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Validity of the SF-36 five-item Mental Health Index for major depression in functionally impaired, community-dwelling elderly patients.
J Am Geriatr Soc. 2005 Nov; 53(11):1978-85.JA

Abstract

OBJECTIVES

To examine criterion and construct validity of the five-item Mental Health Index (MHI-5) of the 36-item Short Form health survey (SF-36) in relation to the presence of major depression in functionally impaired, community-dwelling elderly patients and of eight subsamples defined by cognitive functioning, levels of functional impairment, and proxy report versus self-report.

DESIGN

Cross-sectional observational.

SETTING

Nineteen counties in western New York, West Virginia, and Ohio.

PARTICIPANTS

One thousand four hundred forty-four functionally impaired, community-dwelling Medicare beneficiaries aged 65 and older who participated in the Medicare Primary and Consumer-Directed Care Demonstration.

MEASUREMENTS

MHI-5, Mini-International Neuropsychiatric Interview Major Depressive Episode (MINI-MDE) module.

RESULTS

The MHI-5 demonstrated sufficient criterion validity (area under the receiver operating characteristic curve=0.837; sensitivity=78.7% and specificity=72.1% using a cutpoint of 59/60) with respect to the presence of depression for the entire sample. A significant correlation between MHI-5 scores and presence of major depression as identified using the MINI-MDE (Spearman correlation=-0.426, P<.001), a strong correlation between the MHI-5 and the SF-36 role emotional scale (Spearman correlation=0.522) and a weak correlation with the SF-36 physical functioning scale (Spearman correlation=0.133) provided evidence for construct validity. Additional evidence is provided by decline in mean MHI-5 score as level of formal education and number of close friends and relatives decreased. All eight subsamples demonstrated similar criterion and construct validity. A Cronbach alpha of 0.794 demonstrated internal consistency reliability.

CONCLUSION

This study provides evidence for adequate criterion and construct validity of the MHI-5 in relation to the presence of major depression among functionally impaired, community-dwelling elderly Medicare patients.

Authors+Show Affiliations

Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA. bruce_friedman@urmc.rochester.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16274382

Citation

Friedman, Bruce, et al. "Validity of the SF-36 Five-item Mental Health Index for Major Depression in Functionally Impaired, Community-dwelling Elderly Patients." Journal of the American Geriatrics Society, vol. 53, no. 11, 2005, pp. 1978-85.
Friedman B, Heisel M, Delavan R. Validity of the SF-36 five-item Mental Health Index for major depression in functionally impaired, community-dwelling elderly patients. J Am Geriatr Soc. 2005;53(11):1978-85.
Friedman, B., Heisel, M., & Delavan, R. (2005). Validity of the SF-36 five-item Mental Health Index for major depression in functionally impaired, community-dwelling elderly patients. Journal of the American Geriatrics Society, 53(11), 1978-85.
Friedman B, Heisel M, Delavan R. Validity of the SF-36 Five-item Mental Health Index for Major Depression in Functionally Impaired, Community-dwelling Elderly Patients. J Am Geriatr Soc. 2005;53(11):1978-85. PubMed PMID: 16274382.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validity of the SF-36 five-item Mental Health Index for major depression in functionally impaired, community-dwelling elderly patients. AU - Friedman,Bruce, AU - Heisel,Marnin, AU - Delavan,Rachel, PY - 2005/11/9/pubmed PY - 2006/1/26/medline PY - 2005/11/9/entrez SP - 1978 EP - 85 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 53 IS - 11 N2 - OBJECTIVES: To examine criterion and construct validity of the five-item Mental Health Index (MHI-5) of the 36-item Short Form health survey (SF-36) in relation to the presence of major depression in functionally impaired, community-dwelling elderly patients and of eight subsamples defined by cognitive functioning, levels of functional impairment, and proxy report versus self-report. DESIGN: Cross-sectional observational. SETTING: Nineteen counties in western New York, West Virginia, and Ohio. PARTICIPANTS: One thousand four hundred forty-four functionally impaired, community-dwelling Medicare beneficiaries aged 65 and older who participated in the Medicare Primary and Consumer-Directed Care Demonstration. MEASUREMENTS: MHI-5, Mini-International Neuropsychiatric Interview Major Depressive Episode (MINI-MDE) module. RESULTS: The MHI-5 demonstrated sufficient criterion validity (area under the receiver operating characteristic curve=0.837; sensitivity=78.7% and specificity=72.1% using a cutpoint of 59/60) with respect to the presence of depression for the entire sample. A significant correlation between MHI-5 scores and presence of major depression as identified using the MINI-MDE (Spearman correlation=-0.426, P<.001), a strong correlation between the MHI-5 and the SF-36 role emotional scale (Spearman correlation=0.522) and a weak correlation with the SF-36 physical functioning scale (Spearman correlation=0.133) provided evidence for construct validity. Additional evidence is provided by decline in mean MHI-5 score as level of formal education and number of close friends and relatives decreased. All eight subsamples demonstrated similar criterion and construct validity. A Cronbach alpha of 0.794 demonstrated internal consistency reliability. CONCLUSION: This study provides evidence for adequate criterion and construct validity of the MHI-5 in relation to the presence of major depression among functionally impaired, community-dwelling elderly Medicare patients. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/16274382/Validity_of_the_SF_36_five_item_Mental_Health_Index_for_major_depression_in_functionally_impaired_community_dwelling_elderly_patients_ L2 - https://doi.org/10.1111/j.1532-5415.2005.00469.x DB - PRIME DP - Unbound Medicine ER -