Validity and utility of the PRIME-MD Patient Health Questionnaire in assessment of 3000 obstetric-gynecologic patients: The PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study

Objective: This study was undertaken to determine the prevalence of mental disorders among obstetric-gynecologic patients and to assess the validity and utility of the PRIME-MD Patient Health Questionnaire (PHQ) in this population. Study Design: A total of 3000 patients were assessed by 63 clinician...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2000-09, Vol.183 (3), p.759-769
Main Authors: Spitzer, Robert L., Williams, Janet B.W., Kroenke, Kurt, Hornyak, Raymond, McMurray, Julia
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Female
Gynecology
Humans
Medical sciences
Menstruation
Mental disorders
Mental Disorders - diagnosis
Mental Disorders - epidemiology
Mental Disorders - therapy
Middle Aged
Obstetrics
obstetrics-gynecology
Pregnancy
Premenstrual Syndrome - epidemiology
PRIME-MD
PRIME-MD Patient Health Questionnaire
PRIME-MD PHQ
Psychology. Psychoanalysis. Psychiatry
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Reproduction
Stress, Psychological
Surveys and Questionnaires
Techniques and methods
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Summary:Objective: This study was undertaken to determine the prevalence of mental disorders among obstetric-gynecologic patients and to assess the validity and utility of the PRIME-MD Patient Health Questionnaire (PHQ) in this population. Study Design: A total of 3000 patients were assessed by 63 clinicians at seven obstetrics-gynecology outpatient care sites. The main outcome measures were PRIME-MD PHQ diagnoses, psychosocial stressors, independent diagnoses made by mental health professionals, functional status measures, disability days, health care use, and treatment or referral decisions. Results: Current mental disorders were fairly prevalent, present in 1 in 5 obstetric-gynecologic patients. Patients with PRIME-MD PHQ diagnoses had more functional impairment, disability days, health care use, and psychosocial stressors than did patients without PRIME-MD PHQ diagnoses (P
ISSN:0002-9378
1097-6868
DOI:10.1067/mob.2000.106580