Detection of depression in low resource settings: validation of the Patient Health Questionnaire (PHQ-9) and cultural concepts of distress in Nepal

Table 3 Psychometric properts of Patient Health Questionnaire (PHQ-9) for major depressive disorder (Composite International Diagnostic Interview), n = 125

	True Positive Cases	True Negative Cases	Sensitivity	Specificity	Positive Predictive Value	Negative Predictive Value	Positive Likelihood Ratio	Negative Likelihood Ratio	Diagnostic Odds Ratio	Youden’s Index (J)
PHQ -9 Cut Off Score
≥ 7	17	59	1.00	0.55	0.26	1.00	2.20	0.00	n/a	0.55
≥ 8	17	67	1.00	0.62	0.29	1.00	2.63	0.00	n/a	0.62
≥ 9	16	75	0.94	0.69	0.33	0.99	3.08	0.08	36.36	0.63
≥ 10	16	86	0.94	0.80	0.42	0.99	4.62	0.07	62.55	0.74
≥ 11	15	90	0.88	0.83	0.45	0.98	5.29	0.14	37.50	0.71
≥ 12	15	94	0.88	0.87	0.52	0.98	6.81	0.14	50.36	0.75
≥ 13	14	97	0.82	0.90	0.56	0.97	8.09	0.20	41.15	0.72
≥ 14	12	98	0.71	0.91	0.55	0.95	7.62	0.32	23.52	0.62
≥ 15	10	103	0.59	0.95	0.67	0.94	12.71	0.43	29.43	0.54
Heart-mind (man) problems	16	29	0.94	0.27	0.17	0.97	1.29	0.22	5.87	0.21
Brain-mind (dimaag) problems	9	103	0.47	0.97	0.75	0.91	16.74	0.54	30.90	0.44
Algorithm	15	90	0.88	0.83	0.45	0.98	5.29	0.14	37.50	0.71

ISSN: 1471-244X