Understanding Depression in Rural Chiapas: Contextualizing Quantitative Measures and Patients’ Experiences

摘要: Depressive disorders are highly prevalent in primary care settings and associated with severe physical social impairment. However, it is a challenge for health providers to identify depressive early. The Patient Health Questionnaire-2 (PHQ-2) PHQ-9 have been widely used screening diagnosis of depression settings. We mixed methods design assess the validity depression; sensitivity specificity PHQ-2 characterize experience participants living rural Spanish-speaking study was conducted community Chiapas, Mexico. Quantitative data collected using PHQ-2, PHQ-9, WHO Quality Life BREF (WHOQOLBREF) scales during an active case finding activity (n=223). Qualitative semi-structured interviews (n=20). internal consistency good (Cronbach’s alpha >= 0.8) overall by subgroups. also had construct validity: statistically significantly lower scores on WHOQOL-BREF scale each its domains. optimal cutpoint score when compared 3 (sensitivity 80.00%, 86.88%). Four main categories were derived from qualitative analysis, including life events as triggers common feelings sadness desesperacion, thinking too much,