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Validation of four measures of mental health against depression and generalized anxiety in a community based sample

Kiely, Kim M.; Butterworth, Peter

Description

There is a need to validate screening measures of affective and generalized anxiety disorders for use in epidemiological surveys of mental health in the general population. This study examined the diagnostic accuracy of the Patient Health Questionnaire (PHQ-9), Goldberg Anxiety and Depression Scales (GAS, GDS) and the 12-item Short Form Health Survey (SF-12) Mental Health Component Summary Scale (MCS-12) in a population based longitudinal study in Australia. We report analyses of two narrow age...[Show more]

dc.contributor.authorKiely, Kim M.
dc.contributor.authorButterworth, Peter
dc.date.accessioned2015-02-16T03:09:20Z
dc.date.available2015-02-16T03:09:20Z
dc.identifier.issn0165-1781
dc.identifier.urihttp://hdl.handle.net/1885/12697
dc.description.abstractThere is a need to validate screening measures of affective and generalized anxiety disorders for use in epidemiological surveys of mental health in the general population. This study examined the diagnostic accuracy of the Patient Health Questionnaire (PHQ-9), Goldberg Anxiety and Depression Scales (GAS, GDS) and the 12-item Short Form Health Survey (SF-12) Mental Health Component Summary Scale (MCS-12) in a population based longitudinal study in Australia. We report analyses of two narrow age birth cohorts in the Personality and Total Health (PATH) through life study (ages 32–36 and 52–58). Depressive episodes (severe, moderate, and mild), dysthymia and generalized anxiety disorder were diagnosed according to International Classification of Diseases (ICD-10) criteria using the World Health Organisation (WHO) Composite International Diagnostic Interview (CIDI) as a criterion. All scales had high concordance with their target 30-day diagnoses, with area under the Receiver Operating Characteristic (ROC) curve (AUC) ranging between 0.85 and 0.90. The PHQ-9, GDS, GAS and MCS-12 were all valid instruments for identifying possible cases of depression and anxiety, and assessing the severity of these common mental disorders in the general population. We report recommended cut-points for each scale, though note that the optimal cut-point on mental health screening instruments may vary depending on the context of test administration.
dc.description.sponsorshipThis research was funded through a grant. KMK is funded by an Alzheimer's Australia Dementia Research Foundation Fellowship(#DGP13F00005). PB is funded by the Australian Research Council(#FT130101444).
dc.format8 pages
dc.publisherElsevier
dc.rights© 2015 Elsevier Inc.
dc.sourcePsychiatry Research 225.3 (2015): 291-298
dc.subjectassessment scales
dc.subjectanxiety
dc.subjectcommon mental disorders
dc.subjectcriterion validity
dc.subjectdepression
dc.subjectmental health scales
dc.titleValidation of four measures of mental health against depression and generalized anxiety in a community based sample
dc.typeJournal article
local.identifier.citationvolume225
dcterms.dateAccepted2014-12-12
dc.date.issued2015-02-28
local.identifier.absfor111714 - Mental Health
local.identifier.absfor170109 - Personality, Abilities and Assessment
local.identifier.absfor170106 - Health, Clinical and Counselling Psychology
local.identifier.ariespublicationu4459246xPUB2
local.publisher.urlhttp://www.elsevier.com/
local.type.statusPublished version
local.contributor.affiliationKiely, Kim M., Centre for Research on Ageing Health & Wellbeing, ANU College of Medicine, Biology and Environment, The Australian National University
local.contributor.affiliationButterworth, Peter, Centre for Research on Ageing Health & Wellbeing, ANU College of Medicine, Biology and Environment, The Australian National University
dc.relationhttp://purl.org/au-research/grants/arc/FT130101444
local.identifier.essn1872-7123
local.bibliographicCitation.issue3
local.bibliographicCitation.startpage291
local.bibliographicCitation.lastpage298
local.identifier.doi10.1016/j.psychres.2014.12.023
local.identifier.absseo920410 - Mental Health
dc.date.updated2015-12-08T02:43:04Z
local.identifier.scopusID2-s2.0-84922888458
CollectionsANU Research Publications

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