Evidence map›Paper›PMID 40170548›Full record

SynthesisBrain and behavior2025

Predictive Validity of the Patient Health Questionnaire-9 for Depression in Poststroke Patients: A Systematic Review and Meta-Analysis.

Junya Chen, Mei Chan Chong, Hmwe Nant Thin Thin, Fen Xu, Xiao Dong, Xiaoxian Yang, Ruan Jia Yin, Huimin Hong

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Junya ChenDepartment of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-6261-0865
Mei Chan ChongDepartment of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-8599-3018
Hmwe Nant Thin ThinDepartment of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Fen XuDepartment of Nursing Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Xiao DongDalian Medical University Affiliated Second Hospital, Dalian, China.
Xiaoxian YangDepartment of Nursing Science, Faculty of Medicine, Jinhua University of Vocational Technology, Jinhua, Zhejiang, China.
Ruan Jia YinSchool of Nursing, Hong Kong Polytechnic University, Hong Kong, China.ORCID https://orcid.org/0000-0001-9470-6204
Huimin HongDepartment of Nursing Science, Faculty of Medicine, Jinhua University of Vocational Technology, Jinhua, Zhejiang, China.

Funding

Jinhua Science and Technology Bureau 2022-3-138
6 · The paper itself

Abstract

backgroundThe Patient Health Questionnaire-9 (PHQ-9), known for its brevity and ease of use, is employed by researchers and clinical practitioners for poststroke depression (PSD) screening. However, the effectiveness of the PHQ-9 in PSD screening remains to be further validated.

methodsElectronic searches were conducted in EMBASE, PubMed, Web of Science, CNKI, and Wanfang databases using keywords including stroke, depression, and PHQ-9. The assessment tool Quality Assessment of Diagnostic Accuracy Studies-2 was utilized to evaluate the risk of bias in diagnostic studies.

resultsA total of 2049 articles were retrieved, with 9 meeting the inclusion criteria. The PHQ-9 demonstrated pooled sensitivity and specificity of 0.84 and 0.90, respectively, and a summary receiver operating characteristic (sROC) curve of 0.93. At the 10-cut-off value, pooled sensitivity, specificity, and sROC were 0.77, 0.85, and 0.86, respectively. At the 9-cut-off value, the sensitivity, specificity, and sROC were 0.87, 0.85, and 0.92, respectively. At the 5-cut-off value, sensitivity, specificity, and sROC are 0.90, 0.91, and 0.96, respectively. No publication bias was identified.

conclusionThe PHQ-9 is an effective tool for screening poststroke depressive symptoms with significant clinical utility. However, further research is needed to establish optimal diagnostic thresholds.

Indexed as

DepressionPatient Health QuestionnaireStrokeHumansReproducibility of ResultsSensitivity and Specificitymeta‐analysisPHQ‐9poststroke depressionsensitivity and specificitysystematic review

Identifiers

PMID40170548
PMCPMC11962200

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.