Validity and utility of the PRIME-MD Patient Health Questionnaire in assessment of 3000 obstetric-gynecologic patients: The PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study

Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke, Raymond Hornyak, Julia McMurray

Research output: Contribution to journalArticle

563 Scopus citations

Abstract

OBJECTIVE: This study was undertaken to determine the prevalence of mental disorders among obstetricgynecologic patients and to assess the validity and utility of the PRIME-MD Patient Health Questionnaire (PHQ) in this population. STUDY DESIGN: A total of 3000 patients were assessed by 63 clinicians at seven obstetrics-gynecology outpatient care sites. The main outcome measures were PRIME-MD PHQ diagnoses, psychosocial stressors, independent diagnoses made by mental health professionals, functional status measures, disability days, health care use, and treatment or referral decisions. RESULTS: Current mental disorders were fairly prevalent, present in 1 in 5 obstetric-gynecologic patients. Patients with PRIME-MD PHQ diagnoses had more functional impairment, disability days, health care use, and psychosocial stressors than did patients without PRIME-MD PHQ diagnoses (P < .005 for all measures). Although most clinicians judged the PRIME-MD PHQ to be useful in management decisions, the questionnaire diagnosis of mental disorder rarely led to therapeutic intervention. CONCLUSION: The PRIME-MD PHQ is a useful instrument for the assessment of mental disorders, functional impairment, and recent psychosocial stressors in the busy obstetrics-gynecology setting.

Original languageEnglish (US)
Pages (from-to)759-769
Number of pages11
JournalAmerican Journal of Obstetrics and Gynecology
Volume183
Issue number3
DOIs
StatePublished - Jan 1 2000

Keywords

  • Mental disorders
  • Obstetrics-gynecology
  • PRIME-MD
  • PRIME-MD Patient Health Questionnaire
  • PRIME-MD PHQ

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

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