Document Detail

Clinic-based depression screening in lung cancer patients using the PHQ-2 and PHQ-9 depression questionnaires: a pilot study.
MedLine Citation:
PMID:  23325092     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This study aims to validate the ability to perform depression screening with the patient health questionnaire (PHQ)-2 and PHQ-9 depression modules in a busy, outpatient practice, and to evaluate the prevalence of depression among lung cancer outpatients at our institution.
METHODS: In 2010, 64 patients in a thoracic malignancy clinic completed the Patient Health Questionnaire-2. Patients endorsing either one or both items were then given the Patient Health Questionnaire-9, a nine-item depression assessment tool. Patients with mild or worse depression were offered a referral to a mental health care provider.
RESULTS: Eighteen of 64 patients (28 %) endorsed one or both items on the PHQ-2. Thirteen of 18 patients with a positive PHQ-2 screen completed the PHQ-9, with mean score of 10.2 (SD 3.91), suggesting moderate depression. PHQ-9 item 4, evaluating fatigue, was positive in 12 patients, and PHQ-9 item 9, evaluating suicidal ideation, was never reported. Only 1 of 18 patients with a positive PHQ-2 screen was being followed by a psychiatrist, and no patient accepted a new referral to a mental health provider.
CONCLUSIONS: The PHQ-2 and PHQ-9 modules are an effective means of depression screening in a busy, outpatient clinic. A high prevalence of depression was reported; yet, suicidal ideation was not reported. Depression severity ranged from mild to severe. The most endorsed PHQ-9 item was fatigue, although it is uncertain if this reflects a symptom of depression, a sequela of lung cancer itself, or both. The lung cancer patients in this sample who reported depression were unlikely to receive mental health services.
J Michael Randall; Rochelle Voth; Erin Burnett; Lyudmila Bazhenova; Wayne A Bardwell
Publication Detail:
Type:  Journal Article; Validation Studies     Date:  2013-01-17
Journal Detail:
Title:  Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer     Volume:  21     ISSN:  1433-7339     ISO Abbreviation:  Support Care Cancer     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-01     Completed Date:  2013-09-23     Revised Date:  2014-01-15    
Medline Journal Info:
Nlm Unique ID:  9302957     Medline TA:  Support Care Cancer     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1503-7     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Ambulatory Care / methods*
Depression / diagnosis*,  epidemiology,  etiology
Fatigue / diagnosis,  epidemiology,  etiology
Lung Neoplasms / psychology*
Mass Screening / methods
Middle Aged
Patient Acceptance of Health Care
Pilot Projects
Referral and Consultation
Severity of Illness Index
Suicidal Ideation
Comment In:
Support Care Cancer. 2014 Jan;22(1):1   [PMID:  23995814 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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