{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T23:48:40Z","timestamp":1791676120549,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This cross\u2010sectional study evaluates the diagnostic and clinical utility of the two\u2010item Patient Health Questionnaire (PHQ\u20102) for screening depressive symptoms in individuals with persistent musculoskeletal pain attending physiotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 450 patients (mean age\u00a0=\u00a053.3\u00a0\u00b1\u00a012.2\u00a0years; 109 male) with persistent musculoskeletal pain were recruited from 84 private physiotherapy practices. Participants completed both the PHQ\u20109 and PHQ\u20102. Internal consistency was assessed using Cronbach's alpha. Receiver operating characteristic curve analysis and Youden's J identified the optimal PHQ\u20102 cutoff score. Chi\u2010square tests examined physiotherapists' intentions to provide advice or refer patients based on PHQ\u20102 scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Internal consistency was good for the PHQ\u20109 (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a00.85) and acceptable for the PHQ\u20102 (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a00.71). A strong correlation was found between PHQ\u20102 and PHQ\u20109 scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.51,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). PHQ\u20102 showed moderate accuracy for detecting significant depressive symptoms (AUC\u00a0=\u00a00.74, 95% CI: 0.70\u20130.78). A cutoff score of \u2265\u00a01 balanced sensitivity (74%) and specificity (62%). Physiotherapists were more likely to provide advice (85.9% vs. 72.9%, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      (1)\u00a0=\u00a011.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and recommend additional support (45.8% vs. 18.8%, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      (1)\u00a0=\u00a030.6,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) when patients scored at or above this cutoff.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>PHQ\u20102 is a brief, clinically useful tool with acceptable psychometric properties for screening depressive symptoms in patients with persistent pain in physiotherapy settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PHQ\u20102 shows promise as a quick screening tool to identify patients with musculoskeletal pain who may need mental health support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70113","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:29:27Z","timestamp":1746491367000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Diagnostic and Clinical Utility of the 2\u2010Item Patient Health Questionnaire (PHQ\u20102) for Screening Depressive Symptoms in Individuals With Persistent Musculoskeletal Pain Attending Physiotherapy"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4592-8625","authenticated-orcid":false,"given":"Davy","family":"Vancampfort","sequence":"first","affiliation":[{"name":"KU Leuven Department of Rehabilitation Sciences  Leuven Belgium"},{"name":"University Psychiatric Centre KU Leuven  Leuven Belgium"},{"name":"Leuven Brain Institute  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan L.","family":"McGrath","sequence":"additional","affiliation":[{"name":"La Trobe Rural Health School La Trobe University  Bendigo Australia"},{"name":"Department of Rural Health The University of Melbourne  Shepparton Australia"},{"name":"Allied Health Education and Research Unit Goulburn Valley Health  Shepparton Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wim","family":"Dankaerts","sequence":"additional","affiliation":[{"name":"KU Leuven Department of Rehabilitation Sciences  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"Van Assche","sequence":"additional","affiliation":[{"name":"KU Leuven Department of Rehabilitation Sciences  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Lambrechts","sequence":"additional","affiliation":[{"name":"KU Leuven Department of Rehabilitation Sciences  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon","family":"Stubbs","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology, and Neuroscience King's College London  London UK"},{"name":"Department of Sport and Human Movement Science Centre for Sport Science and University Sports University of Vienna  Wien Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tine","family":"Van Damme","sequence":"additional","affiliation":[{"name":"KU Leuven Department of Rehabilitation Sciences  Leuven Belgium"},{"name":"University Psychiatric Centre KU Leuven  Leuven 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