Use of the Patient Health Questionnaire (PHQ-9) in Practice: Interactions between patients and physicians
dc.contributor.author | Ford, J | |
dc.contributor.author | Thomas, F | |
dc.contributor.author | Byng, Richard | |
dc.contributor.author | McCabe, R | |
dc.date.accessioned | 2021-10-05T13:02:24Z | |
dc.date.issued | 2020-11 | |
dc.identifier.issn | 1049-7323 | |
dc.identifier.issn | 1552-7557 | |
dc.identifier.other | ARTN 1049732320924625 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/17990 | |
dc.description.abstract |
<jats:p> We analyze the use of nine-item Patient Health Questionnaire (PHQ-9), an instrument that is widely used in diagnosing and determining the severity of depression. Using conversation analysis, we show how the doctor deploys the PHQ-9 in response to the patient’s doubts about whether she is depressed. Rather than relaying the PHQ-9 verbatim, the doctor deviates from the wording so that the response options are selectively offered to upgrade the severity of the patient’s symptoms. This works in favor of a positive diagnosis and is used to justify a treatment recommendation that the patient previously resisted. This contrasted with the rest of the data set, where diagnosis was either not delivered (as patients are presenting with ongoing problems) or delivered without using the PHQ-9. When clinician-administered, the PHQ-9 can be influenced by how response items are presented. This can lead to either downgrading or upgrading the severity of depression. </jats:p> | |
dc.format.extent | 2146-2159 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | SAGE Publications | |
dc.subject | mental health and illness | |
dc.subject | primary | |
dc.subject | health care | |
dc.subject | depression | |
dc.subject | mental health and illness | |
dc.subject | qualitative | |
dc.subject | conversation analysis | |
dc.subject | United Kingdom | |
dc.title | Use of the Patient Health Questionnaire (PHQ-9) in Practice: Interactions between patients and physicians | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Research Support, Non-U.S. Gov't | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000542424100001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.issue | 13 | |
plymouth.volume | 30 | |
plymouth.publication-status | Published | |
plymouth.journal | Qualitative Health Research | |
dc.identifier.doi | 10.1177/1049732320924625 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/FoH - Community and Primary Care | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED) | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS | |
plymouth.organisational-group | /Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
dc.publisher.place | United States | |
dcterms.dateAccepted | 2020-01-01 | |
dc.rights.embargodate | 2021-10-6 | |
dc.identifier.eissn | 1552-7557 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.funder | Economic and Social Research Council | |
rioxxterms.identifier.project | Poverty, pathology and pills: moral narratives and the medicalisation of distress | |
rioxxterms.versionofrecord | 10.1177/1049732320924625 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2020-11 | |
rioxxterms.type | Journal Article/Review | |
plymouth.funder | Poverty, pathology and pills: moral narratives and the medicalisation of distress::Economic and Social Research Council |