Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10

Background: Depression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use. There are short vers...

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Autores: Rodríguez-Barragán, María, Fernández-San-Martín, María Isabel, Clavería-Fontán, Ana, Nabbe, Patrice, Motrico, Emma, Gómez-Gómez, Irene, Peguero Rodríguez, Eva, Le Reste, Jean Yves
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/219788
Acceso en línea:https://hdl.handle.net/2445/219788
Access Level:acceso abierto
Palabra clave:Atenció primària
Psicometria
Depressió psíquica
Primary care
Psychometrics
Mental depression
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spelling Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10Rodríguez-Barragán, MaríaFernández-San-Martín, María IsabelClavería-Fontán, AnaNabbe, PatriceMotrico, EmmaGómez-Gómez, IrenePeguero Rodríguez, EvaLe Reste, Jean YvesAtenció primàriaPsicometriaDepressió psíquicaPrimary carePsychometricsMental depressionBackground: Depression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use. There are short versions of this scale that could be useful in Primary Care (PC) settings, but their psychometric properties are unknown. Aim: To assess in PC patients the psychometric properties and diagnostic accuracy of the Spanish version of the HSCL-10 and the HSCL-5 consisting of 10 and 5 items, respectively. Methods: A multicenter, cross-sectional study was carried out at six PC centers in Spain. The HSCL-25 was administered to outpatients aged 45-75 who also participated in the structured Composite International Diagnostic Interview (CIDI). HSCL-10 and HSCL-5 were assessed and compared to HSCL-25 regarding total score correlation, internal consistency, and criterion validity against the gold-standard CIDI. This is a methodological study from a secondary data analysis and the primary data has been previously published. Results: Out of 790 patients, 767 completed the HSCL-25 and 736 the CIDI interview (96.0%). Cronbach's Alpha was 0.84 for HSCL-10 and 0.77 for HSCL-5. The known-group method and confirmatory factor analysis were acceptable for the establishment of construct validity. Sensitivity was 79.7% (CI95%, 67.7-88.0%) for HSCL-10, and 78.0% (CI95%, 65.9-86.6%) for HSCL-5, whereas specificity was 83% (CI95%, 80.0-85.7%) for HSCL-10, and 72.8% (CI95%, 69.3-76.0%) for HSCL-5. Area under the curve against CIDI was 0.88 (CI95%, 0.84-0.92%) for HSCL-10, and 0.85 (CI95%, 0.81-0.89%) for HSCL-5. Optimum cutoff point calculated with Youden Index was 1.90 for the HSCL-10 and 1.80 for the HSCL-5. Conclusion: HSCL-10 and HSCL-5 are reliable and valid tools to detect depression symptoms and can be used in PC settings.Frontiers Media2025202520232025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion13 p.application/pdfhttps://hdl.handle.net/2445/219788Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/DOI: 10.3389/fmed.2022.1014340Frontiers in Medicine, 2023, vol. 9, num.2023https://doi.org/DOI: 10.3389/fmed.2022.1014340cc-by (c) Rodríguez-Barragán, María et al., 2023http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2197882026-05-29T05:05:01Z
dc.title.none.fl_str_mv Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
title Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
spellingShingle Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
Rodríguez-Barragán, María
Atenció primària
Psicometria
Depressió psíquica
Primary care
Psychometrics
Mental depression
title_short Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
title_full Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
title_fullStr Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
title_full_unstemmed Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
title_sort Measuring depression in primary health care in Spain: psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10
dc.creator.none.fl_str_mv Rodríguez-Barragán, María
Fernández-San-Martín, María Isabel
Clavería-Fontán, Ana
Nabbe, Patrice
Motrico, Emma
Gómez-Gómez, Irene
Peguero Rodríguez, Eva
Le Reste, Jean Yves
author Rodríguez-Barragán, María
author_facet Rodríguez-Barragán, María
Fernández-San-Martín, María Isabel
Clavería-Fontán, Ana
Nabbe, Patrice
Motrico, Emma
Gómez-Gómez, Irene
Peguero Rodríguez, Eva
Le Reste, Jean Yves
author_role author
author2 Fernández-San-Martín, María Isabel
Clavería-Fontán, Ana
Nabbe, Patrice
Motrico, Emma
Gómez-Gómez, Irene
Peguero Rodríguez, Eva
Le Reste, Jean Yves
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Atenció primària
Psicometria
Depressió psíquica
Primary care
Psychometrics
Mental depression
topic Atenció primària
Psicometria
Depressió psíquica
Primary care
Psychometrics
Mental depression
description Background: Depression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale has been identified as valid, reproducible, effective, and easy to use. There are short versions of this scale that could be useful in Primary Care (PC) settings, but their psychometric properties are unknown. Aim: To assess in PC patients the psychometric properties and diagnostic accuracy of the Spanish version of the HSCL-10 and the HSCL-5 consisting of 10 and 5 items, respectively. Methods: A multicenter, cross-sectional study was carried out at six PC centers in Spain. The HSCL-25 was administered to outpatients aged 45-75 who also participated in the structured Composite International Diagnostic Interview (CIDI). HSCL-10 and HSCL-5 were assessed and compared to HSCL-25 regarding total score correlation, internal consistency, and criterion validity against the gold-standard CIDI. This is a methodological study from a secondary data analysis and the primary data has been previously published. Results: Out of 790 patients, 767 completed the HSCL-25 and 736 the CIDI interview (96.0%). Cronbach's Alpha was 0.84 for HSCL-10 and 0.77 for HSCL-5. The known-group method and confirmatory factor analysis were acceptable for the establishment of construct validity. Sensitivity was 79.7% (CI95%, 67.7-88.0%) for HSCL-10, and 78.0% (CI95%, 65.9-86.6%) for HSCL-5, whereas specificity was 83% (CI95%, 80.0-85.7%) for HSCL-10, and 72.8% (CI95%, 69.3-76.0%) for HSCL-5. Area under the curve against CIDI was 0.88 (CI95%, 0.84-0.92%) for HSCL-10, and 0.85 (CI95%, 0.81-0.89%) for HSCL-5. Optimum cutoff point calculated with Youden Index was 1.90 for the HSCL-10 and 1.80 for the HSCL-5. Conclusion: HSCL-10 and HSCL-5 are reliable and valid tools to detect depression symptoms and can be used in PC settings.
publishDate 2023
dc.date.none.fl_str_mv 2023
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/219788
url https://hdl.handle.net/2445/219788
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/DOI: 10.3389/fmed.2022.1014340
Frontiers in Medicine, 2023, vol. 9, num.2023
https://doi.org/DOI: 10.3389/fmed.2022.1014340
dc.rights.none.fl_str_mv cc-by (c) Rodríguez-Barragán, María et al., 2023
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Rodríguez-Barragán, María et al., 2023
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13 p.
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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