Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
BackgroundDepression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use. There are short versio...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-01-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.1014340/full |
| _version_ | 1797956642947465216 |
|---|---|
| author | María Rodríguez-Barragán María Rodríguez-Barragán María Rodríguez-Barragán María Isabel Fernández-San-Martín María Isabel Fernández-San-Martín Ana Clavería Ana Clavería Ana Clavería Jean Yves Le Reste Patrice Nabbe Emma Motrico Emma Motrico Irene Gómez-Gómez Irene Gómez-Gómez Eva Peguero-Rodríguez Eva Peguero-Rodríguez Eva Peguero-Rodríguez |
| author_facet | María Rodríguez-Barragán María Rodríguez-Barragán María Rodríguez-Barragán María Isabel Fernández-San-Martín María Isabel Fernández-San-Martín Ana Clavería Ana Clavería Ana Clavería Jean Yves Le Reste Patrice Nabbe Emma Motrico Emma Motrico Irene Gómez-Gómez Irene Gómez-Gómez Eva Peguero-Rodríguez Eva Peguero-Rodríguez Eva Peguero-Rodríguez |
| author_sort | María Rodríguez-Barragán |
| collection | DOAJ |
| description | BackgroundDepression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use. There are short versions of this scale that could be useful in Primary Care (PC) settings, but their psychometric properties are unknown.AimTo assess in PC patients the psychometric properties and diagnostic accuracy of the Spanish version of the HSCL-10 and the HSCL-5 consisting of 10 and 5 items, respectively.MethodsA multicenter, cross-sectional study was carried out at six PC centers in Spain. The HSCL-25 was administered to outpatients aged 45–75 who also participated in the structured Composite International Diagnostic Interview (CIDI). HSCL-10 and HSCL-5 were assessed and compared to HSCL-25 regarding total score correlation, internal consistency, and criterion validity against the gold-standard CIDI. This is a methodological study from a secondary data analysis and the primary data has been previously published.ResultsOut of 790 patients, 767 completed the HSCL-25 and 736 the CIDI interview (96.0%). Cronbach’s Alpha was 0.84 for HSCL-10 and 0.77 for HSCL-5. The known-group method and confirmatory factor analysis were acceptable for the establishment of construct validity. Sensitivity was 79.7% (CI95%, 67.7–88.0%) for HSCL-10, and 78.0% (CI95%, 65.9–86.6%) for HSCL-5, whereas specificity was 83% (CI95%, 80.0–85.7%) for HSCL-10, and 72.8% (CI95%, 69.3–76.0%) for HSCL-5. Area under the curve against CIDI was 0.88 (CI95%, 0.84–0.92%) for HSCL-10, and 0.85 (CI95%, 0.81–0.89%) for HSCL-5. Optimum cutoff point calculated with Youden Index was 1.90 for the HSCL-10 and 1.80 for the HSCL-5.ConclusionHSCL-10 and HSCL-5 are reliable and valid tools to detect depression symptoms and can be used in PC settings. |
| first_indexed | 2024-04-10T23:52:02Z |
| format | Article |
| id | doaj.art-11d3f527b74b4c75b31d637115f1fcd4 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-10T23:52:02Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-11d3f527b74b4c75b31d637115f1fcd42023-01-10T15:27:34ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-01-01910.3389/fmed.2022.10143401014340Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10María Rodríguez-Barragán0María Rodríguez-Barragán1María Rodríguez-Barragán2María Isabel Fernández-San-Martín3María Isabel Fernández-San-Martín4Ana Clavería5Ana Clavería6Ana Clavería7Jean Yves Le Reste8Patrice Nabbe9Emma Motrico10Emma Motrico11Irene Gómez-Gómez12Irene Gómez-Gómez13Eva Peguero-Rodríguez14Eva Peguero-Rodríguez15Eva Peguero-Rodríguez16Primary Health Centre La Mina, Gerència Territorial d’Atenció Primària de Barcelona, Institut Català de la Salut, Sant Adrià de Besòs, Barcelona, SpainInstitut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, SpainFaculty of Medicine, Department of Pediatrics, Obstetrics, Gynecology and Preventive Medicine, Universitat Autònoma de Barcelona, Barcelona, SpainInstitut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, SpainGerència Territorial d’Atenció Primària de Barcelona, Institut Català de la Salut, Barcelona, SpainI-Saúde Group, South Galicia Health Research Institute [IISGS-Servicio Gallego de Salud (SERGAS)], Vigo, SpainVigo Health Area, Servicio Gallego de Salud (SERGAS), Vigo, SpainNetwork for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, SpainDepartment of General Practice, ER 7479 SPURBO Soins Primaires, Santé Publique, Registre des Cancers de Bretagne Occidentale, Université de Bretagne Occidentale, Brest, FranceDepartment of General Practice, ER 7479 SPURBO Soins Primaires, Santé Publique, Registre des Cancers de Bretagne Occidentale, Université de Bretagne Occidentale, Brest, FranceNetwork for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, SpainDepartment of Psychology, Universidad Loyola, Andalucía, SpainNetwork for Research on Chronicity, Primary Care and Health Promotion (RICAPPS), Vigo, SpainDepartment of Psychology, Universidad Loyola, Andalucía, SpainInstitut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain0Primary Health Centre El Castell, Gerència Territorial d’Atenció Primària Metropolitana Sud, Institut Català de la Salut, Castelldefels, Barcelona, Spain1Departamento de Ciencias Clinicas, Facultad de Medicina, Universidad de Barcelona, Barcelona, SpainBackgroundDepression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use. There are short versions of this scale that could be useful in Primary Care (PC) settings, but their psychometric properties are unknown.AimTo assess in PC patients the psychometric properties and diagnostic accuracy of the Spanish version of the HSCL-10 and the HSCL-5 consisting of 10 and 5 items, respectively.MethodsA multicenter, cross-sectional study was carried out at six PC centers in Spain. The HSCL-25 was administered to outpatients aged 45–75 who also participated in the structured Composite International Diagnostic Interview (CIDI). HSCL-10 and HSCL-5 were assessed and compared to HSCL-25 regarding total score correlation, internal consistency, and criterion validity against the gold-standard CIDI. This is a methodological study from a secondary data analysis and the primary data has been previously published.ResultsOut of 790 patients, 767 completed the HSCL-25 and 736 the CIDI interview (96.0%). Cronbach’s Alpha was 0.84 for HSCL-10 and 0.77 for HSCL-5. The known-group method and confirmatory factor analysis were acceptable for the establishment of construct validity. Sensitivity was 79.7% (CI95%, 67.7–88.0%) for HSCL-10, and 78.0% (CI95%, 65.9–86.6%) for HSCL-5, whereas specificity was 83% (CI95%, 80.0–85.7%) for HSCL-10, and 72.8% (CI95%, 69.3–76.0%) for HSCL-5. Area under the curve against CIDI was 0.88 (CI95%, 0.84–0.92%) for HSCL-10, and 0.85 (CI95%, 0.81–0.89%) for HSCL-5. Optimum cutoff point calculated with Youden Index was 1.90 for the HSCL-10 and 1.80 for the HSCL-5.ConclusionHSCL-10 and HSCL-5 are reliable and valid tools to detect depression symptoms and can be used in PC settings.https://www.frontiersin.org/articles/10.3389/fmed.2022.1014340/fulldepressionHopkins Symptom ChecklistPrimary Health Care (MeSH)patient reported outcome measures (MeSH)diagnostic accuracypsychometric properties |
| spellingShingle | María Rodríguez-Barragán María Rodríguez-Barragán María Rodríguez-Barragán María Isabel Fernández-San-Martín María Isabel Fernández-San-Martín Ana Clavería Ana Clavería Ana Clavería Jean Yves Le Reste Patrice Nabbe Emma Motrico Emma Motrico Irene Gómez-Gómez Irene Gómez-Gómez Eva Peguero-Rodríguez Eva Peguero-Rodríguez Eva Peguero-Rodríguez Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10 Frontiers in Medicine depression Hopkins Symptom Checklist Primary Health Care (MeSH) patient reported outcome measures (MeSH) diagnostic accuracy psychometric properties |
| title | Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10 |
| title_full | Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10 |
| title_fullStr | Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10 |
| title_full_unstemmed | Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10 |
| title_short | Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10 |
| title_sort | measuring depression in primary health care in spain psychometric properties and diagnostic accuracy of hscl 5 and hscl 10 |
| topic | depression Hopkins Symptom Checklist Primary Health Care (MeSH) patient reported outcome measures (MeSH) diagnostic accuracy psychometric properties |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.1014340/full |
| work_keys_str_mv | AT mariarodriguezbarragan measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT mariarodriguezbarragan measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT mariarodriguezbarragan measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT mariaisabelfernandezsanmartin measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT mariaisabelfernandezsanmartin measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT anaclaveria measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT anaclaveria measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT anaclaveria measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT jeanyveslereste measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT patricenabbe measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT emmamotrico measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT emmamotrico measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT irenegomezgomez measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT irenegomezgomez measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT evapeguerorodriguez measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT evapeguerorodriguez measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 AT evapeguerorodriguez measuringdepressioninprimaryhealthcareinspainpsychometricpropertiesanddiagnosticaccuracyofhscl5andhscl10 |