@article{ref1,
title="Clinical utility of the patient health questionnaire-adolescent in adolescents with traumatic brain injury",
journal="Journal of head trauma rehabilitation",
year="2020",
author="Zachar-Tirado, Rachel and Chen, Ziqi and Donders, Jacobus",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To determine the clinical utility of the Patient Health Questionnaire-Adolescent (PHQ-A) in screening for depressive disorders in adolescents following traumatic brain injury (TBI).   DESIGN: Retrospective analysis of data collected as a part of routine clinical care over a period of 4 years.   SETTING: Regional rehabilitation facility.   PARTICIPANTS: Adolescents (n = 101) with mild to moderate-severe TBI who were referred for an outpatient neuropsychological evaluation within 1 to 12 months postinjury.   MAIN OUTCOME MEASURES: PHQ-A, PHQ-A_2 (2-item version), and Processing Speed Index (PSI) from the Wechsler scales of intelligence.   RESULTS: Both premorbid depressive disorder and PHQ-A scores predicted a postinjury diagnosis of depressive disorder, with a combined sensitivity of 0.91 and specificity of 0.59. PHQ-A_2 did not reach acceptable levels of sensitivity in predicting suicidal thoughts. PHQ-A scores did not add significantly to the prediction of PSI results after accounting for TBI severity.   CONCLUSIONS: PHQ-A has clinical utility as a screening instrument for depressive disorders in outpatient adolescents with TBI when the cutoff for clinically significant concern is set at more than 4 and premorbid psychiatric history is also taken into account.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000610",
url="http://dx.doi.org/10.1097/HTR.0000000000000610"
}