Validation of the Polish version of WHO-5 as a screening instrument for depression in adults with diabetes

被引：38
|
作者：
Cichon, Ewelina [1 ,2 ]
Kiejna, Andrzej [1 ,2 ]
Kokoszka, Andrzej [3 ]
Gondek, Tomasz [4 ,5 ]
Rajba, Beata [1 ,2 ]
Lloyd, Cathy E. [6 ]
Sartorius, Norman [7 ]
机构：
[1] WSB Univ Torun, Dept Psychol, Torun, Poland
[2] Univ Lower Silesia, Fac Educ, Dept Psychol, Psychol Res Unit Publ Hlth, Wroclaw, Poland
[3] Med Univ Warsaw, Dept Psychiat 2, Warsaw, Poland
[4] Polish Psychiat Assoc, Specialty Training Sect, Warsaw, Poland
[5] World Psychiat Assoc, Sect Educ, Zurich, Switzerland
[6] Open Univ, Fac Wellbeing Educ & Language Studies, Milton Keynes, Bucks, England
[7] Assoc Improvement Mental Hlth Programmes AMH, Geneva, Switzerland
来源：
DIABETES RESEARCH AND CLINICAL PRACTICE | 2020年 / 159卷
关键词：
Diabetes mellitus; Type; 2; Depression; World Health Organization; Quality of life; Psychometrics; Sensitivity and specificity; WELL-BEING INDEX; GLYCEMIC CONTROL; PRIMARY-CARE; VALIDITY; SYMPTOMS; RELIABILITY; DISTRESS; QUALITY; SCALE; OUTPATIENTS;
D O I：
10.1016/j.diabres.2019.107970
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Aims: The aim of this study was to validate and report the factorial analysis of the World Health Organization's 5-itemWell-being Index (WHO-5) among outpatients with type 2 diabetes. We investigated the psychometric properties of the WHO-5 and its suitability for identifying potential depressive symptoms in Polish adults with diabetes. Methods: Participants were randomly chosen among Polish diabetes outpatients and invited to participate in the cross-sectional study (N = 216). Participants completed the Polish version of the WHO-5, Problem Areas in Diabetes Scale and Patient Health Questionnaire. Results: Factor analyses identified the one-factor structure of the Polish version of the WHO-5. The internal consistency of the Polish version of the WHO-5 is satisfying. With regard to convergent validity, there were significant negative associations between the WHO-5 and PAID, the PHQ-9, HbA1c and the amount of medical complications. The AUC indicates that the WHO-5 is an effective measure for identifying depressive symptoms. The optimal cut off values of <= 12 yielded the best sensitivity/specificity trade-off for identifying depression among people with diabetes. Conclusions: The Polish version of the WHO-5 is a reliable, valid outcome measure for outpatients with type 2 diabetes and can be a useful instrument for screening for depression in people with diabetes. (C) 2019 Elsevier B.V. All rights reserved.
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页数：10
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