Table 6b. Sensitivity and specificity for MDD diagnosis using different PHQ-9 screening criteria.
Sensitivity (95%CI) | Specificity (95%CI) | LR+(95%CI) | LR-(95%CI) | PPV(95%CI) | NPV (95%CI) | ||
PHQ-9 score ≥9, at least one cardinal symptom scored ≥2 | 78.3 (63.6-89.1) | 64.0 (58.5-69.3) | 2.1 (1.8-2.7) | 0.3 (0.2-0.6) | 24.0 (17.4-31.6) | 95.3 (91.5-97.7) | |
At least 5 symptoms scored ≥ 2, at least 1 cardinal symptom | 50.0 (34.9-65.1) | 84.2 (79.7-88.1) | 3.2 (2.2-4.7) | 0.6 (0.4-0.8) | 31.5 (21.1-43.4) | 92.1 (88.3-94.9) | |
At least 5 symptoms scored ≥ 1, at least 1 cardinal symptom | 89.1 (76.4-96.4) | 42.9 (37.4-48.6) | 1.6 (1.4-1.8) | 0.2 (0.1-0.6) | 18.5 (13.6-24.2) | 96.5 (91.9-98.8) | |
At least one cardinal symptom scored ≥ 2 | 78.3 (63.6-89.1) | 54.9 (49.2-60.5) | *1.7 (1.4-2.1) | 0.4 (0.2-0.6) | 20.1 (14.5-26.7) | 94.6 (90.2-97.4) |
LR+: positive likelihood ratio, LR-: negative likelihood ratio, PPV: positive predictive value, NPV: negative predictive value