Does It Matter What Screener We Use? A Comparison of Ultra-brief PHQ-4 and E-mwTool-3 Screeners for Anxiety and Depression Among People With and Without HIV.

Journal: AIDS and behavior

Volume: 27

Issue: 4

Year of Publication: 2023

Affiliated Institutions:  Area Mental Health Data Science, New York State Psychiatric Institute, New York, USA. cale.basaraba@nyspi.columbia.edu. New York State Psychiatric Institute, New York, USA. Columbia University Department of Psychiatry/New York State Psychiatric Institute, New York, USA. Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA. Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, USA. Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, USA. Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique. Department of Mental Health, Ministry of Health, Maputo, Mozambique. Department of Global Health, Boston University School of Public Health, Boston, USA. Clinical Psychiatry (in Epidemiology), Columbia University, New York, USA. Area Mental Health Data Science, New York State Psychiatric Institute, New York, USA.

Abstract summary 

The burden of depression and anxiety disorders is high in sub-Saharan Africa, especially for people with HIV (PWH). The Patient Health Questionnaire-4 (PHQ-4) and Electronic Mental Wellness Tool-3 (E-mwTool-3) are ultra-brief screening tools for these disorders. We compared the performance of PHQ-4 and E-mwTool-3 for screening MINI-International Neuropsychiatric Interview diagnoses of depression and anxiety among a sample of individuals with and without HIV in two primary care clinics and one general hospital in Maputo City, Mozambique. Areas-under-the-curve (AUC) were calculated along with sensitivities and specificities at a range of cutoffs. For PWH, at a sum score cutoff of ≥ 1, sensitivities were strong: PHQ-4:Depression = 0.843; PHQ-4:Anxiety = 0.786; E-mwTool-3:Depression = 0.843; E-mwTool-3:Anxiety = 0.929. E-mwTool-3 performance was comparable to PHQ-4 among people with and without HIV.

Authors & Co-authors:  Basaraba Cale N CN Stockton Melissa A MA Sweetland Annika A Medina-Marino Andrew A Lovero Kathryn L KL Oquendo Maria A MA Greene M Claire MC Mocumbi Ana Olga AO Gouveia Lidia L Mello Milena M Dos Santos Palmira P Suleman Antonio A Mabunda Dirceu D Mandlate Flávio F Xavier Amalio A Fumo Wilza W Massinga Luciana L Khan Saida S Feliciano Paulino P Kann Bianca B Salem Andre Fiks AF Bezuidenhout Charl C Mootz Jennifer J JJ Duarte Cristiane S CS Cournos Francine F Wall Melanie M MM Wainberg Milton L ML

Study Outcome 

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Statistics
Citations :  Halsted S, Ásbjörnsdóttir KH, Wagenaar BH, Cumbe V, Augusto O, Gimbel S, et al. Depressive symptoms, suicidal ideation, and mental health care-seeking in central Mozambique. Soc Psychiatry Psychiatr Epidemiol. 2019;54(12):1519–33.
Authors :  27
Identifiers
Doi : 10.1007/s10461-022-03852-w
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Anxiety;Brief screeners;Depression;GAD-2;HIV;PHQ-2;PHQ-4;Sub-Saharan Africa
Study Design
Study Approach
Country of Study
Mozambique
Publication Country
United States