philip Miller and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Trial
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  8. Everyday functioning in treatment-resistant late-life depression: The mediating role of cognition.Journal of the International Neuropsychological Society : JINS · 2025
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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

13 authors.

Helena K KimDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Eric J LenzeDepartment of Psychiatry, Healthy Mind Lab, School of Medicine, Washington University in St. Louis, St. Louis, United States.
Nicholas J AinsworthDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Centre for Addiction and Mental Health and Department of Psychiatry, Toronto, Canada.
Daniel M BlumbergerDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Centre for Addiction and Mental Health and Department of Psychiatry, Toronto, Canada.
Patrick J BrownNew York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, New York, United States.
Alastair J FlintDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Centre for Mental Health, University Health Network, Toronto, Canada.
Jordan F KarpDepartment of Psychiatry, University of Arizona, Tucson, United States.
Helen LavretskySemel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, United States.
Emily LenardDepartment of Psychiatry, Healthy Mind Lab, School of Medicine, Washington University in St. Louis, St. Louis, United States.
J Philip MillerDepartment of Psychiatry, Healthy Mind Lab, School of Medicine, Washington University in St. Louis, St. Louis, United States; Division of Biostatistics, School of Medicine, Washington University in St. Louis, St. Louis, United States.
Charles F ReynoldsDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, United States.
Steven P RooseNew York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, New York, United States.
Benoit H MulsantDepartment of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Centre for Addiction and Mental Health and Department of Psychiatry, Toronto, Canada. Electronic address: benoit.mulsant@utoronto.ca.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Brain connectivity and response to Tai Chi in geriatric depressionR01AT008383 · NCCIH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LAVRETSKY, HELEN · 2015 to 2019
$4.1M
2/5 Neurocognitive and neuroimaging biomarkers: predicting progression towards dementia in patients with treatment resistant late-life depression.R01MH114980 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BROWN, PATRICK J, RUTHERFORD, BRET R · 2017 to 2021
$1.8M
4/5 Neurocognitive and neuroimaging biomarkers: predicting progression towards dementia in late-life depressionR01MH114981 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LAVRETSKY, HELEN, NARR, KATHERINE L · 2017 to 2021
$1.8M
Mentoring and Research in Translational Science of Integrative MedicineK24AT009198 · NCCIH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Helen Lavretsky · 2016 to 2026
$1.4M
NCATS NIH HHS UL1 TR002345NCCIH NIH HHS K24 AT009198NCCIH NIH HHS R01 AT008383NIMH NIH HHS R01 MH114980NIMH NIH HHS R01 MH114981
6 · The paper itself

Abstract

backgroundThe Patient Health Questionnaire (PHQ-9) and Montgomery-Asberg Depression Rating Scale (MADRS) are commonly used scales to measure depression severity in older adults.

methodsWe utilized data from the Optimizing Outcomes of Treatment-Resistant Depression in Older Adults (OPTIMUM) clinical trial to produce conversion tables relating PHQ-9 and MADRS total scores. We split the sample into training (N = 555) and validation samples (N = 187). Equipercentile linking was performed on the training sample to produce conversion tables for PHQ-9 and MADRS. We compared the original and estimated scores in the validation sample with Bland-Altman analysis. We compared the depression severity level using the original and estimated scores with Chi-square tests.

resultsThe Bland-Altman analysis confirmed that differences between the original and estimated scores for at least 95 % of the sample fit within 1.96 standard deviations of the mean difference. Chi-square tests showed a significant difference in the proportion of participants at each depression severity category determined using the original and estimated scores. LIMITATIONS: The conversion tables should be used with caution when comparing depression severity at the individual level.

conclusionsOur conversion tables relating PHQ-9 and MADRS scores can be used to compare treatment outcomes using aggregate data in studies that only used one of these scales.

Indexed as

Major Depressive DisorderPatient Health QuestionnairePsychiatric Status Rating ScalesAgedAged, 80 and overAntidepressive AgentsDepressive Disorder, Treatment-ResistantFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSeverity of Illness IndexSurveys and QuestionnairesVenlafaxine HydrochlorideAntidepressive AgentsVenlafaxine HydrochlorideDepressionEquatingEquipercentile linkingLate life depressionMADRSMajor depressive disorderPHQ-9

Identifiers

PMID38925306
PMCPMC13404619

What OpenQuestion holds

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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.