IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0218512.html
   My bibliography  Save this article

Diagnostic accuracy of depression questionnaires in adult patients with diabetes: A systematic review and meta-analysis

Author

Listed:
  • Johanna W de Joode
  • Susan EM van Dijk
  • Florine S Walburg
  • Judith E Bosmans
  • Harm WJ van Marwijk
  • Michiel R de Boer
  • Maurits W van Tulder
  • Marcel C Adriaanse

Abstract

Background: Comorbid depression is common among patients with diabetes and has severe health consequences, but often remains unrecognized. Several questionnaires are used to screen for depression. A systematic review and meta-analysis regarding the diagnostic accuracy of depression questionnaires in adults with diabetes is unavailable. Our aim was to conduct a systematic review and meta-analysis to evaluate the diagnostic accuracy of depression questionnaires in adults with type 1 or type 2 diabetes. Methods: PubMed, Embase and PsycINFO were searched from inception to 28 February 2018. Studies were included when the diagnostic accuracy of depression questionnaires was assessed in a diabetes population and the reference standard was a clinical interview. Data extraction was performed by one reviewer and checked by another. Two reviewers independently conducted the quality assessment (QUADAS-2). Diagnostic accuracy was pooled in bivariate random effects models. The main outcome was diagnostic accuracy, expressed as sensitivity and specificity, of depression questionnaires in an adult diabetes population. This study is reported according to PRISMA-DTA and is registered with PROSPERO (CRD42018092950). Results: A total 6,097 peer-reviewed articles were screened. Twenty-one studies (N = 5,703 patients) met the inclusion criteria for the systematic review. Twelve different depression questionnaires were identified, of which the CES-D (n = 6 studies) and PHQ-9 (n = 7 studies) were the most frequently evaluated. Risk of bias was unclear for multiple domains in the majority of studies. In the meta-analyses, five (N = 1,228) studies of the CES-D (≥16), five (N = 1,642) of the PHQ-9 (≥10) and four (N = 822) of the algorithm of the PHQ-9 were included in the pooled analysis. The CES-D (≥16) had a pooled sensitivity of 85.0% (95%CI, 71.3–92.8%) and a specificity of 71.6% (95%CI, 62.5–79.2%); the PHQ-9 (≥10) had a sensitivity of 81.5% (95%CI, 57.1–93.5%) and a specificity of 79.7% (95%CI, 62.1–90.4%). The algorithm for the PHQ-9 had a sensitivity of 60.9% (95%CI, 52.3–90.8%) and a specificity of 64.0% (95%CI, 53.0–93.9%). Conclusions: This review indicates that the CES-D had the highest sensitivity, whereas the PHQ-9 had the highest specificity, although confidence intervals were wide and overlapping. The algorithm for the PHQ-9 had the lowest sensitivity and specificity. Given the variance in results and suboptimal reporting of studies, further high quality studies are needed to confirm the diagnostic accuracy of these depression questionnaires in patients with diabetes.

Suggested Citation

  • Johanna W de Joode & Susan EM van Dijk & Florine S Walburg & Judith E Bosmans & Harm WJ van Marwijk & Michiel R de Boer & Maurits W van Tulder & Marcel C Adriaanse, 2019. "Diagnostic accuracy of depression questionnaires in adult patients with diabetes: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-16, June.
    • Handle: RePEc:plo:pone00:0218512
    DOI: 10.1371/journal.pone.0218512
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0218512
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0218512&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0218512?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Gemma Vilagut & Carlos G Forero & Gabriela Barbaglia & Jordi Alonso, 2016. "Screening for Depression in the General Population with the Center for Epidemiologic Studies Depression (CES-D): A Systematic Review with Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-17, May.
    2. Fleur E P van Dooren & Giesje Nefs & Miranda T Schram & Frans R J Verhey & Johan Denollet & François Pouwer, 2013. "Depression and Risk of Mortality in People with Diabetes Mellitus: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(3), pages 1-11, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mónica Carreira & María Soledad Ruiz de Adana & Marta Domínguez & Sergio Valdés & Maria Cruz Almaraz & Gabriel Olveira & María Teresa Anarte, 2021. "Development and Validation of the Depression Inventory for Type 1 Diabetes (DID-1)," IJERPH, MDPI, vol. 18(23), pages 1-16, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Shen-Ju Tsai & Yu-Han Hsiao & Miao-Yu Liao & Meng-Chih Lee, 2022. "The Influence of Depressive Mood on Mortality in Elderly with Different Health Status: Evidence from the Taiwan Longitudinal Study on Aging (TLSA)," IJERPH, MDPI, vol. 19(11), pages 1-11, June.
    2. L J van der Donk & J Fleer & R Sanderman & P M G Emmelkamp & T P Links & K A Tovote & M J Schroevers, 2019. "Is type of depressive symptoms associated with patient-perceived need for professional psychological care in depressed individuals with diabetes?," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-11, February.
    3. Mareike Hofmann & Birgit Köhler & Falk Leichsenring & Johannes Kruse, 2013. "Depression as a Risk Factor for Mortality in Individuals with Diabetes: A Meta-Analysis of Prospective Studies," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-7, November.
    4. Jorge Arias-de la Torre & Gemma Vilagut & Antoni Serrano-Blanco & Vicente Martín & Antonio José Molina & Jose M Valderas & Jordi Alonso, 2020. "Accuracy of Self-Reported Items for the Screening of Depression in the General Population," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
    5. Jia-In Lee & Yu-Ping Chang & Ching-Shu Tsai & Cheng-Fang Yen, 2022. "Internalized Sexual Stigma among Lesbian, Gay, and Bisexual Individuals in Taiwan: Its Related Factors and Association with Mental Health Problems," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    6. Shimizutani, Satoshi & Yamada, Hiroyuki, 2021. "Long-term consequences of the atomic bombing in Hiroshima," Journal of the Japanese and International Economies, Elsevier, vol. 59(C).
    7. Conal Twomey & Gary O’Reilly, 2018. "The association of ‘self-monitoring’ with depression in help-seeking Facebook users," International Journal of Social Psychiatry, , vol. 64(5), pages 482-487, August.
    8. Giulietti, Corrado & Vlassopoulos, Michael & Zenou, Yves, 2022. "Peers, gender, and long-term depression," European Economic Review, Elsevier, vol. 144(C).
    9. Pablo Martínez & Viviana Guajardo & Víctor E. Gómez & Sebastián Brandt & Wilsa Szabo & Gonzalo Soto-Brandt & Maryam Farhang & Paulina Baeza & Solange Campos & Pablo Herrera & Graciela Rojas, 2021. "Technology-Assisted Collaborative Care Program for People with Diabetes and/or High Blood Pressure Attending Primary Health Care: A Feasibility Study," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    10. Eileen Heumann & Jannis Trümmler & Christiane Stock & Stefanie M. Helmer & Heide Busse & Sarah Negash & Claudia R. Pischke, 2023. "Study Conditions and University Students’ Mental Health during the Pandemic: Results of the COVID-19 German Student Well-Being Study (C19 GSWS)," IJERPH, MDPI, vol. 20(7), pages 1-15, March.
    11. Benjamin Kaveladze & Allison Diamond Altman & Meike Niederhausen & Jennifer M Loftis & Alan R Teo, 2022. "Social relationship quality, depression and inflammation: A cross-cultural longitudinal study in the United States and Tokyo, Japan," International Journal of Social Psychiatry, , vol. 68(2), pages 253-263, March.
    12. Luana Caroline de Assunção Cortez Corrêa & Cristiano dos Santos Gomes & Saionara Maria Aires da Camara & Juliana Fernandes de Souza Barbosa & Ingrid Guerra Azevedo & Afshin Vafaei & Ricardo Oliveira G, 2023. "Gender-Specific Associations between Late-Life Disability and Socioeconomic Status: Findings from the International Mobility and Aging Study (IMIAS)," IJERPH, MDPI, vol. 20(4), pages 1-11, February.
    13. Angel Nga Man Leung & Wilbert Law & Yvonne Yiqing Liang & Antony Chun Lam Au & Cheng Li & Henry Kin Shing Ng, 2021. "What Explains the Association between Usage of Social Networking Sites (SNS) and Depression Symptoms? The Mediating Roles of Self-Esteem and Fear of Missing Out," IJERPH, MDPI, vol. 18(8), pages 1-11, April.
    14. Ram B Singh & Shaw Watanabe & Duo Li & Teiji Nakamura & Lekh Raj Juneja & Toru Takahashi & Anuj Maheshwari & Narsingh Verma & Sanit Wichansawakun & Germaine Cornelissen & Agnieszka Wilczynska & Ibrahi, 2019. "Diet And Lifestyle Guidelines And Desirable Levels Of Risk Factors And Protective Factors For Prevention Of Dementia - A Scientific Statement From Joint Symposium Of Jaas And Apcns," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 17(3), pages 12844-12864, April.
    15. David M. Cutler & Noémie Sportiche, 2022. "Economic Crises and Mental Health: Effects of the Great Recession on Older Americans," NBER Working Papers 29817, National Bureau of Economic Research, Inc.
    16. Phan Sok & Mary V. Seeman & Rosane Nisenbaum & James Watson & Sean B. Rourke & on behalf of the PSHP Team, 2021. "Four-Year Trajectories of Health-Related Quality of Life in People Living with HIV: Impact of Unmet Basic Needs across Age Groups in Positive Spaces, Healthy Places," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    17. Azad R. Bhuiyan & Marinelle Payton & Amal K. Mitra & Sophia S. Leggett & Jihua Xu & Paul B. Tchounwou & Frank Smart, 2021. "Progression of Metabolic Syndrome Components along with Depression Symptoms and High Sensitivity C-Reactive Protein: The Bogalusa Heart Study," IJERPH, MDPI, vol. 18(9), pages 1-14, May.
    18. Platt, Jonathan M. & Bates, Lisa M. & Jager, Justin & McLaughlin, Katie A. & Keyes, Katherine M., 2020. "Changes in the depression gender gap from 1992 to 2014: Cohort effects and mediation by gendered social position," Social Science & Medicine, Elsevier, vol. 258(C).
    19. Maarten Bak & Annemarie Fransen & Jouke Janssen & Jim van Os & Marjan Drukker, 2014. "Almost All Antipsychotics Result in Weight Gain: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-19, April.
    20. Johannes Beller, 2022. "Age-period-cohort analysis of depression trends: are depressive symptoms increasing across generations in Germany?," European Journal of Ageing, Springer, vol. 19(4), pages 1493-1505, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0218512. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.