Evaluation of the Brazilian version of Patient Health Questionnaire (PHQ-9) in Quilombola population using the Item Response Theory
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Resumen
Objetivo. Este estudio investiga las propiedades psicométricas de la PHQ-9 usando la Teoría de Respuesta de Ítem.
Método. Utilizamos el modelo de respuesta gradual para evaluar la depresión en 764 residentes en comunidades rurales brasileñas descendientes de esclavos (quilombos) del condado de Vitória da Conquista, estado de Bahía, Brasil, que habían respondido al PHQ-9. Estimamos los parámetros para la discriminación y la dificultad del ítem.
Resultados. Los ítems del PHQ-9 mostraron la capacidad de discriminar de moderado a muy alto. Los ítems que evaluaban los pensamientos de hacerse daño a sí mismo y la muerte mostraban la mayor discriminación, mientras que sentirse deprimido mostró la discriminación más baja.
Discusión y conclusión. La Teoría de Respuesta de Item permite avances en el análisis de las propiedades psicométricas de las herramientas de evalúan la depresión y permitió concluir que el PHQ-9 puede utilizarse en poblaciones rurales de Brasil.
Referencias
Adler, M., Hetta, J., Isacsson, G., & Brodin, U. (2012). An item response theory evaluation of three depression assessment instruments in a clinical sample. BMC Medical Research Methodology, 12, 84-96. DOI: 10.1186/1471-2288-12-84
American Psychiatric Association. (2014). Diagnostic and Statistical Manual of Mental Disorders - DSM-5. Porto Alegre, RS: ArtMed.
Anjos, R. S. A., & Cipriano, A. (2007). The communities in the national territory. In: Anjos, R. S. A., & Cipriano, A. (Org.). Quilombolas: traditions and culture of resistance. São Paulo: Aori Comunicação.
Aros, M. S., & Yoshida, E. M. P. (2009). Depression Studies: Assessment tools and gender. Bol Psicol., 59(130), 61-76.
Baker, F. B. (2001). The basics of item response theory. Wisconsin: ERIC Clearinghouse on Assessment and Evaluation.
Castro, S. M. J., Cúri, M. I, Torman, V. B. L., & Riboldi, J. (2015). Differential Functioning of the Item in the Beck Depression Inventory. Rev Bras Epidemiol, 18(1), 54-67. DOI: 10.1590/1980-5497201500010005
Castro, S. M. J., Trentini, C., & Riboldi, J. (2010). Item Response Theory applied to the Beck Depression Inventory. Rev Bras Epidemiol, 13(3), 487-501. DOI: http://dx.doi.org/10.1590/S1415-790X2010000300012
Couto, G., & Primi, R. (2011). Item Response Theory (IRT): elementary concepts of models for dichotomous items. Psychology Bulletin, l(134), 1-15.
Embretson, S. E., & Reise, S. P. (2013). Item response theory for psychologists. New York, NY: Psychology Press.
Federal Council of Psychology (2003). CFP Resolution No. 002/2003. Retrieved from: http://site.cfp.org.br/wp-content/uploads/2003/03/resolucao2003_02_Anexo.pdf
Forkmann, T., Gauggel, S., Spangenberg, L., Brähler, E., & Glaesmer, H. (2013). Dimensional assessment of depressive severity in the elderly general population: Psychometric evaluation of the PHQ-9 using Rasch Analysis. J Affect Disord., 148(2-3), 323-330. DOI: 10.1016/j.jad.2012.12.019
Gomes, K. O., Reis, E. A., Guimarães, M. D. C., Cherchiglia, M. L (2013). Use of health services by quilombo communities in southwest Bahia State, Brazil. Cad. Saúde Pública, 29(9), 1829-1842.
Institute of Geography and Statistics. (2010). Demographic Census 2010: Characteristics of Population and Households - Results of the Universe. Retrieved from: http://www.ibge.gov.br/english/estatistica/populacao/censo2010/caracteristicas_da_populacao/resultados_do_universo.pdf.
Kendel, F., Wirtz, M., Dunkel, A., Lehmkuhl, E., Hetzer, R., & Regitz-Zagrosek, V. (2010). Screening for depression: Rasch analysis of the dimensional structure of the PHQ-9 and the HADS-D. J Affect Disord., 122, 241-246. DOI: 10.1016/j.jad.2009.07.004
Kessler, R. C., & Bromet, E. (2013). The Epidemiology of Depression Across Cultures. Annu. Rev. Public. Health, 34, 119-138. DOI: 10.1146/annurev-publhealth-031912-114409
Lopez, M. R. A., Ribeiro, J. P., Ores, L. C., Jansen, K., Souza, L. D. M., Pinheiro, R. T., & Silva, R. A. (2011). Depressão e qualidade de vida em jovens de 18 a 24 anos no sul do Brasil. Rev Psiquiatr Rio Gd Sul., 33(2), 103 – 108. DOI: http://dx.doi.org/10.1590/S0101-81082011005000001
Manea, L., Gilbody, S., & McMillan, D. (2012). Optimal cut-off score for diagnosing depression with the Patient Health Questionnaire (PHQ-9): a meta-analysis. CMAJ, 184(3), 191–196. DOI: 10.1503/cmaj.110829
Oliveira, S. K. M., Pereira, M. M., Guimarães, A. L. S., & Caldeira, A. P. (2015). Self-perception of health in quilombolas from northern Minas Gerais, Brazil. Ciênc. Saúde Coletiva, 20(9), 2879-2890. DOI: https://doi.org/10.1590/1413-81232015209.20342014
Osório, F. L., Mendes, A. V., Crippa, J. A., & Loureiro, S.R. (2009). Study of the discriminative validity of the PHQ-9 and PHQ-2 in a sample of Brazilian women in the context of primary health care. Perspectives in Psychiatric Care, 45(3), 216-227. DOI: 10.1111/j.1744-6163.2009.00224.x
Oswaldo Cruz Fundation/Institute of Geography and Statistics (2013). National Health Survey. Retrieved from: http://www.pns.icict.fiocruz.br.
Santos, I. S., Tavares, B. F., Munhoz, T. N., Almeida, L. S. P., Silva, N. T. B., & Tams, B. D.,et al. (2013). Sensitivity and specificity of the Patient Health Questionnaire-9 (PHQ-9) among adults of the general population. Cad Saude Publica, 29(8), 1533-1543. DOI: http://dx.doi.org/10.1590/0102-311X00144612
Sartes, L. M. A., & Souza-Formigoni, M. L. O. (2013). Advances in psychometry: from the Classical Theory of Tests to the Theory of Response to Item. Psychology: Reflection and Criticism, 26(2), 241-250. https://dx.doi.org/10.1590/S0102-79722013000200004
Stopa, S. R., Malta, D. C., Oliveira, M. M., Lopes, C. S. L., Menezes, P. R., & Kinoshita, R. T. (2015). Prevalence of self-report of depression in Brazil: results of the National Health Survey, 2013. Rev Bras Epidemiol, 18(Suppl 2), 170-180. DOI: 10.1590/1980-5497201500060015
World Health Organization (2012). Depression, A Hidden Burden: Let’s recognize and deal with it. Retrieved from: http://www.who.int/mental_health/management/depression/flyer_depression_2012.pdf
World Health Organization (2017). Depression and Other Common Mental Disorders Global Health Estimates. Retrieved from: http://apps.who.int/iris/bitstream/10665/254610/1/WHO-MSD-MER-2017.2-eng.pdf.
Zhao, Y., Chan, W., & Lo, B. C. Y. (2017). Comparing five depression measures in depressed Chinese patients using item response theory: an examination of item properties, measurement precision and score comparability. Health and Quality of Life Outcomes, 15(1), 60 – 74. DOI: 10.1186/s12955-017-0631-y
