Grupo de Investigación PsicAP

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Transcripción de la presentación:

Grupo de Investigación PsicAP CRIBADO Y DIAGNÓSTICO DE LA DEPRESIÓN EN ATENCIÓN PRIMARIA. VALIDACIÓN DEL PHQ-9 CON LA SCID-I EN EL PROYECTO PSICAP. Muñoz-Navarro, R.; Cano-Vindel, A.; Wood, C.M.; Ruiz-Rodríguez, P.; Gracia, I.; Tomás, P.; Jiménez-Cabré, G.; Medrano, L; Schmitz, F.; Dongil, E.; Iruarrizaga, I.; Chacón, F.; Santolaya, F.; Gómez, M.D.; Pizà, M.R.; Rodríguez, M.; Agüero, L.; Font, M.A.; Abellán, C.; Hermosilla, A.M.; Aguilar, M.M.; Grupo de Investigación PsicAP

LA DEPRESIÓN EN ATENCIÓN PRIMARIA INTRODUCCIÓN LA DEPRESIÓN EN ATENCIÓN PRIMARIA La prevalencia año de la depresión en los centros de AP en España se encuentra en un rango entre 9.6% 20.2% PROBLEMAS EN SU DIAGNÓSTICO INFRADIAGNÓSTICO SOBREDIAGNÓSTICO

178 pacientes PHQ + SCID-I PHQ-9 N Total: 1126 ROC CURVE ≅15% N = 178 298 PACIENTES FUERON RECLUTADOS EN EL 2014 POR MAPS DE 5 CENTROS 260 pacientes PHQ 178 pacientes PHQ + SCID-I ROC CURVE SENSIVILIDAD ESPECIFICIDAD +/- VALORES PREDICTIVOS +/- LR PHQ-9

Area bajo de la curva =0.89 (95% IC: 0.84-0.95)

The algorithm of the PHQ-9 had the best psychometric properties, with a high sensitivity (.88) and a good specificity (.80), which recommends its use as a diagnostic tool. It was the best predictor for detecting true positives with minimal risk of finding false positives, comparing the cutoffs. As a screening test, with a cutoff of 10, the PHQ-9 obtained a very high sensitivity (0.95) and a low specificity (0.67), indicating a high efficacy in identifying true positive cases but with a large number of false positives. At a cutoff of 12 the sensitivity was reduced to .84 but specificity was increased to .78, favoring the reduction of many false positives with a good level of sensitivity.