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

被引：41

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.

引用

页数：10

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