title: Sensitivity and Specificity in Three Measures of Depression Among Mexican American Women.
abstract: This paper examined the prevalence of depressive symptomotology among women of Mexican ancestry (N = 205), over the age of 18, of diverse incomes and nativity. We examined differences in rates of diagnosis by Spanish/English preference and the sensitivity and specificity of three common measures: the Patient Health Questionnaire (PHQ9), the Kessler Psychological Distress Scale (K-10), and depression questions from the Composite International Diagnostic Interview, Short Form (MDD CIDI-SF); PHQ9 was used as the "gold standard" measure. Results indicated 18-32 % of participants met criteria for depression with higher rates found among Spanish preference participants. The K-10 had significantly higher sensitivity (0.81) but lower specificity (0.79) than the MDD CIDI-SF items (0.57 and 0.89, respectively). This study suggests that the K-10 and MDD CIDI-SF measures are complementary to each other for screening of depressive symptomatology. Implications for cultural and linguistic assessment of depression are further discussed.
authors.affiliation: School of Nursing and Health Professions, University of San Francisco, San Francisco, CA, 94117, USA. dgarcia12@usfca.edu.
authors.forename: Dellanira
authors.initials: D
authors.lastname: Valencia-Garcia
authors.affiliation: VA Palo Alto Health Care System, Stanford University, Stanford, CA, USA.|Anthem Incorporated, San Jose, CA, USA.
authors.forename: Xiaoyu
authors.initials: X
authors.lastname: Bi
authors.affiliation: University of California, Riverside, CA, USA.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Ayón
mesh_terms: D000293:Adolescent; D000328:Adult; D003863:Depression / Q000175:diagnosis* / Q000208:ethnology*; D005260:Female; D006801:Humans; D007802:Language; D017058:Mexican Americans; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Depression screening; Latinas; Measurement; Sensitivity and specificity analysis