Analysis of the PHQ-15 by individual itemsa systematic review and meta-analysis

  1. Oleksandr Boikoa
  2. Sara Barrio-Martínez
  3. Amador Priede
  4. Ludovica Ventura
  5. Nerea Gómez-Carazo
  6. Aida Hernández-Abellán
  7. Esther Setién-Suero
  8. César González-Blanch
Revista:
Ansiedad y estrés

ISSN: 1134-7937

Año de publicación: 2022

Volumen: 28

Número: 1

Páginas: 62-73

Tipo: Artículo

DOI: 10.5093/ANYES2022A7 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Ansiedad y estrés

Resumen

Introducción: El PHQ-15 (Patient Health Questionnaire) es uno de los cuestionarios más utilizados para la valoración de los síntomas somáticos en atención primaria. El objetivo del estudio fue realizar una revisión sistemática y un metaanálisis de los estudios previos que analizaron los ítems individuales del PHQ-15 y determinar su asociación con las variables clínicas y sociodemográficas. Metodología: Esta revisión sistemática se llevó a cabo de acuerdo a la declaración PRISMA. Los estudios que analizaron el PHQ-15 por ítems individuales fueron obtenidos en las bases de datos de Medline / PubMed, Embase, PsycINFO y Scopus; desde el 1999 hasta noviembre de 2019. Resultados: Los datos fueron extraídos de 13 estudios. Los síntomas más frecuentes fueron "dolor en los brazos, piernas o articulaciones", "dolor de espalda", "dolor de cabeza" y "sentirse cansado o con poca energía". Los pacientes con trastornos mentales (depresión, ansiedad y trastorno somatomorfo), presentaron con mayor frecuencia "problemas de sueño", "sentirse cansado o con poca energía" y síntomas gastrointestinales. En el metaanálisis, las mujeres obtuvieron puntuaciones significativamente mayores que los hombres en 3 de los 14 ítems: "dolor de cabeza" (odds ratio [OR] 2.16, p<.001), "mareo" (OR 1.58, p<.001) y "dolor de estómago” (OR 1.46, p<0,02), con un tamaño del efecto de pequeño a moderado. Conclusiones: Se detectaron diferencias entre ambos géneros en tres ítems (cefalea, mareo y dolor de estómago), aunque la magnitud de estas diferencias fue pequeña. Es necesario seguir investigando para lograr una mejor comprensión de la relación entre los ítems individuales y las variables sociodemográficas. Además, es necesario investigar la invarianza de medición en los diferentes grupos demográficos.

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