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BMC Psychiatry

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Open Access 01-12-2021 | Post-Traumatic Stress Disorder | Research

Validation of screening tools for common mental health disorders in the methadone maintenance population in Hanoi, Vietnam

Authors: Anisa Y. Mughal, Melissa A. Stockton, Quynh Bui, Vivian Go, Tran Viet Ha, Brian W. Pence, Bradley N. Gaynes

Published in: BMC Psychiatry | Issue 1/2021

Abstract

Background

Common mental health disorders (CMDs), including depression, anxiety and post-traumatic stress disorder (PTSD) may worsen both HIV and drug use outcomes, yet feasible tools to accurately identify CMDs have received limited study in this population. We aimed to validate the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder screen (GAD-7) and Primary Care PTSD screen for DSM-5 (PC-PTSD-5) in a methadone maintenance therapy (MMT) patient population in Hanoi, Vietnam.

Methods

We conducted a cross-sectional survey. The PHQ-9, GAD-7, and PC-PTSD-5 were administered to MMT patients. A blinded interviewer administered the Mini-International Neuropsychiatric Interview (MINI) as the reference gold standard. Total scores of each tool were compared with the MINI diagnoses using a receiver operating characteristic curves, and we identified the optimal respective cut-off scores using the Youden’s Index.

Results

We enrolled 400 MMT patients. Approximately 99.3% were male (n = 397) and 21.8% (n = 87) were HIV positive. The prevalence of major depressive disorder, generalized anxiety disorder and PTSD, respectively, was 10.5, 4 and 2%. Optimal cut-off scores for the PHQ-9, GAD-7 and PC-PTSD were ≥ 5, ≥3, and ≥ 4 with a sensitivity/specificity of 95.2%/91.9, 93.8%/87.5, and 62.5%/95.2%.

Conclusions

The prevalence of CMDs in the MMT population was lower than expected. A lower cut-off score may be considered when screening for CMDs in this population. Further research should investigate the validity of somatic symptom-based screening tools among other drug-using or MMT populations.

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Title: Validation of screening tools for common mental health disorders in the methadone maintenance population in Hanoi, Vietnam
Authors: Anisa Y. Mughal
Melissa A. Stockton
Quynh Bui
Vivian Go
Tran Viet Ha
Brian W. Pence
Bradley N. Gaynes
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Post-Traumatic Stress Disorder
Mood Disorders
Generalised Anxiety Disorder
Affective Disorder
Methadone
Anxiety
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03493-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Validation of screening tools for common mental health disorders in the methadone maintenance population in Hanoi, Vietnam

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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