{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T21:10:58Z","timestamp":1723065058248},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,1,7]],"date-time":"2015-01-07T00:00:00Z","timestamp":1420588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The patient health questionnaire (<jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content>) is designed for screening psychopathology in primary care settings. However, little is known about its clinical utility in other chronic pain populations, which usually have high psychiatric comorbidities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A consecutive cohort of 546 patients with chronic disabling occupational musculoskeletal disorder (<jats:styled-content style=\"fixed-case\">CDOMD<\/jats:styled-content>) was administered and compared upon psychosocial assessments, including the <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> and a structured clinical interview for <jats:styled-content style=\"fixed-case\">DSM<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">IV<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">SCID<\/jats:styled-content>). Four <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> modules were assessed: major depressive disorder (<jats:styled-content style=\"fixed-case\">MDD<\/jats:styled-content>), generalized anxiety disorder (<jats:styled-content style=\"fixed-case\">GAD<\/jats:styled-content>), panic disorder (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>), and alcohol use disorders (<jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content>) [including both alcohol abuse and dependence]. Based on the <jats:styled-content style=\"fixed-case\">SCID<\/jats:styled-content> diagnosis, sensitivity and specificity were determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The specificity of the <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> ranged from moderate to high for all 4 <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> modules (<jats:styled-content style=\"fixed-case\">MDD<\/jats:styled-content>, 0.79; <jats:styled-content style=\"fixed-case\">GAD<\/jats:styled-content>, 0.67; <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>, 0.89; <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content>, 0.97). However, the sensitivity was relatively low: <jats:styled-content style=\"fixed-case\">MDD<\/jats:styled-content> (0.58); <jats:styled-content style=\"fixed-case\">GAD<\/jats:styled-content> (0.61); <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> (0.49); and <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> (0.24). The <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> was also associated with psychosocial variables. Patients whose <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> showed <jats:styled-content style=\"fixed-case\">MDD<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> GAD<\/jats:styled-content>, or <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> reported significantly more depressive symptoms and perceived disability than patients who did not (<jats:italic>Ps\u00a0<\/jats:italic>&lt;\u00a00.001). Patients with <jats:styled-content style=\"fixed-case\">MDD<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">GAD<\/jats:styled-content> reported significantly higher pain than those without (<jats:italic>Ps\u00a0<\/jats:italic>&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The strong specificity of the <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> appears to be its primary strength for this cohort. Due to its high specificity, the <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> could be employed as an additional screening tool to help rule out potential psychiatric comorbidity in patients with <jats:styled-content style=\"fixed-case\">CDOMD<\/jats:styled-content>. The low sensitivity of the <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content> in this population, however, remains a weakness of the <jats:styled-content style=\"fixed-case\">PHQ<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12275","type":"journal-article","created":{"date-parts":[[2015,1,7]],"date-time":"2015-01-07T09:48:46Z","timestamp":1420624126000},"page":"168-174","source":"Crossref","is-referenced-by-count":3,"title":["The Potential Utility of the Patient Health Questionnaire as a Screener for Psychiatric Comorbidity in a Chronic Disabling Occupational Musculoskeletal Disorder Population"],"prefix":"10.1111","volume":"16","author":[{"given":"Sali","family":"Asih","sequence":"first","affiliation":[{"name":"PRIDE Research Foundation Dallas Texas U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom G.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery The University of Texas Southwestern Medical Center at Dallas Dallas Texas U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. 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